Doctor insights on:
Starr Procedure Rectocele
I have cystocele(gr1), rectocele(gr3) and rectal prolapse thru anus. What procedure is best method and what is best specialist to perform op? Thanks.
To urologist / uro-.: Go to experienced urologist or uro-gynecologist for evaluation and surgical correction with modern available concept and procedures. Remember: Corrective surgery is not to cure, but apply what your body/tissue can do so to put together for better anatomical alignment and functional restoration. And aging will still weaken tissues leading to recurrence. So, be realistic although great improving... ...Read more
I'm having stress incontinence and rectocele repair surgery as back to back procedures. What can I expect afterwards. Can you explain the procedures?
Poor support: Rectocele:; lack of pelvic support allows rectum ("straight") to sag and bulge to the front, into the vaginal vault. Rectum is no longer straight and can not effectively transmit force, or transport stool out. Ber down and things bulge-kind of like pushing a rubber band. Sometimes physical therapy may help; often surgery needed. (good results generally). ...Read more
Relatively short: You should discuss the planned procedure and post-op care with your surgeon. Generally, a rectocele (posterior) repair recovery time is relatively short. You should be up and walking the day after surgery. You may experience some vaginal and rectal discomfort and pressure. You may be back to relatively normal activities except for heavy lifting and sexual activity within a couple of weeks. ...Read more
Continued symptoms.: If you are not having symptoms from your rectocele then i would not have it repaired. Noone can tell you exactly what is going to happen with your rectocele. It will not just go away. It may stay just like it is or it may worsen over time. If it gets worse it can still be repaired. Their is no harm in waiting. ...Read moreSee 1 more doctor answer
Pressure or bulge.: Many women have no symptoms with a rectocele. A rectocele can present with a bulge or mass in the vagina that may protrude through the vaginal opening. Some women have vaginal pressure or pain. Difficulty having a bowel movement is also common and many women will use vaginal pressure to help have a bm. Some woman have difficulty with intercourse or low back pain. ...Read moreSee 2 more doctor answers
Varies.: A rectocele is often asymptomatic. You may feel something bulging at the vaginal opening, vaginal pressure, discomfort or low back pain. Some women have difficulty having a bowel movement and may need to press into the vagina to help empty the rectum. Some women have difficulty having intercourse. ...Read more
Rectocele repair: Either a pessary or surgery. A pessary is a small flexible support that is placed into the vagina -- it holds everything in place, but does not cure the underlying problem. The only way to definitively treat the problem is to undergo a surgical repair which may or may not involve a resuspension of the vagina (if you already had a hysterectomy) or a hysterectomy (if your uterus is also falling). ...Read moreSee 2 more doctor answers
Two general methods: Rectocele is basically a hernia of the rectal wall into the vagina. Many women have no symptoms from rectocele and do not need repair. Symptomatic rectocele can be repaired with sutures but comes back frequently. It can also be repaired with mesh. This technique may not come back as often but can have other complications. ...Read more