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Had rectocele/rectal outlet obstruction surgery on Friday Had rectocele/rectal outlet obstruction surgery on Friday

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Unread 10-01-2005, 06:17 PM
Had rectocele/rectal outlet obstruction surgery on Friday

After some testing including my first colonoscopy (normal exam), and a delay due to developing a tooth abscess requiring a root canal, I had a Delorme procedure (removal of the stretched out rectal lining & suturing the muscle tighter which actually shortens the muscle)done on Friday by a colorectal surgeon. The "rectocele" I had was much lower than what was repaired last year, and did not push into the vagina, but did produce a pressure sensation there as stool was accumulating. The surgeon classified it more as a rectal outlet obstruction with a rectal prolapse. It was a one day surgery and I was home 5 hours after I got to the hospital. My butt hurts and I'm tired, but otherwise feel OK. Strict orders to use Metamucil 3 times a day and a stool softener 2 times a day. I'm also taking sitz baths (I fill the tub up more and relax a bit) 3-4 times a day. I'll be off work for 2-3 weeks until the muscle get back to normal (I've been warned that until then, there will be some urgency in going to the bathroom which I experienced today already), plus at work I sit for 8 hours which isn't recommended for awhile.

Thanks for letting me share.
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Unread 10-01-2005, 10:24 PM
Had rectocele/rectal outlet obstruction surgery on Friday

Hi Donna
I hope this takes care of your problem.I know it is frustrating to have this type of thing happen after already having a rectocele repair.Take it easy these few weeks and don't push yourself to do more than you should.
I hope your recovery goes smoothly.
Unread 10-02-2005, 06:47 AM
Had rectocele/rectal outlet obstruction surgery on Friday

Gecko, what kind of symptoms did you have with this
problem that you had surgery for? And you said you
had a rectocele repair last year, did your Dr. say why
this developed. Seems like from what I've read people
with these rectoceles just keep having one problem
after another. I am facing some kind of rectal surgery
and I'm just afraid it will never be over. I've already had
3 surgeries, one was for an enterocele, these things are
all connected to pressure of the intestines trying to push
out, seems like.
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Unread 10-02-2005, 08:17 AM
Had rectocele/rectal outlet obstruction surgery on Friday

What kind of problems were you having that caused this surgery?
Ever since my TVH, I've had bad burning and cramping. This gets
worse when I eat and only subsides after BM when there's nothing
left. Did you see your OB/GYN for diagnosis, or a specialist?
I'm really going crazy because I can't seem to find anyone who
thinks that it is any problems!

Unread 10-02-2005, 08:52 AM
Had rectocele/rectal outlet obstruction surgery on Friday

Thanks Peggy...I'm going to take it slow. How are you doing?
Unread 10-02-2005, 09:20 AM
Had rectocele/rectal outlet obstruction surgery on Friday

sit & cappie,

About 6 months after my TVH & A&P repair, I started noticing a pressure and a fullness behind my vagina with an occasional small bulge between the vagina & rectum when I needed to have a BM. I saw the urogynecologist who did my previous surgery & he examined me.The repairs he did were intact and he didn't feel anything abnormal (of course, I had no bulge then). He told me to make sure to keep everything moving with fiber & liquids and if it got worse to contact a specific colorectal surgeon. So I did the fiber thing and things stayed pretty OK for a few months. Then I really started to develop a bulge, not into my vagina like the previous rectocele, but would get a peroneal bulge between the vagina & rectum. I had to splint to get the stool to come out. It kept getting worse to the point that one day, it took me 3 hours to have a BM with the bulge so large, I thought it would burst. I called the surgeon right away. The stool was getting caught it this almost pouch like area that developed and I couldn't completely empty. It was lower than the rectocele (confirmed by my regular gyn) and really didn't meet the definition of a rectocele as it never bulged into my vagina. He did a few tests to make sure that the rectal muscle was functional which turned out fine. I really hope this is the end of my "end" problems. Let me know if you have any other questions.

Unread 10-02-2005, 01:45 PM
Had rectocele/rectal outlet obstruction surgery on Friday

Hi Donna
I had the same problem you described. I had my rectocele fixed in Jan., but continued having terrible time having a bm. It would just stick up into my vagina when I tried to push to go. I would have to either push inside like I did with the rectocele or push on the outside between my vagina and rectum. I am taking enulose now on top of the miralax and stool softeners and am able to go once a day. The doctors think this is all because of the nerves being pushed on from my herniated and protruding discs and possible spinal cord stenosis. I can't help but wonder if my rectal muscle has been stretched out and would also need fixed. I guess the neuro may be able to answer my question about that. I just want everything to be fixed at once. I've had 4 surgeries in 16 months and am so tired of it all. I am guessing this nerve thing is what caused me to have the rectocele and enterocele and the cystocele happen. I have to push so hard to be able to have a bm. Thank goodness the laxatives are helping me out now.
How did your dr. know you needed the rectal muscle tightened up? I don't see how mine could have kept from really stretching by the way it stuck down there when I needed to empty and couldn't. My rectocele and enterocele repair is holding up according to the uro/gyn.
Thanks for any info.
Unread 10-02-2005, 08:07 PM
Had rectocele/rectal outlet obstruction surgery on Friday

Thanks for the info. My problem isn't near what yours was,
I just feel pain once the food has entered the intestines. It's
almost like they were bruised during surgery, which I guess
is possible. Between eating spinach, drinking prune juice, and
drinking water, I've been able to keep mine under control.
I will watch out for other things though. Your info has
really helped out.

Unread 10-06-2005, 09:22 AM
Had rectocele/rectal outlet obstruction surgery on Friday


Apparently, my rectal muscle was stretched out a bit. The surgeon and then my gyn drew the same picture and it looked like I formed a little pocket where everything was getting caught. I had no bulge into the vagina at all, just the feeling of pressure behind it. I wasn't getting the normal sensation of having to go, so more & more stool was hanging out there creating a downward bulge. And when I finally would go, the size & shape was very abnormal, like no muscle action was involved (very large diameter & smooth). Anywho, I am definately getting the regular feeling of having to go now and am having normal BMs for the first time in a long time. I am so hoping that it continues.

With your disc herniation & stenosis, that certainly can add interference with normal sensation in the pelvic region. Are they planning on removing the discs? Have they had you see a colo-rectal surgeon at all or does your uro/gyn work on the rectum too? I glad to hear that you are having some luck with the laxatives and hope they get everything under control soon for you.

Unread 10-06-2005, 08:03 PM
Had rectocele/rectal outlet obstruction surgery on Friday

Hi Donna
I haven't seen the neuro surgeon yet. He did look over my MRI slides and my medical history and other tests I have had. He didn't order me therapy or anything. The nurse just said he needs me to come in and talk to him. I think it will be surgery, especially with not being able to push the bm out without all of those laxatives. My bladder has been having spasms since my hyst I just found out. My uro/gyn put me on ditropan. I am guessing my nerves are being pushed on and causing the spasms. I just don't know.
MY Gyn had me seeing a colon rectal surgeon. They couldn't find what was causing my bm issues.I was going to have a defecography done to check for rectal prolapses, but I told them to take me off of the list. I was thinking once the back gets fixed my bm issue would be cured, but now I do wonder if I need those muscles tightened? I will ask the neuro surgeon about it when I see him next week.The colon rectal surgeon works in the same hospitals as the neuro surgeon. I am sure it would be easy for her to tighten me up at the same time.
Thanks for bringing that up. I will put it on my list.I know I had a terrible time pushing it out before my uro/gyn added enulose to the mix.It was like a bulge hanging down below the vagina.
I hope you are doing well and feel lots better.

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