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  1. #1
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    Default Rectocele - experience/advice wanted please

    Hi, I have recently been told I have a rectocele. I won't go into details but basically it is starting to interfere with my day to day life and I'm considering surgery to have it repaired. Fortunately there is no sign of other prolapses and my pelvic floor muscles are strong according to my doctor. What I'm getting to is have you had a rectocele, did you have surgery, what was surgery like in regards to time in hospital, recovery, time off work etc? Any advice, support, experience etc would be very welcome as this diagnosis has thrown me for a six even though I've suspected since having son #2 that things haven't been quite right. TIA.

  2. #2
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    Default Rectocele success

    Hi JimJamsMum,
    I am almost 4 months post rectocele repair. BEST THING I'VE EVER DONE.
    I was in absolute despair when I discovered it after baby #2 as well.
    It was 1.5/2 degree 'bulge'. I had severe anxiety and depression over it, lost all confidence in the bedroom, couldn't do number 2 without a footstool and 'splinting'.
    This is 2014- these things don't need to effect your daily life anymore and there is too much on the internet that says to just live with it. Having it fixed has completely changed my life for the better forever, I am THRILLED with the result. All the thrilled women forget to come back to these forums and tell others that there is light at the end of the tunnel. All you need is someone very experienced. Also, I saw a pelvic floor physiotherapist and did the excercises religiously for 4 months when i first got 'diagnosed'. This along with pilates classes set me up for a strong easy peasy recovery.

    -I had my surgery with a VERY experienced surgeon (30) years at North shore Private hospital in Sydney. I stayed 2 nights to get a break from the kids It was a posterior repair and that includes your perenium. If that is overstretched during birth, that's why the bulge is there, there's no perenium support fyi.
    -I was up and about after a few days, the only pain I had was when I woke up from the op there was a bit of a 'crowning' sensation which i just took endones for.
    I dreaded having the packing removed, but it did not hurt AT ALL. If you don't take stool softeners, doing a poo will hurt, so just take them, easy as that. I took them for 7 weeks but honestly, i was myself again after a few days.
    -I waited til my son was 2.5 when he could climb into the car on his own and I wouldn't have to lift him. The kids are also able to understand that i don't lift anymore. But 3 months on I feel completely awesome and lift them when i feel like it.
    - I had sex again at 7 weeks, it was fine, slight stinging. Again, 3 months later the sex is the best we have ever had. Ever!
    I don't know why i agonised for so long over my prolapse- partly from googling too much and reading horror stories. Even the surgeon said he only recommends surgery for bad prolapses but if I still hated it after a year or so, or in ten years he would 'nip and tuck it'. So 2 years later i did it and it was the BEST decision ever!!!!
    If I can help at all, ask me anything, think positive and don't do what i did which was let it get in the way of enjoying my gorgeous little kids.



  3. #3
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    Can I ask, how exactly do they diagnose it? Like what tests? Is it just physical examination? I have a suspicious bulge in my perineal area (in addition to a bladder prolapse ...sigh). I'm going to get it checked out in the near future to see if it can be fixed.

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    Hey Hollywood, an obstetrician or pelvic floor physio will diagnose it.
    Basically, a grade 1 is when the bulge can be felt in the vagina but not neccessarily seen. 2 is 'at the door', it doesn't come out past the opening but you can see it with a mirror particularly if you cough. 3 is out past the opening of the vag. They will get you to cough or bare down to assess it.
    I wouldn't let a regular GP give their opinion.
    The bulge you describe may have occurred with stretching of the perenium which is why perenioplasty is part of any posterior repair.

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    Ok cool. So will I need a referral? Or do I just book in with the ob or physio?

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    Yeah, you'll need to be referred to your OB (by a GP or clinic), the OB will refer you to a pelvic floor physio. You can also google in your area who you want to see and just ask the gp to refer you to them. Good luck!

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    MamaMichele,
    Thanks for sharing and posting your experience because it does give other sufferers hope and also to have someone that has had the surgery and give their experience and perspective is very helpful! I am only at the start of my 'journey' to repairing my rectocele, as I have had to wait till my dd finished breastfeeding and me having no more babies. First things first I will need to go to a Physio who specifically deals with all things 'prolapse' etc and then go from there. Be prepared for some pm's from me in the not too distant future!

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    Hi MamaMichele,
    Would you mind sharing who your doc was? I am seeing a UROGYN in Kogarah in 2 weeks time, but always like to go with recommendations too. I had my baby in North Shore Private Hospital.
    Thanks,

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    @Hollywood I was referred by a hospital women's physio for a 3d ultrasound on my pelvic floor to get a diagnosis.

  10. #10
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    Thanks, did you go straight to the hospital or was it the GP who referred you there? Sorry for all the questions but I work full time and money is tight so if I can find out where to go without wasting appointments at places that can't help me that would be ideal.


 

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