Rectocele Repair

Posted , 21 users are following.

The surgeon I have seen told me that he wanted to treat my rectocele with mesh because the weakened wall has buldged out into my vaginal wall. and then suspend the bladder. I have read a lot of the forum posts.. My question is are there different kinds if mesh? Is there an alternative surgery to the mesh? I'm afraid of a reaction to the mesh. What should I expect as far as pain after surgery and what can I buy to prepare for after care of the surgery? Recovery time I know depends on the person. What has been your experience thus far. I encourage all to respond. Thank you 

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  • Posted

    I had mesh inserted but don't know what kind.  I lived with my recocele for several years - it just kept getting worse.  It caused bowel leakage - I never knew when I'd have to go clean myself.  It kept me from wanting to have sex to being concerned about being out in public.  I always wore a panty liner, kept wet wipes with me, and often an extra pair of underpants, in case.  I was miserable.  I am nearly 60 - but that has nothing to do with it...

    Since the surgery I have not had that issue.  That has been a blessing.  I will say the first weeks after the surgery was very painful - whether the additional work because of inserting the mesh, I don't know.

    I am having some problems with urine leakage but at the time of the surgery did not have much so the surgeon didn't address it.  I'm doing Kegel exercises and trying to empty my bladder more often.  Now I'm wearing panty liners for that reason but have had no major accidents.

    My surgeon said the mesh they use now should cause no problems.  I don't know what alternatives there might be - we didn't discuss any options.  I do know that here in the US there is a clinical trial for an alternative - I wish I had more info for you.

    After surgery, rest, rest, rest.  Have someone to help you, bring food, etc..  Have some cold packs so you can keep one or two in the freezer to switch out.  Use whatever pain meds the doctor prescribes, but be aware that some can cause constipation.  That may be a huge issue - it was for me.  Start with a mild laxative (Miralax for me) before you go in for surgery and keep taking it so you don't get constipated.  Even though the surgeon didn't touch the rectum, because it is up against the vagina it stretches the vagina when you have to go.  So do not get constipated.

    If you have other specific quesstions, please continue the discussion.  Hope this has helped.

    • Posted

      Hello  Raesue,

      I have at last found someone who has had a positive surgery as far as anal prolapse is concerned.

      I am also your age and this has been a nightmare for the last 5 years.

      I have been in contact with a few very unhappy ladies with unsuccesful surgeries. 

      There is no garment for this type of prolapse.

      If one cannot do these exercises to help the pelvic and anal muscles because of discomfot you are left just getting worse.

      Not many ladies realise how diffiuclt it is to live with this type of prolapse which in my case is connected with a mobile uterus at entrance of vagina, and a bladder which at present is behaving itself.

      Get a little leakage here and there.

      Eager to hear a little bit about you symtoms prior to surgery if you dont mind me asking.

      Also could you let me know what this clinical trial for an alternative is and where are these trials in the States.

      I wake with discomfort early morning from lying on back and bottom.

      Sitting even worse.

      Relieved with standing and walking but remains still there in a subtle way.

      I have no constipation, but have been told internal prolapse which appears to be more than contreversal.

      I have some incomplete evacuation with a need to wipe several times.

      All this is getting worse and finally ventral rectopexy offered, however have found some ladiies who have had surgery with no success.

      Very few people post on here after a successful result and I am more than pleased to make contact.

      Best Sandra

       

    • Posted

      Raesue,

      Just asking was your surgery ventral recopexy.

      Mesh inserted via the tummy?

      So really good to hear positivity just cant believe it.

      Thanks

    • Posted

      sorryfor this delayed response...

      My main concerns were incontenince and sometimes being unable to  have a bowel movement unless I pushed the bulge back into place.

      I'm not sure about clinical trials - you should ask your gyn or surgeon's office.  You could search online but I'm  not sure you can narrow down the topic. You could look at www.nih.gov to see what you can find.

      I only had discomfort once in a while, not great pain.

      Mine was not called ventral rectopexy, I don't think, unless that's the same as posterior rectocele repair.  Hope you've had some good feedback!

