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Rectocele diagnosis and forgetful gyn

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Hijadeonagro
Hijadeonagro

Hi ladies, just to update... I'm 4months post op of hysterectomy and bladder lifting with mesh, and have developed a bulge in my perineum that seemed a rectocele, cos I had the symptoms. I went yesterday to the proctologist and after an exam of my anus he confirmed that I have rectocele, he has sent me to do some test next 11th such as a manometry and a 360 grades ecography, he will confirm the grade then. The thing is that I have a lot of issues with the buldge! I feel so bad and depressed...

I also had a conversation with my gyn yesterday and he told me that he had to look at my history cos he didn't,t remember if he repaired the posterior wall in my surgery! I thought how couldn't,t he remember? My husband said that that's a good sign, cos it means that he does a lot of surgeries... I don,t know what to think. Of course I know I had only anterior repair and hysterectomy... 

​Well... He explained that the gyns and proctologist have a different approach to rectocele surgery. Ladies, those of you that have had rectocele repair: was it resolved by a urogyn or by proctologist? I think the urogyn solve the issue with mesh / stitches in the posterior wall and the proctologist lifts the rectum through the tummy...what I don't understand is how the rectum comes back to normal with only a mesh? Does the rectum shrink by itself after putting the mesh? Excuse me for asking so much... 

thaks for your help! Nice weekend to you all! 

0 likes, 5 replies

5 Replies

  • Jan999
    Jan999 Hijadeonagro

    Posted

    Hello. Your comment about your consultant not remembering is interesting but he will have seen probably hundreds of women since he last saw you so that's understandable. He'll be so busy that he won't have had time to read your notes beforehand. Are you in the UK or US? In the UK a Urogynaecologist would be performing your surgery. Not all Urogynaecologists use mesh here either, mine didn't.
    • Hijadeonagro
      Hijadeonagro Jan999

      Posted

      I'm in Spain and here there aren't many gyns specialized in pelvic floor, but mine is. It's interesting that in UK urogyns perform rectocele surgery... here in Spain both urogyns and proctologists do them, that's why I was asking, I don't know what method is better... Thanks Matron, you are so nice! 
    • Jan999
      Jan999 Hijadeonagro

      Posted

      I forgot you were in Spain......apologies. I think you are probably in the best hands having a Urogynaecologist perform your surgery especially if he is trained to the standard of the Urogynaecologists in the UK which he probably is. Does he use mesh when he repairs a rectocele? Some here do but only if they are registered to do so because it's use is very closely monitored because of concerns particularly in the USA. I have seen some excellent results when it has been used.
    • Hijadeonagro
      Hijadeonagro Jan999

      Posted

      Don´t worry Matron, you can not remember where each of us in the forum are from... Yes, my gyn uses mesh to repair rectocele, he uses the most modern meshes, in fact as he explained to me when I had my surgery of the bladder, there are a lot variety of meshes, many manufacturers, and he said it is very important to choose a good brand. He also explained that in young women it is important to use these kind of meshes. I have an app with him next 22nd, if I find out something interesting I will post it so that we all can learn more things about these surgeries. Thanks again! Have a nice night! 
    • Jan999
      Jan999 Hijadeonagro

      Posted

      He sounds a really good Urogynaecologist Hijadeonagro. I think you're in very safe hands.
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