A cystocele is when part of the bladder wall bulges into the vagina. The bulge happens through a defect in the wall between the bladder and vagina. Cystocele. Copyright © Nucleus Medical Media, Inc. A rectocele is when part of the wall of the rectum bulges into the vagina.

How do you fix a cystocele and rectocele?

A cystocele and rectocele repair is an operation that lifts and tightens the tissue around the bladder and rectum so these organs no longer push against the vagina. This procedure is also known as an Anterior and Posterior Repair.

Can you have a cystocele and rectocele?

Cystocele, urethrocele, enterocele, and rectocele are particularly likely to occur together. Urethrocele is virtually always accompanied by cystocele (cystourethrocele). Cystocele and cystourethrocele commonly develop when the pubocervical vesical fascia is weakened. Enterocele usually occurs after a hysterectomy.

How long does it take to recover from rectocele and cystocele surgery?

Typical recovery for the procedure is 2-3 weeks. Your doctor may prescribe pain medication to make you feel more comfortable. You can expect to resume normal physical activity within hours of your procedure. But you should not have sex until 6 weeks after surgery.

What is the main cause for a rectocele?

Rectocele is caused by prolonged pressure on the pelvic floor. Risk factors for rectocele may include: Pregnancy and childbirth, especially repeated vaginal deliveries and/or tearing or episiotomy during delivery.

Uterine prolapse, Cystocele and rectocele

How serious is a rectocele?

A rectocele may not cause symptoms. Or, you may notice a bulge in your vagina when you strain or bear down during a bowel movement. You may feel pressure, have pain during sex, or have trouble passing stool. A rectocele usually does not cause serious health problems.

What does a rectocele feel like to touch?

Sensation of rectal pressure or fullness. A feeling that the rectum has not completely emptied after a bowel movement. Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of your vaginal tissue.

How painful is Cystocele surgery?

You may experience discomfort in the vagina for 1-2 weeks following the surgery. The physician may place a medicated vaginal packing in the vagina overnight. The catheter stays for 2-6 days to give the bladder more time to function normally. You may notice bloody discharge and/or odor from the vagina for 1-2 weeks.

How long is hospital stay after rectocele surgery?

In most instances, you will be admitted to hospital on the day of your operation. You may be able to go home within 24 hours or, depending on your circumstances, you may need to stay in hospital for two to three days. You may have a catheter (tube) in your bladder to allow drainage of your urine.

How successful is Cystocele repair?

Failure rate: None of these procedures has a 100% successful rate. According to studies, 5-15% of women may have to face failure even after a prolapse repair surgery.

How do you tell if you have a rectocele or cystocele?

1. Urine leakage while laughing, sneezing, or coughing.
2. Incomplete bladder emptying after urination.
3. Pain or pressure in the pelvis.
4. Pain during sexual intercourse.
5. Feeling of tissue bulging out of vagina.

How can you tell the difference between a cystocele and a rectocele?

A cystocele is when part of the bladder wall bulges into the vagina. The bulge happens through a defect in the wall between the bladder and vagina. A rectocele is when part of the wall of the rectum bulges into the vagina. The bulge happens through a defect in the wall between the rectum and vagina.

Can a rectocele and cystocele be repaired at the same time?

If there is any bulging of the bladder, this will also be repaired at the same time- this is called and anterior repair or cystocele repair. It is possible that a graft or mesh may be used during the surgery to help in the long term success of the repair.

How painful is Cystocele and rectocele surgery?

The regional anesthetic may not numb the area quite enough and you may feel some minor discomfort. There may be damage to the bladder and rectum. If damage occurs and the doctor is aware of it, he or she will try to correct it during the operation.

How do you poop with a rectocele?

Holding pressure with a finger to support the rectocele and encourage the stool to go in the correct direction is often helpful. This may be accomplished by pressing against the lower back wall of the vagina or along the posterior rim of the vagina.

What kind of doctor fixes a rectocele?

Colorectal surgeons, gynecologists and urogynecologists are trained in the diagnosis and treatment of this condition. These trained physicians can perform surgeries to attempt repair of a rectocele.

Is rectocele surgery painful?

Surgical repair may relieve some, but not all, of the problems caused by a rectocele or enterocele. If pelvic pain, low back pain, or pain with intercourse is present before surgery, the pain may still occur after surgery.

Is a rectocele an emergency?

Call your doctor promptly if you discover an abnormal bulge in the wall of your vagina, or if you suddenly develop severe rectal pressure, pain or bleeding. Call your doctor for an appointment if you suffer from chronic constipation, pain or discomfort during sexual intercourse, or any difficulty passing stool.

What happens if rectocele goes untreated?

If a rectocele is left untreated, the following complications may occur: Pressure or discomfort in the pelvic area. Constipation. Leakage of bowel movements (incontinence)

What is the best treatment for Cystocele?

• Kegel exercises (pelvic floor strengthening exercises)
• Physical therapy.
• Vaginal pessary (a vaginal support device)
• Medications such as estrogen replacement therapy.

Are you put to sleep for bladder sling surgery?

You may be given general anesthesia to keep you asleep and free from pain during surgery. You may instead be given anesthesia to numb the surgery area. With this anesthesia, you may still feel pressure or pushing during surgery, but you should not feel any pain.

When should Cystocele be repaired?

Treatment depends on whether you have symptoms, how severe your anterior prolapse is and whether you have any related conditions, such as urinary incontinence or more than one type of pelvic organ prolapse. Mild cases — those with few or no obvious symptoms — typically don't require treatment.

Why does poop keep coming out after I wipe?

Common causes of fecal incontinence include diarrhea, constipation, and muscle or nerve damage. The muscle or nerve damage may be associated with aging or with giving birth. Whatever the cause, fecal incontinence can be embarrassing. But don't shy away from talking to your doctor about this common problem.

Does rectocele cause back pain?

Symptoms of rectocele

Symptoms worsened by standing up and eased by lying down. Lower-abdominal pain. Lower-back pain. A bulging mass felt inside the vagina.

Will a rectocele go away?

A rectocele does not heal on its own. It requires medical therapy and/or surgical treatment.