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will kegels help a rectocele?  when is op needed?  Need opinions, please! will kegels help a rectocele? when is op needed? Need opinions, please!

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Unread 03-25-2003, 02:50 PM
will kegels help a rectocele? when is op needed? Need opinions, please!

I am going for a sonogram tommorrow and another dr. appt. I am trying to be diagnosed for some heaviness feelings and slight pain. I am worried they are going to find a prolapse. Can a sonogram identify prolapses? I am having some difficulty with bowel movements but I can go every day. Also, I only feel a strange pulling sensation when the bm is moving through behind my vagina, so is that really a prolapse or something else? having a bm is definately different than it was pre-hyst. But maybe that is normal? My questions are if I am diagnosed with a rectocele:
Will kegels help if the prolaspe is slight? Or are kegels only for urinary inconinence? and when is having a corrective surgery a viable option? Only had the hyster 4 months ago and this is freaking me out! Also can these things only get worse if I opt not to do anything about it?
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Unread 03-25-2003, 04:09 PM

I'm sorry you are experiencing these problems. I'm no expert, but I can offer my own experience and what my doctor said. I had a rectocele repair and a lap for adhesions in Aug. 2001, and am almost 4 weeks post-op from a bladder sling surgery. I had my hyst in 2000 and a Burch bladder repair, but that repair failed obivously. I did lots of Kegels, since my doctor said they would certainly help strengthen the pelvic floor, but he did not make any promises of them helping the rectocele. The Kegels did not help the rectocele, but the posterior repair surgery, which was difficult, did help. Most women with a rectocele can feel a bulge coming in the vagina. It makes it difficult to sit, and with bms, you may experience constipation, and in my case, not to be gross, but I had to lean back and then rock forward, almost like when I was very pregnant, just to move my bowels. I also had adhesions mainly on my sigmoid colon, lower left, and that also caused some problems. I developed the rectocele somewhere around 5-6 months after my hyst. It seems some of us do have it happen afterward much to our disappontment. Mainly this prolapse is diagnosed with a pelvic exam and in many cased standing up and bearing down so the gyn can check for it. In my case, the gyn felt the rectocele just with the laying down pelvic exam. As far as getting worse, I wasn't going to wait and find out since I was very uncomfortable and wanted it fixed. I had my surgery 8 months after the hyst, since it took a while for some tests with a GI doctor cause my gyn didn't want to opereate with out my having GI tests and a colonoscopy. A sonogram did not help diagnose the rectocele. Waiting and tests were no fun, but in the picture I'm glad I was able to get it fixed.
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Unread 03-25-2003, 06:51 PM
will kegels help a rectocele? when is op needed? Need opinions, please!

Hi francgal,

Are you having a rectal sonogram? I had one 2 years ago and they found damage to the sphincter muscle from traumatic childbirth. I had the rectocele repair with the TVH prior to having the rectal ultrasound, as I was still having pain 9 mos. post-op.

Yes, you can do exercises to strengthen the sphincter muscle by
holding the rectal muscles in, as in the bladder strengthening
muscles. It took about a full year for my repair to start feeling
"normal" again. Diet is very important, plenty of fiber and water are essential.

Good luck with your tests! Hope things go well and you get some

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Unread 03-26-2003, 08:16 AM
will kegels help a rectocele? when is op needed? Need opinions, please!

Hi again,
No this is just a transvag sonogram....the nurse in my gyn office said this other doctor doing the sono would be able to diagnose a prolapse though, so I thought that meant they would be able to do it via sonogram. Perhaps I should mention it outright then? Also, anyone have any advice about fiber products? I am taking just 1 tsp of metamucil on a daily basis along with 1 glass of prune juice and eating lots of fruit. How to be delicate about this....the bm's are alittle large...will this worsen the rectocele? ARe there other, better products out there? Thanks for all your suggestions....I have been alittle teary eyed lately about this (the hyst decision was a hard one and I am worried I will regret it further at this point, but I hope not)
Unread 03-26-2003, 12:48 PM
will kegels help a rectocele? when is op needed? Need opinions, please!

Hi francgal,

I find the Fiber-1 cereal to be very helpful and plenty of water.
It sounds like you eat a good diet. If you are diagnosed with a rectocele, stool softeners are very helpful. I had mine for years before I had the surgery. Actualy, not to be blunt, but usually with the rectocele the stools get "flattened out" because of the pressure put on the rectum. If you had a vag. hysterectomy, you could still be tender in the area. I would try the stool softeners.

Yes, the gyn can tell if you have a rectocele by doing a rectal
exam and having you bear down during the exam. You probably would not need the rectal ultrasound. Good luck. Hope all goes


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