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Rectocele and general surgeon? Rectocele and general surgeon?

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Unread 02-03-2006, 09:06 PM
Rectocele and general surgeon?

Hi well here I am again about 3yrs ago we thought I might have a rectocele, I have a mild cystocele but I had a horrible experience twice recently but one of them was really bad, I was stuck in the bathroom for 5hrs because in the middle of a bowel movement it just wouldn't come was down there but it wouldn't come out and I was in excrucitaing pain...when I felt around down there the whole area was just bulging and when I felt around in my vagina it was all bulging in there believe me I would've done anything if I thought it was going to help...after alot of blood and tears (literally) and pushing around down there I got it out but couldn't sit for two days..went to my GP and he sent me for an xray to see if there was anything "stuck" in my bowel and it showed that there was still some "matter" remaining in we put me on a laxative which is working on and off but I am still getting blood with my bowel movements and some pink bloody tissue looking he says it sounds like I may have a rectocele but is sending me to a general surgeon not to a colorectal surgeon which I thought was weird...if anyone who has has this treated can help me that would be great he did mention sending me to my awful gyn and I said no because of her screwing me around years ago I'd rather go to a stranger but am still confused about the general surgeon, he said that most general surgeons handle this surgery now??

I"m scared to eat for fear I'll be stuck in the bathroom for 5hrs again and can't afford to do that now that I"ve lost 47lbs...that was another thing that he was alarmed about but I'm pretty sure I"ve been keeping him appraised of that maybe I haven't told him for the last 7lbs or so...but we don't know why I'm losing it, I"m not complaining don't get me wrong but what if it's related? I just assumed it was because of my limited diet and how sick the tegretol is making me....any help is welcome thanks and hi everyone!
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Unread 02-04-2006, 03:20 PM
Rectocele and general surgeon?

I'm so sorry that this has been so difficult for you. First suggestion is to get a second opinion with a Uro/Gyn. They correct rectoceles all the time. Secondly you have to make sure your constipation is relieved. All the stress and straining with hard BM's will cause the rectocele to worsen.
As far as your weight loss I may be missing the mark but you said that you were afraid to eat because you are afraid you'll get stuck in the bathroom for another five hours again. I am a nurse and I have seen trauma induced anorexia. Through no fault of your own it may be your fear that is causing you to eat less and therefore you are losing weight. You mention that you have not told your Dr about the last 7 pounds that you have lost. You need to speak with him, tell him about your fears, your weight loss. Please seek counseling. I don't know if you could afford to lose that weight or if this is causing you to weigh less than you are supposed to but this weight loss can cause irregular heart beat, low blood pressure, low blood sugar and can be life threatening.
I'm concerned about you. Having a rectocele is no fun, trust me I'm dealing with this too. But it seems that your first priority should be to make sure this weight loss is not causing any serious problems with your health.
Good luck. Please keep us posted.
Unread 02-04-2006, 03:24 PM
Rectocele and general surgeon?

Th only thing i can comment on is the surgeon. My GYN did the rectocele repair. it is my understanding that GYN's do them. Can you see another GYN in your area instead of your former one?

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Unread 02-04-2006, 08:59 PM
Rectocele and general surgeon?

thanks for the concern girls

I have been losing the weight over the last year and half I guess it started when they took me off the birth control pill that I was using for HRT, at the same time I developed alot of allergies and m diet has become quite limited, I'm allergic to soy and sulphites so it's a bit tricky, then when I started on the Tegretol (anti-seizure med) for this Trigeminal Neuralgia I have it has given me this incredibly bad nausea that is so bad I have to force myself to eat....what i said about being afraid to eat has only been since the really bad incident where I spent 5hrs in the bathroom trying to pass the BM I never ever want to go through that again!

I was suprised that my GP is sending me to a general surgeon instead of a Gyn but I guess since it is my rectum/bowel that is causing the grief he thought that was the way to go? To make matters worse in my city my old gyn and her evil partner are the two most prominent gyn's and I don't want to see them again because they screwed me over royally after my hyst and it took a general surgeon to fix me after I don't even know who I would see as far as a gyn goes...but I do think that the gen surg may ask me to get an opinion from a gyn I'm kinda confused because my GP said that this surgeon fixes rectoceles and fissures and the like....?

So yes I am eating , I eat 3 times a day it's just that at night I'm so nauseated from the anti-seizure med that it's usally just toast and breakfast is cereal and then I try to have a salad with protein (egg, chicken) for lunch, I know it's not alot but it's all I can manage right now and my GP knows that...and yes I needed to lose the weight I'm probably at a very ideal weight now, but I am grateful that it happened and will be happy with whatever happens from here on.

