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Unread 01-23-2005, 04:28 PM
rectocele management

To all of you who are suffering with rectoceles after hysterectomy hope you are doing well with it. As for me, frankly I am trying to get "over" the fact I have one. I am 4 months post-op and feel pretty good otherwise. I have gone past the anger and the disappointment of the rectocele to a great extent. I eat a lot of fiber and I take stool softeners. So far I am managing it OK but I am aware of it all the time and I limit myself in some ways (not exercising as vigorously when I do) because I don't want to make it worse. And I am grateful that things are not a whole lot worse for me healthwise. This seems a dumb thing to obsess over with everything else people have going on.
I just wanted to check in and see how some of you are handling your health with this. I am trying to lose weight, I have 30 lbs to lose, and I am trying to avoid surgery; if I need it I probably won't let my current surgeon do it. I want more than one opinion too because I hear it can be a pretty painful ordeal! And, I am afraid it would not hold.
Just want to hear from some of you and God bless.
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Unread 01-23-2005, 05:05 PM
rectocele management

It sounds like you're doing the right stuff with the fiber and stool softeners. You should also check into doing some pelvic exercises (Kegels). Other than that, the only other thing I'm aware of is that you're supposed to try to not create additional abdominal pressure. For someone who actually exercises, that might be situps. For the rest of us it's probably avoiding straining for a BM.

Pain-wise, I think it would have been manageable if I had stayed in bed and had been more careful about taking my meds. The nurses told me to walk, and when I'd had an appendectomy walking helped. This was a case where walking made things worse. The other thing I did was wait for something to hurt before I took my meds. That wasn't a good thing.

I'm glad I had it done though! For me, the results justify the cost.
Unread 01-23-2005, 05:16 PM
rectocele management

Hi ((((LCP))))) I'm sorry you're dealing with the Rectocele, so soon after your hyst

I had a Stage 3 rectocele repaired at the same time as my hyst. Yes, that part of the surgery was pretty painful. In fat, initially, the perineal pain was the only one I had. However, in my case, it was very easily managed, right from the third day post-op, with extra-strength tylenol. I would also make sure that I would avoid constipation, through ensuring that I ate enough fibers, drank plenty of water, preferably at room temperature. I also made sure to walk as walking helped with keeping the bowels loose. In my case, as long as I did it in moderation, it didn't make the pain worse. One thing that was very hard was sitting for any amount of time... so I kept that to a strict minimum.

I think that you are doing the right things to avoid making the rectocele worse. Have you enquired in the possibility of using an estrogen-based or progesterone-based cream? Some women seem to have success in restoring or maintaining the pelvic floor's elasticity by using these creams: might be worth investigating if that would be a possibility for you.
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Unread 01-23-2005, 06:29 PM

Hi Dany and Jane thanks for your responses. Really makes me feel better and that I am not alone! Jane, did you have a rectocele repair after your hysterectomy or was it at the same time?
On the cream...where do you get it? Unfortunately my doc is not one of those who thinks anything is hormonal; she's just perfectly great, I guess and doesn't need anything! Thinking about visiting an endocrinologist and having them "run" my hormone levels and see what is going on. Can you get the cream without a prescription? I obviously have a weak pelvic floor if this caved in so quickly. I just pray everything does not cave in! How do you know if you need the estro or progest cream?
Thanks, LCP
Unread 01-23-2005, 08:07 PM
rectocele management

I am almost 9 months post op now, but have had symptoms of this rectocele/enterocele for approx. six months now. I became severly constipated after my hyst and had a impaction at 4 weeks. I did alot of straining and I think it really made these prolapses occur. My pelvic floor was probably already weak from the 4 c sections, the hyst and 12 years of doing heavy duty housekeeping. I was in P.T. five years ago to try to strengthen my abdominal muscles when I hurt my back. The therapist told me then that my abdominal muscles were very weak from all of the c sections. I guess I should have seen this coming.
It sounds like you are doing the right things to prevent it from becoming worst. Kegel exercises are supposed to help if you have a mild rectocele. Mine was beyond that.
There is a whole bunch of good advice on the net. Do a search on rectoceles.

Good luck and I hope you can prevent surgery.

Unread 01-24-2005, 08:10 AM
rectocele management

Sorry -- I should have mentioned that my repair was at the same time as my TVH. The TVH didn't hardly bother me at all. I agree with Dany that sitting was the worst! A donut pillow didn't work for me either.

I've read a lot of rectocele repair stories and haven't been able to figure out why some women have a lot of pain afterwards and some have hardly any. I thought maybe it hurt more if you had a graft like I did, but some of the ladies that got grafts had very little discomfort. I had trouble walking that first week, and Dany had none. I guess every case is different.
Unread 01-24-2005, 07:21 PM
rectocele management

Hi LCP: I'm in Canada, where the creams are only available by prescription However, I believe that in some States, if not all of them, it is possible to get those creams over the counter. It may be worth it for you to check with your pharmacist: he/she would be in a good position to advise you on where and how to get those creams. While your problem may not be hormonal, I figure it's worth it to investigate all possibilities.
Unread 01-24-2005, 07:47 PM

Thanks Dany, I'll look into it...anything is worth a try!

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