  • Posted

    Well I met with the Physical Therapist today to start working on pelvic floor exercises. I also called my OB and expressed my hesitation of inserting the mesh and that I wanted to try the skin fold procedure first. Its a asurgery she can do verses the rectal/ colon surgeon that wanted to so the mesh. I am still keeping my consult with him on the 31st to hear him out and I have one set up with my OB on the 9th to hear her out. OPTIONS! In the mean time I will work on my pelvic floor exercises.
  • Posted

    If you are told what is going to be used prior to surgery and have the right kind of surgeon, I would not worry.

    I am just over 7 weeks post hysterectomy with both cystocele ane rectocyle repairs.  I was assured that the mesh they use now is very different from that used some years ago which deteriorated.  There is still some fear of "mesh" but I am not concerned.  My Uro-Gynocologist does this surgery exclusively.  She has no patients of her own - you need a referral from another specialist to get her.  I am 71 but was driving for short periods 2 weeks post surgery; full driving 3 weeks post surgery and back to work 4 weeks post surgery.  At the six week check-up, I was given go ahead to do anything I used to do before surgery except for long baths and pools.

    This morning, there seemed to be a lot of pressure on my bladder when I got up and I couldn't go immediately.  I had not had any hesitation in voiding since the surgery - not even 12 hours post surgery.  Suddenly there was a small pain and I voided.  When I got up, there was a blood clot!  Needless to say I was on the phone with the surgeon's office - there is always a doctor on call who answers.  Apparently passing small blood clots preceded by some pain occurs in many patients from week 7 to week 12-13 so unless I start bleeding like a period, there is nothing to worry about.  It is the residual from the "melting" of the sutures around the new mesh used.  Who knew.

    I have had a full day with shopping, housecleaning and the usual "stuff" plus care-giving for my husband.  All is still OK since this morning. 

    This kind of thing is really frightening and then you are told - oh that happens often, don't worry about  it.  Call back if the bleeding resumes like a period then the surgeon will see you immediately.  Further bleeding is unlikely  but it's the first time I have been given any information BEFORE it happens.

    My beef is WHY DO THEY NOT TELL YOU OF WHAT MIGHT HAPPEN.  Not all of us are going to suffer from all the possible post-surgery maybes and knowing this could happen would have saved me a lot of grief until I spoke with a doctor this morning.

    Let us know what you decide Gypsy.  This forum is a lifeline.

     

    • Posted

      Hello - I am brand new here and I want to thank you for sharing information re your experiences.  I have not sought medical help yet but since menopause (last period Nov. 2014) seems to have begun, issues are getting a bit worse.  Reading about your experience and those of others is helping me to take the first steps in dealing with my issues.  No pain, just bulging of vaginal wall outside body (like a  ball or a balloon) as well as having to manually assist in bm's due to uterus leaning back on top of bowel and bowel prolapsing into vagina.  Problem began in 1993.  Right now I am in the learning phase so I want to thank everyone who has posted here since this information is so very important to those of us who don't know what (if anything) do do about these embarrassing and private issues.
    • Posted

      Dear Annarbor,

      If you have specific questions, please ask.  What you have is called a "rectocele".  I suffered with mine - having often bowel (and flatulence)  incontenence which my doctors couldn't' diagnose.  I finally did some Internet research and realized my problem was from that bulge that you describe.  I went to my gyn and told him that the rectocele is causing the bowel incontenence and he immediately refered me to a surgeon.

      Since healing from my surgery the incontenence has mostly disappeared.  I so grateful that I followed through with this as it was affecting my self-confidence.  It was a difficult surgery to recover from.  I'm 59...

      The ladies on this forum are very helpful.  Hope you get your questions answered!

    • Posted

      Hi Ann Arbor - You will have read  that I am 71 and had a hysterectomy with anterior (uterus falling out and detached) and posterior (everything leaning on rectum and it was severely torn causing problems at that end too) 8 weeks ago today.  It was very successful and if you have the right uro-gynocologist doing the surgery, I would not hesitate to recommend it to anyone.  My only issues were post surgery.  They normally tell you nothing because apparently, some people don't have these issues.  Reading these forums would make me think this is unlikely but my best friend had the same surgery in her 40s and had no post-op issues.  Bottom line is that the problems have been fixed and my life is great compared to pre-surgery - once the post-op issues were resolved.  I had a new one this week - a sudden blood clot.  The pain was atrocious - as bad as the day after surgery - but that too is passed. The operation is major so it's no picnic but well worth it in the long run.  I was told the first 6 weeks post-op are important but "stuff" can happen for 3 months, then 6 months and complete healing takes one year.  But if you can do everything you want, go for it. 

