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Unread 03-27-2005, 10:04 PM

Well... I know I have a rectocele without even seeing a doctor. I have had it for some time now. Not really bothersome. Here lately though it is getting harder to have a bowel movement. I sometimes even have to insert a finger in my vagina to put pressure on the bulge to have a bm. I saw on another post where another lady was having to do the same thing. Sooo... I'll be visiting the doc soon for this problem.

My questions are:

Do you have to be put to sleep to have this surgery?
How long is the hospital stay?
Can this be done as an out-patient surgery?
Will this surgery totally correct the problem?
What kind of long-term effects will this surgery cause? Such as... Will I always need to take a stool softener? What happens if you get constipated?

Is it painful?

Thanks, Trina
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Unread 03-28-2005, 09:11 AM

Hi Trina
I had a rectocele/ enterocele repair surgery 2 months ago. At first I didn't have to use a finger to have a bm, but then it just got worse and worse. I used fiber and drank lots, but it became large.
I opted for a spinal for my surgery. I was put to sleep the first 30 minutes while I was prepped. (legs put into stirrups,bladder emptied,etc.) My dr. also examined my vaginal area, did the cuts during this time. The anesthesiast woke me up after that. I had a nice conversation with her for the next hour. I even occasionally talked and joked with my dr.My 2 repairs took 1 1/2 hours. I would use spinal again if I ever need another repair surgery. I stayed one night in the hospital. They pack your vaginal area with gauze and leave it in until the next morning, along with the catheter.I was told by my dr. to never allow myself to get constipated again and no straining. I was on colace 200mg a day for 4 weeks, then he said to cut back to 100mg, then to go off at week 6, but stay on fiber forever. I am still taking colace, because I am still having bm problems. I have had something going on im my abdoman since my hyst that I believe is causing the constipation, which made me strain and get the prolapses. I am going back to the colon rectal surgeon for more tests. You may be perfectly fine after the repairs. Most ladies are.I f you become constipated and start straining you can prolapse again and need more repairs. My gyn used pervicol(pig material) graft, which is supposed to last a lifetime. I will see. I had no pain with my repairs. I never needed any pain medicine once I got home. My dr. didn't do a episiotomy type of cut, which is what he says causes the pain. Each sister has different pain levels with the surgery.
I hope it goes well with you. Feel free to pm or email me anytime if you need info or support.
Unread 03-28-2005, 09:27 AM

(((Trina)))) I'm so sorry you're dealing with this issue

I had a Stage III Rectocele repaired at the same time as my hyst, so, other than confirming that you do have to be under for that surgery, I can't address issues such as recovery and hospital stay.

However, I can tell you that, since my hyst, I haven't had any problems with bulging and having to splint to have a BM Furthermore, while I do have to be careful to avoid constipation and this is not always easily done with my chronic IBS, I am not on stool softeners

When I do get constipated, it's the same as it was in the "old" days, before I had all these problems that led to the hyst: I just have to be careful not to overly strain, since it could result in damaging the repairs. However, overall, in the 4+ years since my hyst and repairs, I haven't had many episodes where I got sooooo constipated that I risked damaging the repairs. This could be because I make sure that my diet contains enough fibers and that I keep drinking plenty of water.

One thing to keep in mind is that, once we've had a prolapse, we're at risk of further prolapses. This is especially true for those of us who no longer have a cervix. That's why, for the most part, women who've had prolapse repairs are on permanent lifting or straining restrictions. While, in my case, my doctor didn't specify "no lifting more than xx lbs", he did say to be careful not to strain. So, even now, I'm careful not to lift my now 9 yo DD and stay away from lifting heavy boxes.

Oh, one thing to keep in mind: even if you haven't had repair surgery, you should be careful not to lift or strain in order not to aggravate the existing prolapse.

Sending tons of s your way. Please, do keep us posted.
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Unread 03-28-2005, 06:33 PM

Thanks soooooo much!!!!!
You two explained everything so well!
Yes.... I need to work on the straining part. I guess I need to add more fiber. Well... I KNOW I need to add more fiber. I do get plenty of fluids. And I have noticed on the days that I walk, the bm is much easier. I need to get out and walk everyday. Shame on me.

That is a good word... "splint".... better way of describing it.

You know, I haven't thought of making it worse by lifting. I started lifting weights. They're not heavy. Five pound dumbells. But, I need to be more vigilant about how I do things.

Thank you so much for the advice!

s Trina

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