Rectocele and can't walk much

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I have two children, youngest 6. I did started feeling some pulling in the gym in the vagina and a week later after an insensive class I had high rectal pain and sore like felt like I had given birth. Gyaecologist said mild rectocele and do pelvic floor excercise. I was managing okay the first month just feeling slightly uncomfortable. Then after a day at work and walking home I felt pushing down in rectum and then the next day I tried to walk and whatever was pushing down in rectum was pushing on rectocele and I then had a lot of pelvic pain in my lower back, rectum and rectocele discomfort. That was a month ago and the pelvic pain has eased but I can't walk much as after 5 minutes my anus, perinieum and rectocele are so uncomfortable and I'm generally uncomfortable in the day. I dont have problems evacuating although I always eat high fibre and drink lots of water. Although if I am constipated I feel pulling in my lower back and tailbone which feels weird for hours. Ive started pelvic floor phsyio and new gynae now suggests surgery. Colorectal surgeon not very interested. Anyone had any similar symptoms with apparently small rectocele? I just can't see that I can get comfortable getting around day to day without the operation but it's a big decision..

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  • Posted

    You should be seeing a Urogynaecologist if proposing prolapse surgery. They have 3yrs further training than a Gynaecologist, in repairing prolapses. I would have the surgery as your symptoms are already impacting day to day life. Hopefully you're not continuing punishing work-outs at the gym now. Low impact only, but lots of walking (not running & pounding the pavements!!!) is very beneficial at our age and way less likely to contribute to worsening prolapsing. If you can't do this then surgery is high on the agenda. My Urogynae said NO running ever again if you are going down the route of prolapsing. My feeling is that if you wait until you're way worse to get the surgery then the surgery is more extensive & takes longer to recover overall. If your symptoms are limiting then get repaired now. I had Grade 1 cystocoele but also stress incontinence (on coughing, sneezing, or running) so got anterior repair done 21mths ago. I also have Grade 1 rectocoele but it was decided last minute to not repair that at same time, & it hadn't got any worse & I have no symptoms of it, never did. But if I do notice any worsening I will certainly go get repaired.

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    • Posted

      Thanks for your response. Yes now seeing gynaecologist who is specialises in urogynaecology. They seem quite hard to find.

      So it does seem that a mild prolapse can cause someone a lot of problems!

      Definately not stepped foot in the gym since and now walking like I'm 85, not 35! I know that surgery will have a recovery time but I've got to hope that surgery will help me get around more and do more usual activities.

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    • Posted

      Hi Rosa!

      I'm sorry you are struggling so much... i have exactly the same symptoms as you and I only had apparently a small rectocele. My gyn said that there should be something else and he sent me to the digestive surgeon. He suggested some tests just to find out if there were something hidden. I had a defecography done and it showed that I have a small enterocele and an internal rectal prolapse (which apparently is what is bothering me). I was sent to physio and I feel a bit better but waiting for surgery. I suggest that your doctor makes sure there are not other hidden issues, otherwise you could have a rectocele surgery and you could continue the same. Hugs!!!!!!

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    • Posted

      Hi Hijadeonagro. Thank you for your response. Are you in the UK?

      I have seen 2 colorectal doctors, one NHS and one privately but they have not been much help. Both said if colonoscopy clear then it will be a gynae issue.

      The colonoscopy gastroenterologist who performed this procedure only said that he thought I may have an internal rectal prolapse and mentioned proctogram. I wonder if I have to go to a third colorectal surgeon who actually specialises in prolapse and have the defectography MRI or pehaps the gynae can get this MRI? It does concern me that yes my rectocele area feels very uncomfortable but the pressure on my rectum and pulling in my lower spine are not typical rectocele symptoms. I felt like there was something pushing down on rectum onto Rectocele when I first had the big strain 2 months ago.

      Things were managable the first month and I was getting around but after walking around and a full day at work I was in so much pain. It's taken a month of not walking much to get over the pain and now just cant get around much with the heaviness. I have been off work and wonder if I should just try to get on with things uncomfortably.

      Have you been told that they will operate on all 3 prolapses?

      Thanks x

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    • Posted

      Hi Rosa,

      I also have similar symptoms. I had an anterior repair & hysterectomy late 2013. I have had bowel problems ever since (I think my prolapsed bladder was holding my bowel up) I have been putting off further surgery but I think I will have to have something done this year. I am seeing my urogynaecologist again soon as she previously told me I would need a rectoenterocele repair, possibly my AR redone & my perineum repaired! I previously saw a colorectal surgeon who also said I had a rectocele but didn't mention rectal prolapse (& I can't see that I have that either). But, my symptoms are pressure in the rectum & back/pelvic pain. I'm hoping when I see her that she will put my mind at rest that I am going to have the right operation! I have a horrible feeling that the pressure may still be there after a repair. I am in the UK & have seen all consultants privately.

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    • Posted

      Hi rosa, I'm in Spain. Your case is very similar to mine! I visited several coloproctologicst and I'm happy with that. The first one I visited is a famous doc in Spain and he told me that he could solve the rectocele locally. But I decided to look for more opinions cos I knew there were more things. I know it's crazy that you have to ask more than one doc... but it is your body. I encourage you to look for a coloproctologiat specialized in pelvic floor. As your symptoms are mainly rectal, it would be the right option. If he is a good doc, he will do research to see if there's other underlying issues. I think in your case a defecography will clear things up for sure! Please don't let them to do an op without all the info. I know it's exhausting to see more docs but you will be relieved as soon as you find out what is happening really. I have been proposed physio and a rectopexy to lift the rectum and solve the rectocele, the enterocele and the internal prolapse at the same time.

      If you need anything else don't doubt to contact me. Hugs!!!!!

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    • Posted

      Thanks for repsonding.

      If I get this rectocele repair then I am also to have "deficient perineum" repaired! I'm sure it wasn't that deficient before but with all the pressure everything is strained!

      Im guessing the rectoenterocele you have is the small bowel prolapse which could explain rectal pressure but I do wonder why this small rectocele is giving me so much rectal pressure.

      Will be interested to hear if you do go ahead with the further surgery. I can see why you have put it off as it sounds painful. I can only hope that in the end I can walk around more.

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    • Posted

      Robyn a rectocele is when the rectum protrudes trough the vagina.

      A rectal prolapse is when the rectum (the intestine) protrudes through the anus.

      An internal rectal prolapse is when the rectum falls into the rectum itself, it's the first step of a rectal prolapse. My doc told me that it is quite normal to have al internal rectal prolapse if you have a rectocele or enterocele. They usually come together. In many cases an internal rectal prolapse don't give symptoms.

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