I have been diagnosed as having a rectocele and my ob/gyn who did my hysterectomy suggested I see a gastro specialist. I saw the gastro guy and he wants to do a colonoscopy to make sure that its nothing else and then send me to a colo/rect surgeon to have the rectocele repaired. I have read alot on this site about the ob/gyn doing the repairs. Who should I be seeing??? If you could share your stories of who did your surgery I could make a better decision instead of running to a bunch of different doctors. Thanks
I haven't had my surgery yet... but my GYN would do the repair ( she wouldn't fix the bladder though - a uro would need to ) As I understand (with my limited research) is that GYN's are trained in this area to repair because the repair is vaginal. However, if you have issues with the rectum/anus than a colo/rect surgeon would have to address. HOWEVER, a colo/rect surgeon is fully capable of repairing a rectocele as well.
I will be seeking another opinion from a urogyn however (sorry for the graphical details) when I have a BM I now feel a budge protruding from my anus - it's freaking me out - but my gyn didn't see it apparently.
Having a rectocele post hysterectomy could be an indication of other prolapses too so seeing a urogynecologist who specializes in pelvic floor repairs is best even if you have to travel to get to one. Rectoceles can also be a sign of vault prolapse starting or enteroceles etc. dynamic pelvic mri or defacating proctogram is best way to identify any and all problems before discussing types of surgery. Just learned all this recently due to the extent of my own issues. Good luck!
My gyn sent me to the urogyn. The gyn felt that he could do the surgery, but knew that a specialist could do it better & he wanted to send me to the best (he claimed). Anyway, after seeing the urogyn, cystocele and enterocele were also detected. I had a lot of testing and I finally had surgery on Monday 10/27 - 5 days post op now.
The one thing that I've found difficult about seeing a specialist is that you do not have a relationship with them. When you're used to seeing doctors that you've seen for years and who know you well, it was difficult seeing a doctor that you're only going to see a few times & then to trust him with a very major surgery. I did a lot of research and found that he really was one of the best in the my area so that did help a little with my anxiety. There really aren't very many urogyns out there.
Let me ask this, once you do decide on a doctor - and if that doctor is NOT your regular GYN, do you go back to your regular GYN at any point, or completely switch? I love my GYN, but in my heart I know I will end up going with the urogyn, because this is what he does day in and day out and I know I want the most experienced doctor to fix things. However, I haven't mentioned to my GYN that I would be seeking a second opinion, and once they request records, I feel like I pretty much ended our dr/patient relationship. ??
BMW I think seeing a surgical specialist is not switching dr.s My reg obgyn referred me to a urogyn because she said prolapse is very specific and you need a specialist surgeon for repairs. that being said I still go to her for yearly exams etc. I think seeing a urogyn is the same as say.. you have your reg. dr. you see for colds, etc but then if you had heart issues you'd go to a cardiologist but then would still go back to your reg dr. too.
Well...I do not think that if you request to have your records sent to another doctor, it does not end that relationship with your current gyn. You are only seeking a second opinion to your surgery & you want the best care/advice possible. But you should let your doc know this is what you are doing. This happens to doctors all the time -- it's professional only; not personal and they shouldn't take it personally. (i.e., I was having some major eye trouble a few years ago and my eye doc was treating it. I told her I wanted to see a retinal specialist to make sure everything was okay. She was completely fine with that -- everything ended up being fine, and I continue to see my regular eye doc to this day -- no hard feelings and she did not recommend I see the specialist; I did!)
As far as follow up, I will continue to see this urogyn through my post op phase, but I assume I will go back to my regular gyn for my routine care - at least that's what my plans are at this juncture! Like you, I like my regular gyn and have a better and more comfortable relationship with him, so I don't want to stop seeing him.
Thanks for your replies!! KrazyKatts, I wish my GYN gave me a referral, but she wants to do the surgery, and feels confident about it - which is the reason I feel like I may offend her. If I didn't like her, and she was just a doctor, I could care less, but truthfully - I haven't ever had a GYN or even a doctor I like as much.