Pessary for cystocele and rectocele
Will a pessary help a Rectocele?
Can you fix a Rectocele without surgery?
How long can a pessary be left in?
Can Kegels fix Rectocele?
What happens if prolapse is left untreated?
What happens if Rectocele goes untreated?
Pessary for cystocele and rectocele
A pessary is a plastic device that fits into your vagina to help support your uterus (womb), vagina, bladder or rectum.
Pessaries come in a range of shapes and sizes to suit each woman’s individual needs. A pessary ring can help if you have a cystocele or rectocele. A cystocele is the medical term for when your bladder droops down into your vagina or while a rectocele is when your rectum sticks up into the bottom of your vagina. Pessaries can also help many women who are suffering from stress urinary incontinence. This is when you might leak urine when you cough, strain or exercise.
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Will a pessary help a Rectocele?
The pessary is an effective tool in the management of a number of gynecologic problems. The pessary is most commonly used in the management of pelvic support defects such as cystocele and rectocele.
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Can you fix a Rectocele without surgery?
Treatment depends on the severity of the posterior vaginal prolapse. Your doctor might recommend:
- Observation. If your posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen your pelvic muscles may provide relief.
- Pessary. A vaginal pessary is a plastic or rubber ring inserted into your vagina to support the bulging tissues. A pessary must be removed regularly for cleaning.
Depending on the severity of your posterior vaginal prolapse, self-care measures may provide some relief. You could try to:
- Perform Kegel exercises to strengthen pelvic muscles and support the weakened fascia
- Avoid constipation by eating high-fiber foods and drinking plenty of fluids
- Avoid bearing down to move your bowels
- Avoid heavy lifting
- Control coughing
- Lose weight if you're overweight or obese
Once you've learned the proper method, you can do Kegel exercises discreetly just about anytime, whether you're sitting at your desk or relaxing on the couch.
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How long can a pessary be left in?
Most women find they are able to successfully use a pessary for two years or more without requiring surgery for their condition.
There are sometimes mild side effects from pessary use, such as vaginal irritation, foul-smelling discharge, and urinary tract infections. However, because the pessary is removable, any side effects experienced can usually be corrected quickly.
It’s possible to have intercourse with a ring pessary in place, though most women prefer removing it for sexual activity. If you leave the pessary in for too long, it can be very difficult to remove and in extreme cases would need to be removed during an operation under a general anaesthetic. Pessaries are a safe long-term treatment for prolapse but they do need to be changed every three to six months. Some women will be able to do this at home themselves but others will need to go to a hospital or a clinic to have this done for them.
Can Kegels fix Rectocele?
Kegel exercises strengthen your pelvic floor muscles. A strong pelvic floor provides better support for your pelvic organs, prevents prolapse from worsening and relieves symptoms associated with posterior vaginal prolapse.
To perform Kegel exercises:
- Tighten (contract) your pelvic floor muscles as though you were trying to prevent passing gas.
- Hold the contraction for five seconds, then relax for 10 seconds. If this is too difficult, start by holding for two seconds and relaxing for five seconds.
- Work up to holding the contractions for 10 seconds at a time.
- Aim for at least three sets of 10 repetitions each day.
Kegel exercises may be most successful when they're taught by a physical therapist and reinforced with biofeedback. Biofeedback involves using monitoring devices that help ensure you're tightening the muscles properly for the best length of time.
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What happens if prolapse is left untreated?
Normally, a woman's pelvic organs are supported by the muscles of the pelvis. Her uterus, vagina, bladder, and rectum are held over the muscles that provide support to keep the organs in place. If the muscles or supportive connective tissue is weak, damaged, or stretched, eventually any or all of the organs can begin to slip downward into the vagina. Occasionally, if left untreated, the organs can actually protrude outside of the vagina or body.
What happens if Rectocele goes untreated?
If a rectocele is left untreated, the following complications may occur:
- Pressure or discomfort in the pelvic area
- Constipation
- Leakage of bowel movements (incontinence)
- Sexual dysfunction
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