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  #1  
Unread 03-02-2003, 02:35 PM
Rectocele?

I had a TVH on 12/16/2002, now this last week I think I have developed troubles with a Rectocele. Is there anyone that has had this problem after a TVH and can give me some information on this? I will call the DR tomorrow for an appointment, but would like some imformation in the mean time. B41
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  #2  
Unread 03-02-2003, 03:22 PM
Rectocele?

B41,
I'm sorry to you are experiencing more problems There are several Ladies here who have had this condition as well as surgery to correct it. I'm sure they will come along & share their personal experiences Here is some links that contain info on symptoms, causes, treatment ect:

Rectocele & Cystocele: http://www.intelihealth.com/IH/ihtI...9339/24445.html
http://www.emedicine.com/med/topic3325.htm
http://www.nwcrc.com/Rectocele.htm
http://www.fascrs.org/brochures/rectocele.html

Surgical repair info on Rectoceles:

http://health_info.nmh.org/Library/...asp?hwid=tv1532

http://www.gyndr.com/genital_prolapse_surgery.htm

Rectal Prolapse:

http://www.fascrs.org/brochures/rectal-prolapse.html

Cystocoele, rectocoele and pelvic support surgery:
http://www.sgsonline.org/edpro002.html

Repair of the rectum (rectocele) and small bowel:
http://health_info.nmh.org/Library/...asp?hwid=tv1532

http://www.healthcentral.com/librar...tent.cfm?id=266

http://www.orgyn.com/news/2002/week_..._infrequen.asp
  Quote:
What symptoms are caused by a rectocoele?:

In a study by Kenton K et al, of 46 women undergoing rectocoele repair, preoperative symptoms that were felt to be due to the herniation of rectal tissue included protrusion of rectal tissue from the vagina, difficult defecation (bowel movement), constipation, dyspareunia (pain with sexual relations), and manual evacuation or the need to put fingers in the vagina and push down on the rectal protrusion in order to have a bowel movement.

Rectocoele symptom Incidence (%)
Protrusion 85%
Difficult defecation 52%
Constipation 46%
Dyspareunia 26%
Manual evacuation 24%

How well does rectocoele support surgery decrease symptoms.
In the same study from Kenton K et al, they looked at how well the initial presenting symptoms improved when remeasured at one year after the surgery. Basically, protrusion and painful sexual relations resolved by 90%, but difficult defecation, constipation and the need for manual evacuation only improved by 35-55%.

Rectocoele symptom Preoperative(%) Postoperative (%)
Protrusion 85% 9%
Difficult defecation 52% 22%
Constipation 46% 26%
Dyspareunia 26% 2%
Manual evacuation 24% 15%
http://www.wdxcyber.com/nurine05.htm

  Quote:
Bladder dysfunction can occur after radical hysterectomy, and incomplete voiding should be evaluated by your doctor, since there can be treatments that help. As far as bladder prolapse, it can happen irrespective of whether one has had a hysterectomy or not (most often, it relates to previous vaginal deliveries and a weakening of the pelvic support structures
http://www.obgyn.net/ah/ah.asp?page=/ah/ATE_1102



  Quote:
Enterocele:
Enterocele occur primarily in patients who have had their uterus removed (hysterectomy). The anterior vaginal wall (pubocervical) fascia and posterior vaginal wall (rectovaginal) fascia separate and intestines can push directly against the vaginal skin. The herniation at the apex of the vagina is known as an enterocele

Patients with a large enterocele, vaginal vault prolapse and uterine/vaginal prolapse may experience:
Pelvic or vaginal pressure
Difficulty evacuating rectum
Difficulty emptying bladder
Dyspareunia (painful intercourse)
Lower back pain/discomfort
Increasing pain/discomfort with prolonged standing
Decreased pain/discomfort upon lying down
Pain increases as day progresses
http://www.urogynecologychannel.com/prolapse6.shtml

Hysterectomy increases risk of urge incontinence:
http://www.orgyn.com/news/2002/week_...my_increas.asp

