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Enterocele and rectocele diagnosing.. Enterocele and rectocele diagnosing..

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Unread 05-16-2009, 02:38 PM
Unhappy - Enterocele and rectocele diagnosing.. Enterocele and rectocele diagnosing..

I recently had a CT scan done because I've been having some pelvic pain and she wanted to see if I had any adhesions.

I would like to know if any of you know if a CT scan would also show if I had a prolapse of any kind?

I know I do, but she doesn't seem too concerned about it, but it causes me problems in the bathroom issue.

Also, (pardon if too graphic) when I splint, would I be able to tell if it is just a rectocele? or does it feel different if it is an enterocele?

I am about to lose my mind.

She hasn't even called me about my CT scan. I called her office and her nurse answered and when I told her who I was, she said "everything is normal". She didn't even take time to look for my file! I told her no, everything was not normal. Then she said she would tell the doctor I called.

I have heard nothing.

I called my colorectal doctor because I had a copy of the CT sent to him. He said he could not see what could be causing the pain, but did notice a cyst on my liver that needs to be watched. GEEEE that was nice of my gyns nurse to NOT mention that.

I feel like I am at my ropes end. I want to find another doctor, but the only two in this area that are urogynecologists are males....I had a horrible experience with my last male gyno and they scare me now.
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Unread 05-17-2009, 09:34 AM
Re: Enterocele and rectocele diagnosing..

generaly CT scan do not diagnose prolapses and unless you are seeing a urogynecologist who's specialty IS pelvic floor then all these dr's can easily misdiagnose prolapses. colorectals are used to rectocele's in men which is totally different so I'd take their diagnosis with a grain of salt. Don't lose your mind over this just get some opinions from a urogynecologist! Plus find yourself a new reg gyn if that's the one who so rudely didn't care enough to call you back. Prolapse has taught me to be my own advocate and not be afraid to tell a dr. sorry your not the right one to work with me! if you read previous posts of mine you'll see I did a lot of my own research and got a lot of opinions from surgeons before I chose the one to work with. YES my 1st surgeon was a male and totally unsympathetic to my issues. He was the so called TOP urogyn in this area but he sucked as far as I'm concerned. SO I found othe women urogyn to meet with after that failed surgery and found 2 to be great and 1 to be just as awful as the male. Keep searching and travelling an hour or 2 is OK if it's the right dr.
Good luck!
Unread 05-17-2009, 10:46 AM
Re: Enterocele and rectocele diagnosing..

Thanks for the words of encouragement.

I did see my colorectal specialist earlier this year and he agreed I had a rectocele and wanted to get my hems cleared up before he did further testing to see how bad it is. I believe it is a defecogram he was talking about (after reading the posts here, that is what it sounded like). I have a lot of respect for this doctor, and I have been a patient of his for over 10 years. I need to sit down and talk to him and find out if he does this type of surgery and if not, who would he recommend.

I really curious how I would tell if I had an enterocele in addition to the rectocele.

I would have to travel some to see the two urogyns that I did find, but as I said, they are both male. I will continue on the search.
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Unread 05-17-2009, 12:16 PM
Re: Enterocele and rectocele diagnosing..

The only way my enterocele was diagnosed was after an MRI with contrast. this is where they insert gel contrast into the vagina and rectum and have you push down like having a bm to excrete it. They can see what happens at that moment and how much gel is left behind showing any issues with excreting. I had mine done a John's Hopkins which was the only place in MD to get it but was told it diagnoses better than the defography as it covers any prolapses or "weak" areas within your vaginal walls that may give way to additional prolapses even after you fix this. THATS the important part because if you don't have a great surgeon correct everything at the same time you are setting up for future prolapses as the fixed areas will stay strong the weaker areas can prolapse. Which is why there's not true "failures" in the surgery just new prolapses due to the pressure being redistributed to those weaker areas that didn't get addressed. Not sure how available it is in your area since I had to drive over and hour to Hopkins to get mine as it was the only place in my state that did this test BUT glad I got it done. It was less embarassing than the defogram. Not to dissapoint you but usually if there is rectocele than there is usually other prolapses so it's best to have the colorectal work with a urogyn surgeon on that so you can fix all your vaginal wall issues together. On UPRISE a lot of women discuss having both specialists in the O R to get the best results. Good luck again!
Unread 05-17-2009, 11:07 PM
Re: Enterocele and rectocele diagnosing..

Was your MRI in a sitting or laying down position.
I had one done recently and it was laying down and I feel it didn't show everything that was going on with me.
Now I am scheduled for regular defecogram.
Unread 05-18-2009, 06:47 AM
Re: Enterocele and rectocele diagnosing..

Hi Violet
Mine was in a laying position but when I was asked to "push out" the gel I REALLY pushed so they could get a good read. But having the other test to compare too is only helpful in diagnosing so why not have it, ya know!
Unread 05-18-2009, 07:27 AM
Re: Enterocele and rectocele diagnosing..

Interesting that the defecography won't show things an MRI will. I have the films of my defecography, and the vagina shows up clear as day. I'll ask the doc about this if he does suggest surgery. But I've had so much radiation in the last 6 months, not to mention to last 4 years . . .
Unread 05-18-2009, 10:27 AM
Re: Enterocele and rectocele diagnosing..

Katt, it's interesting that you say the MRI will show prolapses and other problems better than defecography. My urogyn (also in MD) felt the defo was the best tool for determining the extent of my bowel issues. And on my films you can clearly see the rectocele flattening my vagina as I pushed down and you can see my intestines dropping as well (enterocele). If I had been laying down I don't think the results would have been nearly as noticable since gravity wasn't doing its part.

De, if you have the defecography, make sure all the paste they insert comes out. Less than half the paste in me was pushed out during the test, and the remainder (rather embarassingly) wound up on the floor at Arundel Mills!!
Unread 05-18-2009, 10:34 AM
Re: Enterocele and rectocele diagnosing..

That's what I was told was that the MRI is more sensitive to detecting not just the areas that are prolapsing currently but the areas that are potential problems due to weaker tissues. I was scheduled for the defo but then they switched me to the MRI for that reason. Either way just glad I got fixed Can I ask which dr. you use? I had met with several for opinions before my 2nd surgery and just wondered who yours is and if it's someone I hadn't met yet
Unread 05-18-2009, 02:15 PM
Re: Enterocele and rectocele diagnosing..


My uro/gyn diagnosed my cystocele, rectocele, enterocele and vault prolapse via a pelvic exam and an ultrasound right in his office. He showed me the prolapses on the screen. We opted for giving a pessary a go, but I couldn't retain it, and the bigger size caused a lot of pain. So, I had him do all the repairs using Prolene stitches (he won't use mesh), I have been very, very happy with the results and it's been over 4 years.

I would also encourage you to seek a uro/gyn...you deserve the best!


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