Cystocele and rectocele repair is surgery to lift and tighten the tissue around the bladder and rectum so that these organs no longer push into the vagina.
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Read more about: Rectocele Repair Surgery
Your doctor may recommend surgery for a large or severe rectocele, especially if you have symptoms like:
Read more about: Cystocele and rectocele at the same time
The length of time it'll take before you're well enough to leave hospital depends on your age and your general level of health.
If you have had a vaginal or laparoscopic hysterectomy, you may be able to leave between 1 and 4 days later.
If you have had an abdominal hysterectomy, it'll usually be up to 5 days before you're discharged.
You may be asked to see your GP in 4 to 6 weeks, but follow-up appointments with the hospital are not usually needed unless there are complications.
It takes about 6 to 8 weeks to fully recover after having an abdominal hysterectomy.
Recovery times are often shorter after a vaginal or laparoscopy hysterectomy.
During this time, you should rest as much as possible and not lift anything heavy, such as bags of shopping.
Your abdominal muscles and the surrounding tissues need time to heal.
Read more about: Differences between a cystocele and a rectocele
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Your healthcare provider will explain the procedure and any risks. Some possible risks include:
Anesthesia has some risks. Discuss these risks with your healthcare provider.
You may have infection, bleeding, or blood clots.
The bladder, rectum, ureters (the tubes from the kidneys to the bladder), or urethra may be damaged. If damage occurs and your provider is aware of it, he or she will try to repair it during the operation.
You may keep leaking urine or bowel movements.
You may have a constant feeling that you need to urinate.
You may have problems urinating.
The cystocele or rectocele may come back.
Read more about: Cystocele surgery
You may stay in the hospital 2 to 4 days.
You may need to go home with a catheter in your bladder until the bladder is working normally again. Your healthcare provider will decide when the catheter can be removed during a follow-up visit.
Constipation is common after surgery because of some medicines and inactivity. Eating fruits and vegetables and drinking extra fluids may help you avoid constipation. If diet and extra fluids are not enough to avoid constipation, your provider may recommend a stool softener or a laxative. Check with your healthcare provider if constipation keeps being a problem.
You may have some bloody or pink drainage from your vagina for a few weeks.
Ask your healthcare provider:
Make sure you know when you should come back for a checkup.
Read more about: Cystocele And Rectocele repair surgery
You may also have a vaginal and rectal exam. You may need to have images taken of your urine and bowel activity. Cystocele, urethrocele, enterocele, and rectocele are particularly likely to occur together.
In women with uterine prolapse and weak posterior vaginal walls (rectocele), Colpoperineorrhaphy is indicated.The posterior vaginal wall supports and holds the rectum (where the stool is stored daily). When the posterior vaginal wall weakens, the rectum can prolapse. This prolapse is the rectocele. Posterior vaginal wall prolapse make stool and bowel movements pretty difficult, since forcing the stool down makes the rectum swell forward, rather than pushing out the stool.
Surgical repair of a rectocele is known as posterior repair or posterior colpoperineorrhaphy. The rectocele will have to be repaired via the vagina. The procedure is similar to a repair of anterior vaginal wall prolapse. The surgical cut is done on the back wall of the vagina and then, the rectum is pressed back into place. The surgeon then stitches together the tissues that are present to create a new support sling for the prolapsed organ and then takes away some of the skin in the vaginal wall to make it a stronger repair.
Read more about: Pessary for cystocele and rectocele