What's a herniated disc, pinched nerve, bulging disc…?
http://www.spine-health.com/topics/c...ce/diff01.html

Is surgery always necessary to treat a prolapse?
http://www.womenshealthmatters.ca/ce...l#hysterectomy

Pelvic Prolapse:
http://www.womenshealthmatters.ca/ce...pse/index.html
http://info.med.yale.edu/obgyn/uro/prolapse.html
http://www.womenshealthmatters.ca/ce...sary/index.cfm
http://www.orgyn.com/resources/magowan/hc005270.asp

Rectal Prolapse:
http://www.clevelandclinic.org/misc/...tal/rectal.htm
http://www.surgical-tutor.org.uk/sys...l_prolapse.htm

http://www.acg.gi.org/acghome.html
http://www.surgical-tutor.org.uk/sys...flam_bowel.htm

vaginal wall prolapse treatment:
http://www.dukeuroandgyncare.com/trea_vag.html

http://health.discovery.com/centers...st_options.html
http://www.wdxcyber.com/nbleed13.htm

Pelvic organ prolapse common during menopause:
http://www.orgyn.com/news/2002/week_...an_prolaps.asp

Good Luck Pls let us know what your Dr has to say...((hugs))
  #3  
Unread 03-03-2003, 11:04 AM
Rectocele?

Thank you for your reply to my post, Sheri. Your links have been very helpful, although a couple of them wouldn't open for me. I have a call in to my DR, the nurse thought it was important enough to be seen later today or first thing in the morning. I am waiting for a call back. I guess my main question is what I did wrong in my recovery to have this happen. I was a good Princess and followed all the orders given. I can't think of anything that would have caused this to happen. I know I have a problem with my colon pushing out through the vagina and I think there may be problems with my bladder as well. I was just wanting to know if anyone else who had a TVH as had this happen so soon (10 weeks post op?)
B41
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  #4  
Unread 03-03-2003, 04:13 PM
Rectocele?

B41,

You didn't mention why you had a TVH. Was it because of a uterine prolapse, by any chance? A rectocele, cystocele or any other "cele" could have been lurking behind your uterus. With the uterus "out of the way", there's nothing to mask those annoying "celes"! My surgery consisted of a TVH with abdominal incision for rectocele & cystocele repair + Burch. I thought that was everything that could fall down ... but lo and behold, within 3 months of my surgery, I was very uncomfortable and something else was "bulging". Short story even shorter: I have a second surgery scheduled for March 18 to repair an enterocele + vaginal vault prolapse + sew in mesh. Decided that my abdominal contents fit together like a puzzle ... and once a piece was removed the rest all toppled !

Your doctor will decide what's best for you. I couldn't stand the thought of another surgery within 3 months, so I was temporarily fitted for a pessary. It's like a diaphram, so you can take it out/put it in yourself. It really helped me remain active with no dicomfort. Finally got tired of it though and consented to this second surgery, but it was a good temporary fix. I wish you well.

Kajsa
  #5  
Unread 03-03-2003, 05:03 PM
Rectocele?

Kajsa,
I had my TVH due to Adenomyosis, uterine polyps, gushing monthy periods that lasted for 2 weeks+, anemia, oversized uterus and it was just time to get that rotten thing out of there! I had 2 surgerys over a 2 1/2 yr. time due to uterine polyps and over thickness of the lining of my uterus. The second one D&C in 2/2002 resulted in an infection inside my uterus. So I was out of options as far as different treatments. I had 3 or 4 days out of the month that I couldn't leave the house because of the gushes that I had. I have not had a day that I have regretted having the surgery until this came along. I am beginning to wonder if I should have pushed the TAH instead. My recovery was uneventful. Got the go ahead to resume all activities at 6 weeks. I can't think of anything I did to cause this. Just had a day of horrible pain in my abdomen, severe lower back pain and felt like I had a bladder infection. I really just thought I was getting the flu. Next day I started bleeding bright red from my rectum. This continued for a few days and then I felt this buldge out my vagina and no more bowel movements. I know this all sounds rather gross. Tomorrow I see the Dr. Thank you for your reply. B41
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