Prolapse Surgery of a Rectocele
Prolapse surgery of a rectocele may be needed when the front wall of the rectum herniated into the vagina. This occurs when the tissue called the fascia between the rectum and the vagina becomes weakened. Rectocele prolapse may occur due to pregnancy or childbirth because of the pressure that is exerted on the muscles, ligaments, and fascia tissue supporting the vagina, causing them to become stretched and therefore weakened.
Prolapse surgery of a rectocele may also be performed as a result of the weakening of muscles and tissue that happens with aging, obesity, chronic constipation or straining during bowel movements, chronic cough or bronchitis, or constant heavy lifting. Some patients experience multiple pelvic organ prolapse, such as rectocele and an enterocele (when the small intestine pushes on the vagina) at the same time.
You may also experience other types of prolapse including a cystocele (or fallen bladder into the vagina), vaginal prolapse, or uterine prolapse (when the uterus droops into the vagina). This could result in not only rectocele repair but also pelvic floor repair or pelvic floor reconstruction. During surgery, Dr. Gheiler will remove or tie down the stretched tissue forming the rectocele. This can be conducted through the abdomen but more often it is done through the vagina. In some cases our doctors may implant a mesh patch to support the tissue wall.
If your rectocele is small, you may have no signs or feel any symptoms and will most likely not need prolapse surgery. Larger rectoceles, however, can necessitate a prolapse operation. Some patients may suffer from pressure on or fullness of the rectum, constipation or fecal incontinence, or the sudden release of your bowels, causing involuntary defecation. Others may feel a noticeable protrusion of tissue through the opening of the vagina that can be uncomfortable. You may also experience difficult or painful intercourse because of the lack of muscle tone of the vagina.
Prolapse surgery of a rectocele can become more risky with age. As you get older, the pelvic muscles and nerves naturally continue to weaken. A rectocele may reoccur, causing you to need another surgery for the prolapse. Some patients respond well to non-surgical prolapse treatment, such as the use of a pessary to support the vagina and urethra and hold the prolapsed rectum in place. Other patients may opt for therapy and training, such as the practice of Kegel exercises to strengthen the muscles in the pelvic region with the aid of bio feedback training that is offered at Urology Specialists. Dietary changes to include higher fiber foods and drinking more liquids will also help. Whether or not you need organ prolapsed surgery, Urology Specialists can help ease your concerns by properly diagnosing your symptoms and providing several effective prolapse treatment options.