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Rectocele Repair? Rectocele Repair?

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  #1  
Unread 05-19-2005, 10:43 PM
Rectocele Repair?

I'd appreciate any feedback...

I've just been diagnosed with a rectocele. I had a TAH due to adenomyosis and endo in 1999 followed by BSO and bowel resection surgery in 12/01. Over the years I've had extensive endometriosis of the recto vaginal septum, pararectal spaces and posterior culdesac. I personally feel that all the surgery done in these areas to treat & remove endo contributed to a weakening of the tissues. Coupled with my hysterectomy I guess I was doomed to get a rectocele at some point.

Anyway, after talking with my surgeon yesterday I'm spooked about having the rectocele repaired because of how he describes the surgery. He says it's done with an incision externally near the perineum. He tells me it's one of the more painful surgeries to recover from. Who in their right mind would want to put themselves through something like this?

Those of you that have had rectocele repairs, were they done this way?

Help!!!

Many thanks.

Debbie
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  #2  
Unread 05-20-2005, 07:51 AM
Rectocele Repair?

Hi Debbie

I wanted to give you my story. I had constipation problems right after my TAH last May. I also had adenoymosis. At 4 weeks post op I had a cat scan. It showed a bowel impaction. I did alot of straining during this time, which my gyn believes led to my rectocele and enterocele. I had my posterior repair done Jan. 25th,2005. I was prepaired for the worst. My dr. made a cut across the bottom, then up the middle all the way to the top of the posterior wall. He used pelvicol (pig) material to reinforce the site. I had no pain what so ever. I was pleasantly surprised.I have had very little sensation in my vagina since before my hyst, so maybe this is why I had no pain. I am not for sure. He said he didn't used trhe episiotomy type of cut, because it causes alot more pain.
The recovery was a breeze. It was very hard not to do much, because I felt so good. I was off of work for 8 weeks, so I could heal properly. I haven't had any pain since, but am dealing with ongoing constipation problems. I think the constipation problem may be related to abdominal adhesions, but I am not sure.
I have read horror stories about the surgery, but mine was good. I guess it just depends on the way your dr. does the repairs and how well you heal.
I hope all goes easily for you.
Peggy
  #3  
Unread 05-20-2005, 11:02 AM
Rectocele Repair?

I had my rectocele repaired by a colon-rectal surgeon who did it rectally. I had very little pain. It was done late on a Thursday, I went home that evening and went back to work on Tuesday.

I have heard many people say that rectocele repair is very painful. But fortunately my experience was different.

Best wishes to you as you decide what to do.
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  #4  
Unread 05-31-2005, 09:01 PM
Rectocele Repair?

Debbie,

I had my Posterior Repair and a TVOT done on April 25th. I was told I would be out of work for only 2 weeks (I work at a desk) and they were right, I was back at my desk exactly 2 weeks later.

I had an episiotomy type incision and spent one over-night in the hospital. I had to go home with a catheter due to the combination of Posterior Repair and TVTO which was removed two days later. (My MD explained spasms could cause peeing problems.)

I didn't hurt as bad as I thought. It was done under unsedated spinal and she (my MD) made sure I had adequate pain medication when the spinal finally wore off and I went home comfortable. (Percocet in hospital and Tylenol #3 with Codine at home). I only used one 30 tab Rx. I was even able to attend a First Communion and family function on day 6. Once my stitches started to disolve and let go I was even more comfortable.

I'm now five week post op, I've been discharged and I can't believe how much better my bowel function is now that my anatomy is back to somewhat normal. I have to keep the constipation issue under control, limit lifting and avoid straining.

Peeing is still different but it was explained that we develop bad habits when everything is out of place and I have to retrain my bladder again and the spasms will settledown over time. This past week is much better and each week seems better and better.

I love that I can sneeze and that I'm dry. Dry is a wonderful thing.

I'd do it again in a minute. I feel so much better. Good luck and don't be afraid it's worth it in the long run.
______________________
TAH/BSO 12/30/02-Submucosal Fibroid, Anemia and Severe Endometriosis.
Posterior Repair and TVOT 4/25/05 for 3 degree Rectocele and Stress Urinary Incontinancy.
  #5  
Unread 06-01-2005, 07:11 AM
Rectocele Repair?

Tigger6040,

I have done a lot of research on rectoceles - as far as I can tell there are 2 ways of fixing them - an episotomy incision or a site repair. In fact my first doctor told me (at the pre-op) that he only does the episotomy type and that would probably make me fecal incontinent - so I was off to find a new doctor and he told me that I should wait until it is really bad because of the risks - so I agreed. When I do have it fixed I am definately going to find a doctor who does site repair. Good Luck.
  #6  
Unread 06-01-2005, 07:44 AM
Rectocele Repair?

Hi hi

My reason for surgery was rectocele prolapse. The hysterectomy was choice 1 of 3 options. I had a TVH and posterior and anterior rectocele prolapse repair.