Did anyone else see a gen surgeon for a rectocle??
Unread 02-05-2006, 09:35 AM
Rectocele and general surgeon?

Hi Gidge!

I had 3 "cele" repairs and a vaginal vault suspension done almost 1 year ago by a URO/GYN. A uro/gyn has additional training and education in womens issues of prolapses and incontinence. I have not heard of a general surgeon doing a rectocele repair - many times they are done vaginally, I can't imagine a general surgeon having enough training/experience to do a vaginal surgery. A gyn can do these surgeries, but I wouldn't allow it - a uro/gyn has the training to be the expert in that area. I don't know if you have that option in Canada, but I sure would check it out...take care and let us know how you make out..
Unread 02-05-2006, 12:00 PM
Rectocele and general surgeon?

Gidge I am sorry to hear that you're now looking at yet another problem to add to your list.

While I haven't dealt with this problem, I do know that if I did have to have that surgery I would be calling on my general surgeon, Dr C Perhaps your doctor thinks that this gs has some good skills.
Unread 02-05-2006, 08:49 PM
Rectocele and general surgeon?

I went to a general surgeon when I had to get my GB out 4 months post op from my TAH. I had lost 42 pounds, because of nausea and I couldn't hardly stand food. Mt GB ended up being the culprit. I had a rectocele diagnosed by my Gyn. I also saw the general surgeon a few days later because I thought I had hemmies causing alot of my issues. He said he didn't think so, but thought my GYN needed to do the rectocele surgery as he doesn't. My Gyn fixed my rectocele and enterocele. He used a graft material called pelvicol, which was great. I had a cystocele come down and needed a tvt sling done 8 months later. The uro/gyn didn't use any graft material, but I wish he had.
I would suggest seeing a uro/gyn if there is one just because he/she could fix any other prolapses if you should have one. A gyn can do the posterior repair. I personally wouldn't go to a general surgeon.
Good luck and I hope you don't end up having to go back to your gyn. You need one you feel good about.
Unread 02-07-2006, 09:56 AM
Rectocele and general surgeon?

thanks for your replies girls

I called my GP yesterday and asked his assistant if I could be sent to the gastroenterologist or a uro/gyn and she talked to him and called back and said that he is sending me to this guy because he is a surgeon and that's what I need, the gastro doesn't do surgery and we don't have uro/gyn here apparently and if the gen surgeon thinks he needs a gyn to help him he will say so (so we'll have to find one other then my past evil ones)....while this won't address my "bowel problems" I suppose it will address my rectocele problems which are part of the same...we'll see anyways he seems confident that this is the doc I need so I will see what happens.

My mother says between needing the brain surgery and this "if it isn't one end with me it's the other"
Unread 02-08-2006, 11:04 AM
Rectocele and general surgeon?

I am recovery well from my rectocele repair which was recently performed on Jan 26th by a Uro/Gyn. She only does pelvic floor repair surgery and will also prescribe medication for urinary incontinence, or physical therapy for those who suffer from urinary incontinence who wish not to have surgery. Other than that, that's all she does, except teach at the medical school at the university where she works, goes to conferences, and is part of the National Institute of Health teams on prolapse research studies. So, when my gastroenterologist said that he felt that I might benefit from a rectocele repair only if I had it performed by someone who knows what they were doing and I told him who was doing it, he said, "Yes, that's exactly what I mean!" I'm not saying that there aren't GYN's out there who are probably very good at performing this kind of surgery also, but by going to a Uro/Gyn like the one I did, you are guarenteed you'll get the best possible results you can possibly hope for in this kind of surgical repair. These repairs are very delicate and can easily fail and may have to be performed again, so I've been warned. So, you want to make sure the person performing the surgery is the best person you can find to do it for you. I feel my doctor was the best I could find in my area. I was lucky to be so close to a medical school like the one I was close to. Usually, you will find your best pelvic floor specialists at medicals schools at the major universities in the U.S. I don't know where you will find them in Canada.

Hope this is helpful information. And hang in there. So far my repair is going well for me. I am glad I went through with it. So far and it's only been two weeks. My BM's are better already. There is a light at the end of your dark dark tunnel. My heart goes out to you. I know your pain and fears.

Ask your doctor for some Miralax. It's supposedly a very safe laxative that I've been using myself - that way you can eat more when you feel well enough and not worry about the BM's.

Oh and I too have to worry about my weight due to medications I use. Try peanut butter sandwiches. (Do you like peanut butter). It will keep you from losing weight and is high in protien. Whenever I find myself dropping too low because of some of the meds I have to take, I just eat a big peanut butter sandwich. It works for me.

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