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I had a TAH in April 2004 - recovery went well - slow but okay. I am fairly certain I have developed a small rectocele. I notice a bulge when I need to have a BM - then afterwards - the bulge basically goes away. What - if any - things can I do to keep this from getting "out of hand" - I really don't want any more surgery. Where do you find a pelvic floor specialist - does insurance cover that??? Anyway - just want to do everything I can to keep this from getting any worse - I go to jazzercise and usually work out with weights - is that going to make things worse?? thanks for suggestions
Hi Bilbet.....i also have a rectocele after my hyster. Actually it was there before the doc just said it was small and didnt need repair (not sure that was the right thing to do! but its done~) Pelvic Floor Reconstructive surgeons are somewhat hard to locate but usually can be found at larger medical facilities in bit cities. There is one here now in my town just east of Dallas! You need to be very careful about weight lifting, i was told NO weight lifting EVER (not over 15 pounds) for the rest of my life. I'm not sure if Jazzercize would put pressure on the lower abdomen and pelvic floor, i'd ask the doc before continuing. Also do not strain with bm/s. i intend to live with my rectocel problem for now! take care...blessings!
My surgeon told me that downward abdominal pressure will make a rectocele worse. Straining to have a BM is a prime example of that.
My gynecologist did my rectocele repair with a graft so that I wouldn't have any lifting restrictions after I am fully healed. We have a farm and there's always lots of lifting to be done so that was very important to me. My GP referred me to this surgeon. If there's a medical school in the area you can ask there, and perhaps another resource might be a local hospital. You can ask which doctors perform that sort of surgery.
Hi ((((Bilbet)))) I'm sorry you may be dealing with a rectocele
I had a Stage III rectocele repaired at the same time as my hyst. Since I had 3 month wait between the day I scheduled my surgery and the actually day in the OR, my surgeon told me to be sure to try and avoid any unrequired lifting and straining, as both would make the prolapse worse... and harder to repair. As already mentionned, this includes keeping bowel movements regular and as soft as possible, in order to both avoid pressure and straining.
While it's not likely that you would be able to reverse an already existing prolapse, if your prolapse is in the early stages (stage I or early Stage II), you may be able to manage it with alternative therapy. A pressary comes to mind. Here's a link to our Prolapses Resources Library where you'll find links to site specializing in prolapses.
One thing you may want to look into, is Pelvic Therapy. This is a method where biofeedback technology is used to both stimulate pelvic floor muscles and monitor the effectiveness of contractions. This is done by insurting a small probe in the vagina and, sometimes, in the rectum (don't worry: you purchase the probe). The probe is linked to a computer where the technician uses a special software to help you along. This is all complemented with "homeworks" where you have to do daily exercises in order to strengthten those muscles. I tried it in order to help with a pesky incontinence problem I've been dealing with since 11 months after my hyst and the progress was amazing: even after the 1st visit, there was marked improvement. And my insurance does cover the costs... but you need to include the original prescription with your first claim.