Symptoms to be rectified with prolapse repair:
1. Bladder incontinence - sneezing, laughing, coughing, waiting to long 'to go'. All of these naturally create dampness and I was wearing panty liners all day every day to catch it, and tried to stay fresh. Unfortunately, sometimes all that bacteria led to vaginal infections.
2. Constipation, and no urge to move bowels. When bowels were really ready to empty, I'd feel a big lump at the entrance to the vagina, and the best way to evacuate was to slip a finger inside my vagina and push it out. Gross, and not ideal when you consider the bacterial issues.
3. Lower body 'dragging' sensations. I always thought these were due to my weight gain, particularly around my middle. Upon researching rectocele prolapse, I learned that these sensations were caused by the prolapse itself. I likened the feeling to having a children's swimming pool buoyancy ring, filled with sand, around my lower abdomen.
4. Lower back pain.
5. Lack of energy and lack of enthusiasm for exercise. The above issues were not insignificant in causing exercise apathy. The resultant fatigue didn't seem worth it.
6. Flatulence that had a mind of its own! Sure, everyone needs to pass wind but most can control it so that it doesn't happen at inopportune moments. Not this little duck!
7. "Sexual flatulence" ... I think that's a reasonable way to put it lol. During sex, much more air would find its way in and inevitably would have to find its way out. Lovely.

Already, 1 week post-op, I can tell that things are a different shape, by the way my body is performing. Yes, bowel movements are excruciating unless I take stool softeners, but I can actually feel that the "route of exit" is as it used to be, pre-childbirths. When my sons asked why I was having surgery, I told them that when they were born, they left the "furniture" out of order in there and that the surgery was to put it all back in place!

Now, as for recovery, mine was not an episiotomy procedure. I do, however, have many, many internal stitches, though these aren't a problem (except to avoid straining them). I have a small site closer to the outside of my vagina that does hurt. It stings and I have to try not to sit in the same position for too long. Paracetamol takes care of it, and lying down removes the pressure whenever possible. Don't panic or be scared, consider the wonderful benefits you'll enjoy afterwards!
  #7  
Unread 06-03-2005, 01:56 PM
Rectocele Repair?

I had my rectocele repaired with a pigskin graft last November. My doctor told me ahead of time it would be painful. It was, but it was worth it.

First off, it was only really painful for me the first week. I found that using an ice pack and staying in bed kept the swelling and pain down the best. What I didn't anticipate was the four weeks it took before I could tolerate sitting again. Not all the ladies had that problem, but for me sitting was very painful. I went back to work before six weeks was up, but I should have waited another couple weeks.

It also took several months before sex was comfortable again too. It's been seven months now since my surgery, and I still find certain positions are a little "pinchy".

The last thing is that my doctor thinks the reason I had this problem in the first place is because of chronic constipation. The surgery doesn't eliminate that, and you have to be very careful especially for the first several months to not get constipated. Lots of fiber, water and stool softeners! I will probably have to do that for the rest of my life.
  #8  
Unread 06-03-2005, 09:20 PM
Rectocele Repair?

Oh ((((Debbie))))) I'm so sorry you're dealing with this

I had a stage III rectocele repaired at the same time as my TVH. The repairs were done through a perineal incision, including an incision at the back of the vagina.

While I was in extreme discomfort when I first woke up from surgery, and the discomfort was all in the perineum area, by the time I was 3 days post-op, my pain was being effectively managed with Extra-Strength Tylenol. Furthermore, spraying the incision area, using a peri-bottle filled with warm water, would provide immediate relief.

The discomfort lasted for several weeks post-op and sitting or standing in one stop were the most uncomfortable "activities" for me. However, by the end of the second week post-op, I was comfortable, for the most part... and more aware of the hyst part of my surgery.

I guess one good reason to have this surgery is when the rectocele is causing serious discomforts and is adversely affecting your quality of life. Only you knows just how much this prolapse is affecting you, based on your doctor's evaluation.
  #9  
Unread 06-06-2005, 05:16 PM
Rectocele Repair?

  Quote:
Originally posted by janelarson
Lots of fiber, water and stool softeners! I will probably have to do that for the rest of my life.
While I know that getting lots of fiber and fluid is essential to being healthy.... this is something that worries me. What if you go on vacation and get a little lax (sp?) on your regimen, how much will/do you suffer for it?

I guess I'm just fishing for.... do you HAVE TO have the rectocele repair? Is there a way to manage it?

LOL... I am so trying not to have a @#$% surgery!!!!!!
  #10  
Unread 06-06-2005, 05:40 PM
Rectocele Repair?

My rectocele went from a barely #1 to a large one in two months. I was using fiber, miralax,stool softeners. I couldn't stand the sitting on a egg sensation and the back and lower abdoman pain anymore. I guess it may have felt worse, because I also had a enterocele. They say to avoid, straing, lifting heavy objects, pushing, pulling, etc. My job consists of these things, so I really had to get the repairs. I know I do way more of these things at work than I should, but it is my job.
I think once your life style gets to the point where this rectocele is messing it up you will know it is time to get it fixed. I am glad I had the repairs, but I am still having bm problems and needing to splint off and on. I am following up with the colon rectal office.

The surgery wasn't at all painful for me and the recovery was great. I never felt like I had surgery.

Peggy
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