      These forums saved my sanity post-op.  Because I was not told of any of the possible issues, and my best friend had had none, I thought I was going mad or that I would never be well again.  The most common problems seem to be with temporary incontinence - mine took 6 1/2 weeks to go away and CONSTIPATION.  That hurts and is so not inevitable.

      No issue is private here.  We all share stuff you would not mention to your husband.  I did learn one important thing - call the doctor if he/she is available.  They will tell you what is "normal" post-op for some people and what is not and what is allowed and not allowed for YOU.  And if you can't reach anyone, there is always all of us to pass on any experiences and encourage you in any way we can.

      Keep in touch - we do care for each other.

      Again, important question to ask of surgeon - do they have someone do answer your questions post-op.

    • Posted

      I am happy to hear that you recommend the surgery - the fact that you feel the result is absolutely worth everything you have gone through post-op does help those of us who don't know whether we should have surgery.  It is also enormously helpful to hear of possible post-op issues.  

      How do you find the right uro-gynecologist? 

    • Posted

      The bulge is the front of the vagina - the rectum does not bulge (that I am aware of) except when there is a bm and it stays inside.  I think I have both cystocele and rectocele. And the uterus compresses the bowel as it lays backwards on top.   Bowel incontinence would push me toward surgery, but that is not an issue (yet).  I admit that I am not looking forward to a surgery with a long and difficult recovery.  I am assuming that a pessary would not work when things have gone this far?  

      If I do opt for sugery I would have to stop watching my 11 month old grandchild (I am daycare 2 days/week) for several months I would think...

    • Posted

      I got my referral from my family doctor.  I am in Canada so appointments with "rare" specialists take a while - there are only a few in my city.  I did research on line and asked my urologist (whom I had been seeing for bladder issues for about 20 years) and I even asked my husband's endocrinologist if they could suggest someone I should see.  All three doctors immediately said my surgeon's name.  I am not sure if you need a uro-gynocologist or just a gynocologist.  Your family doctor would make that call depending on YOU.  So step 1, see family doctor and go from there.

      Let us know.

      Nickie

    • Posted

      Sorry - forgot to say that you would not likely be up to looking after an 11 month old for at least 4-6 weeks depending on how your recover - we are all different. It could even be 3 months.

      The friend I told you about who had no post-op issues at all resumed looking after her grand-daughter two weeks post surgery but she was in the Arctic and there was no one else who could help.  Her daughter-in-law has a heart condition and she was in hospital for over a year after her daughter was born.  My friend raised that child until she was almost two and helped a lot until she was about 10. Her grand-daughter was a quiet 1-year old child who liked quiet activities which is the only reason her grand-daughter didn't have to go into foster care.

    • Posted

      I will talk to my primary care doctor - that is good advice.  I don't have a gynecologist and use my primary doc for occasional gyn exams.   I have never complained to her about my conditions.  Here in this University town in the States we have many specialists, some who are also researchers.  At least I am not in the Arctic like your friend!  I often say we do what we have to do and it is wonderful that your friend was able to do that without compromising her recovery. 
  • Posted

    Hi

    i have had lots of Gynae Surgery over the years due to childbirth errors that were not picked up. My first was an Anterior repiar of the bladder which caused me no problems. My main surgery in 2006 was a Posterior repiar of the back wall / rectocele and also to fix the Perineum. I had this done with a Collagen mesh. This is Dissolvable. I had a lot of problems with pain afterwards and wanted the mesh removed but as it had started to Dissolve this could not be done. I have been told i could have had an irritation to the mesh and also some Nerve damage. This could be the mesh or the way the consultant has inserted it. Consultants have to be very skilled in inserting mesh and the instruments used. I personally  would never have the TOT or TVT as there are a lot of bad publicity and stories on the internet from women who have had problems. Can you have the surgery without mesh? Do you have enough skin / tissue?  Have you sat with the consultant to ask ither questions and their skill on using mesh and pro's and con's. You need to make an informed decision and to bear in mind that not everyone will have problems. Research your consultant and the mesh used. Collagwen is supposed to be better than TVT or TOT. Hope this helps.

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