Trans anal rectocele repair

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I am booked in to have a trans anal repair for my rectocele next week.  I am having second thoughts about it.  It is being done by a colorectal surgeon and I'm now reading its better for a urogyn to perform it through the vagina?  He's also said the recovery time is a week and I haven't seen anyone say that on here.  It is a day case procedure and I will be going home after a 45 min procedure.  Has anyone had this done and what recovery time was given?  I've not been told that I can't do any heavy lifting.  I have 2 young kids so this is very important.  Infact I've been told I don't need to bed rest at all.  This is all worrying me and I really would like to hear from anyone who has just had a trans anal repair done about your experiece.

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  • Posted


    Sorry I have no experience of this repair

    However to be sure there are many overlapping procedures done by different specialists.  

    It has taken me 3 years to realise as the patient that I have haemorrhoid all symptoms not from bleeding not from constipation but from sheer prolapse. Everything is pulling down on these veins causing pressure, hence haemeroid symtoms.  

    Why dies the colorectal dock ok at the other areas.

    However in my case I present a proctogram which reports prolapse in all 3 compartments.  Even then no one says well let's send you for gynaecological opinion.  In all fairness the NHS got it right in as much as they were not sure whether I had haemorrhoids that needed treating.

    There is most certainly some tissue to band, but to initiate a full blown HALO 

    OP in my mind and not send you for gynaecologist opinion is not on.

    I'm so sorry I cannot help you, however every doc has different learned specialitiesike baking a cake, however we are talking about human beings here.

    Sorry I am somewhat distressed and your email came into my in box.

    Good luck, check as much as possible how good your surgeon is. 


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  • Posted

    I hadn't heard of this repair, so googled it ~ lots of information. I would query the recovery time and lifting restrictions as they seem to be the same as for a rectocele repair done through the vagina.
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  • Posted

    Hi Blessed06

    I recently had a rectocele repair via the vagina.(24days ago)

    I guess it will depend on the severity of the prolapse and how mush work (stitching) they have to do to you when they get inside you.

    I am still off work and intend to be for the next 3 weeks at least. I have

    been very careful and not lifted anything heavier than a half filled kettle,

    no ironing, no driving etc I was in hospital for 3 nights and have more or less been sleeping and resting in pj's since coming home from hospital.

    I don't have young kids to pick up or see to my kids are older and have been helping around the house along with hubby. Make sure you know in advance exactly what they intend to do to you. Ask why anal and not

    vaginal. And it if dies turn out you need 6 weeks off work and no lifting

    etc then I would advise you postpone it until you are well and truly

    prepeared and organised for it. Good luck.

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  • Posted

    Hi, sorry don't really know much about this procedure. As far as tI know Halo is for haemorrhoids(which can prolapse) hence it's title, not rectal prolapse, not the same thing. If you look on line there is some good info .The halo procedure must be in conjunction with your prolapse procedure. Certainly it has a quicker recovery & lifting restrictions etc won't be the same. Pain control & laxatives are the main focus

    sorry I don't know any more than that .


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  • Posted

    Hi again, I lost  this thread. I looked again on line at trans anal approach  to this repair. It seems that there is a risk of anal sphincter damage, which doesn't feature with vaginal, as far as I can see. It would be enough for me. Check it out in case I am wrong. Also the couple of sites I looked at seemed to give similar time scales & lifting restrictions as the vaginal appproach


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  • Posted

    On Monday I have had a Transanal rectocele repair. This was to be on a day surgery coming out later on that evening.  The surgery actually takes about 1 hour and they give you about 3/4 hours recovery then home.  Unfortunately after the op I could not pass urine so I was unable to leave that night. I was transferred to another ward. All of Tuesday I could not pass urine and was holding 850 voids (its usually 100 - 200). I was given a catheter to empty the urine. So my anal surgery was aching and sore with packing in and my urether was sore from having a catheter. I got a temperature and a massive headache where my eyes literally went red ( apparently this is from General anaesthetic). Tuesday evening they decided to take the catheter out. Wednesday I started peeing (a little).  I convinced the Dr to let me home so that I may feel more relaxed and have privacy to pee and I had only packed for a day stay not any longer. I am home now peeing okish, but the pooing is so painful and although I expected blood from the op it is quite scary, but the smell from the packing is unbearable and there is nothing you can do until you pass that first poo..  I am on fybojel and pain relief.  I am now on day 5 and I have just managed to poo. Not a lot but I have. As I was in the shower I also noticed that one of my vagina lips is slightly higher than the other ( I know it was not like it before).  I am hoping that this will settle. I will write next week to let you know what a difference I feel.  But I am very sore ( which I expected). I am feeling a bit sorry for myself at the moment and wondering if it was all worth it. Time will tell. 
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