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Rectocele repair - Gyne or Colo rectal surgeon? Rectocele repair - Gyne or Colo rectal surgeon?

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Unread 05-25-2007, 07:02 AM
Rectocele repair - Gyne or Colo rectal surgeon?

I have had chronic incomplete bowel for a number of years and after going thru' GI's telling me it is IBS etc. etc. they have finally figured out that I have a fairly large - Stage 3 Rectocele. My GI sent me to a Colo-rectal surgeon and my Gyne sent me to a UroGyne. Now both of them are ready to take care of this issue for me surgically - you can guess first one will be thru' cutting between my rear-end and vagina (sorry!!) and the Ob-gyne will take care of it thru' the vagina.. Intially, I thought that it is a no brainer. I should go for the less invasive vaginal approach.. but the rectocele issue is really in my rear and now I am having second thoughts on which surgeon to go with - I still have time to decide and change my mind. My Ob-Gyne procedure is scheduled for June 19 - Any comments / feedback/ stories will be GREAT!! Thank you Hyster Sisters!! My first time posting, but I have enjoyed reading the posts.. btw, I should have mentioned, I have not had a Hysterectomy, but a Hydro Thermal Ablation (HTA) 3 years ago and it has worked beautifully!!
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Unread 05-25-2007, 08:30 AM
Rectocele repair - Gyne or Colo rectal surgeon?

I'm only just now starting this rectocele journey and mine is post-hyster so take what I say as I'd still say go with the less invasive. From what I've read here, you really want to avoid messing with the anal sphincter. Once that's cut, it's hard to heal and often continues to have problems. Are you having any sphincter problems now? Have they made sure there are no other prolapse issues? Once one goes, they all or others often fall too. That's where the urogyns are so good. They specialize in the whole pelvic floor and look at the big picture.

KathieM1954 & OrhaDeb will probably come on here soon. I think they had to have perineal work done and can probably answer more specifically. They're a wealth of information.

Which Dr. does your gut tell you is giving you the complete picture? That may also be a way to decide. Which has better bedside manner and you feel comfortable with. This is likely to be a long journey. You want the one you like working with the best.

I know about the IBS diag. road. I kept being told I had IBS even when I didn't present with typical IBS stuff. It's such a catch all diagnosis that I think it's over used and used as a copout for really investigating issues. My IBS symptoms have drastically dropped off since the hyster. I now have a rectocele Dx that my gyn suspects was there all along. I wonder how much that was causing the IBS symptoms but not identified because they never looked and I didn't know about the condition until now.

Good luck on your surgery which ever way you go! We're here for you! LJC
Unread 05-26-2007, 07:55 AM
Rectocele repair - Gyne or Colo rectal surgeon?

From what I have heard, both a uro/gyn and a colorectal surgeon are fully capable of fixing a rectocele, it's up to you how you want it repaired. I chose a uro/gyn as I also had bladder issues. Also a uro/gyn is a pelvic floor specialist and I wanted to make sure I had every chance possible of not damaging my sex life. Unfortunately having my rectocele fixed has not changed the fact that I cannot empty - I'm still trying to get a referral for PT and pray that works (my uro/gyn says I have a tight muscle inside that is causing the problem). I hope the surgery takes care of your problems. Hugs and good luck to you with your repair.
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Unread 05-26-2007, 03:10 PM
Rectocele repair - Gyne or Colo rectal surgeon?

Thank you so much for the reply and the wishes.. I hope PT works for you and you get the relief you need - Best!!
Unread 05-26-2007, 03:47 PM
Rectocele repair - Gyne or Colo rectal surgeon?


I've read studies that compared repairs done through the transanal approach and the transvaginal approach. After reading, I chose the vaginal way myself. However, I only ever had UroGYN consults beforehand. The info is here on PubMed .

I do hope you can make the best decision for you.
Sending +++ thoughts and a few good vibes.......
Unread 05-26-2007, 07:14 PM
Rectocele repair - Gyne or Colo rectal surgeon?

Dear OrahDeb,

Thank you very much.. This is the kind of reference I was looking for and couldn't easily locate.

Here is the latest on my quest... there is another Colo Rectal Surgeon telling me that may be I should try Bio Feedback before opting for either of the surgeries. I am still confused, but I will keep researching and hope to land with the right decision. It is soooo confusing. I will keep you posted.. This forum is so helpful and thank you all!!
Unread 05-26-2007, 09:25 PM
Rectocele repair - Gyne or Colo rectal surgeon?

Why not try biofeedback? If you can find another way besides surgery to deal with your problem that is satisfactory, that would be an advantage. I haven't heard of a stage 3 rectocele going away, BUT if it is at all helped and you can avoid having surgery, that would be a major plus (to me, anyways).

It seems smart to look at all the options before choosing. It also seems like going the least invasive way first would be wiser. You can always go ahead but you can't go back from some things.

Sending more {{{HUGS}}}....
Unread 05-27-2007, 05:19 AM
Rectocele repair - Gyne or Colo rectal surgeon?

So True.. Thank You.. Here I come.. BioFeedback!! - of course, after I told work that I am having surgery done!! That obviosuly sould not be the reason.. but so much of what we women face, I am sure is a lack of understanding at work, isn't it? -- Hugs and Wishes..
Unread 05-28-2007, 07:51 AM
Rectocele repair - Gyne or Colo rectal surgeon?

I tried Biofeedback (PT) at the colorectal surgeons office. I did learn to eat better and relax while having a BM. I had to buy a plug to do the exercises with. Also there are certain muscles that you should/should not use to have a BM. So it can't hurt to try. I did learn to do rectal kegals separate from vaginal ones - lol. I hope it works for you! Hugs.
Unread 05-28-2007, 01:51 PM
Wink - Rectocele repair - Gyne or Colo rectal surgeon? Biofeedback

So, did the biofeedback eliminate your need to have surgery? Or did you end up having to go for surgery later? Thank you very much!!

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