Rectocele repair complications

Cystocele and rectocele symptoms

rectocele repair complications

 A rectocele or an enterocele may become large or more obvious when you strain or bear down (for example, during a bowel movement). A rectocele and an enterocele may occur together.

Because rectocele and enterocele are defects of the pelvic supporting tissue and not the bowel wall, they are treated most successfully with surgery that repairs the vaginal wall. This surgery pulls together the stretched or torn tissue in the area of prolapse. Surgery will also strengthen the wall of the vagina to prevent prolapse from recurring. Unless there is another health problem that would require an abdominal incision, rectoceles and enteroceles are usually repaired through the vagina.

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Surgical repair may relieve some, but not all, of the problems caused by a rectocele or enterocele.

  • If pelvic pain, low back pain, or pain with intercourse is present before surgery, the pain may still occur after surgery.
  • Symptoms of constipation may return following surgery.
  • The success rate is lower if you have had previous pelvic surgery or radiation therapy to the pelvis.

 Risks of surgical rectocele repair include the following:

  • Bleeding.
  • Infection.
  • Pain during sexual intercourse.
  • Development of a fistula (an open channel) between the vagina and rectum.
  • Recurrence of the rectocele.


10 common questions about rectocele repair complications

1Is a Rectocele repair painful?
Surgical repair of rectoceles and enteroceles is used to manage symptoms such as movement of the intestine that pushes against the wall of the vagina, low back pain, and painful intercourse. An enterocele may not cause symptoms until it is so large that it bulges into the midpoint of the vaginal canal.
2Is Rectocele repair major surgery?
Treatment for Enteroceles or Rectoceles You will have a repair surgery. A repair surgery will strengthen the wall of your vagina with sutures (stitches). ... A rectocele repair stops the rectum from bulging into the vagina
3Is Rectocele surgery successful?
There are both medical and surgical treatment options for rectoceles. The majority of symptoms associated with a rectocele can be resolved with medical management; however, treatment depends on the severity of symptoms. Surgical treatment is reserved for only the most severe cases of symptomatic rectocele.
4What happens if Rectocele goes untreated?
If a rectocele is not treated, you may keep having pain with sex or bowel movements. A rectocele may also cause a bowel obstruction (blockage). If the rectocele pushes out of your vaginal opening, it is harder to treat, and other medical problems can develop
5Can Rectocele repair failure?
Rectocele repair surgery (also called posterior wall repair) can strengthen and repair the damaged tissue and restore the rectum to its normal position. Vaginal childbirth, chronic constipation, and heavy lifting all increase your risk of rectocele.
6How 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
7Will a Rectocele get worse?
A rectocele may not cause symptoms. Or, you may notice a bulge in your vagina when you strain or bear down during a bowel movement. ... A rectocele usually does not cause serious health problems. If your symptoms get worse, you may want to talk with your doctor about surgery to return the rectum to its normal position
8How long does Rectocele repair surgery take?
In most cases, surgery is done under general anesthesia and takes approximately 1 hour. There are a number of different surgical repair options, each of which takes its name from the path used by the surgeon to reach the rectocele. Transvaginal repair: The rectocele is reached through the vagina
9Can a Rectocele rupture?
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
10Does a Rectocele cause gas?
A small rectocele may not cause any symptoms, especially if it bulges less than 2 centimeters (less than 1 inch) into the vagina. However, larger rectoceles can trigger a variety of rectal and vaginal complaints, including: ... Difficulty controlling the passage of stool or gas from the rectum


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