Cystocele and rectocele repair with hysterectomy

Cystocele and rectocele repair with hysterectomy

How long does it take to recover from Rectocele and Cystocele surgery?

What happens after Cystocele and Rectocele surgery?

Can you have both Cystocele and Rectocele?

Cystocele and Rectocele Repair Complications and Risks

 

Cystocele and rectocele repair with hysterectomy

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.

  • Cystocele: An operation to repair a cystocele is called an anterior repair (colporrhaphy). The operation is done through the vagina. It involves making a cut in the front of the vagina so that the bladder and/or urethra can be pushed back into place. Once this is done the surgeon stitches together the existing tissue with stitches which dissolve inside the vagina. Some excess vaginal tissue may need to be removed. If you have associated stress urinary incontinence, an additional operation may be required to correct this.
  • Rectocele: Surgical repair of a rectocele is called a posterior repair or posterior colpoperineorrhaphy. The rectocele is repaired through the vagina. The procedure is similar to an anterior repair. The cut is made on the back wall of the vagina and the rectum is pushed back into place. The doctor stitches together the existing tissues to create a new support for the prolapsed organ and then removes some of the skin from the vaginal wall to make it stronger. This type of repair is associated with potential narrowing and shortening of the vagina and you will be informed of this.

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Read more about: Rectocele Repair Surgery

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Your doctor may recommend surgery for a large or severe rectocele, especially if you have symptoms like:

  • Bulging, pain, and discomfort in the vagina
  • Difficult bowel movements
  • A feeling of pressure or “fullness” in your bowels, even when you’ve just had a bowel movement
  • Inability to control your bowel movements Because rectocele repair is a major surgery, a doctor will often suggest it only after trying other treatments. Sometimes rectocele repair is done at the same time as a hysterectomy.

Read more about: Cystocele and rectocele at the same time

How long does it take to recover from Rectocele and Cystocele surgery?

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

Cystocele and Rectocele Repair Complications and Risks

Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

  • Reaction to anesthesia
  • Infection
  • Bleeding
  • Accidental damage to vagina, rectum, and bladder
  • Accidental damage to nearby organs
  • Difficulty with bowel movements

Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:

  • Smoking
  • Drinking
  • Chronic disease such as diabetes or obesity

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

What happens after Cystocele and Rectocele 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:

  • How long it will take to recover
  • What activities you should avoid, including how much you can lift, and when you can return to your normal activities
  • How to take care of yourself at home
  • What symptoms or problems you should watch for and what to do if you have them

Make sure you know when you should come back for a checkup.

Read more about: Cystocele And Rectocele repair surgery

Can you have both Cystocele and Rectocele?

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.

Colpoperineorrhaphy surgery

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

10 common questions about cystocele and rectocele repair with hysterectomy

1How long does it take to recover from a hysterectomy and bladder repair?
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.
2Can you fix a Rectocele without surgery?
NON-SURGICAL TREATMENT OF RECTOCELE The vast majority of a patient's symptoms associated with a rectocele can be managed effectively without surgery. ... Biofeedback refers to exercises one performs with a provider to strengthen and retrain the pelvic floor and can also lessen the symptoms of a rectocele
3Can I have a prolapse after hysterectomy?
Vaginal vault prolapse: This type of prolapse may occur following a hysterectomy (surgical removal of the uterus). Because the ligaments surrounding the uterus provides support for the top of the vagina, this condition is common after a hysterectomy
4What fills the space after a hysterectomy?
After a hysterectomy, the other abdominal organs shift slightly to fill the space. ... Unless extensive surgery is performed, the vagina remains the same after a hysterectomy.
5Is Cystocele repair major surgery?
Cystocele repair surgery A cystocele repair is a surgery to put your bladder back in its normal place. Your surgeon will fix the wall between your bladder and vagina to keep your bladder from moving again
6Can a Rectocele burst?
A rectocele is a type of pelvic organ prolapse. It happens when the supporting ligaments and muscles weaken in the pelvic floor. ... A rectocele can lead to constipation and discomfort, but if it is small, there may be no symptoms. Most people can treat a rectocele at home, but a severe case may need surgery
7How long does a Rectocele repair last?
The most common postoperative symptom after rectocele repair is rectal pressure and discomfort. This should resolve over several weeks as the tissue heals. The success for this procedure to correct the bulge is over 80-90 percent depending on the technique used
8How long does it take for a Rectocele repair to heal?
information to help you as you recover at home. (Be sure to follow any instructions from your care team if they're different from what you see here.) After a rectocele repair, it's normal to have light vaginal discharge for up to 6 weeks.
9Is bladder prolapse common after hysterectomy?
A fallen bladder, also known as cystocele or prolapsed bladder, is common after hysterectomies. ... Prolapsed bladder symptoms include tissue in/protruding from the vagina, problems with urination, increased bladder infections, pelvic discomfort, pain in the lower back, and pain during intercourse
10How many inches can a woman feel?
Usually, the depth of the vagina is between 3 and 7 inches. The vagina is an organ that is designed to accommodate both childbirth and sexual activity. However, if a woman is experiencing pain during sex due to what she perceives as a shallow vagina, she should talk to her doctor

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