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When the bulge into the vagina comes from the rectum it is called a rectocele. As with other forms of pelvic organ prolapse (cystoceles, enteroceles, vaginal prolapse) childbirth, chronic cough, chronic constipation, and obesity are predisposing factors. Symptoms are similar to cystoceles such as pelvic pressure, an unsightly bulge in the vagina, and constipation. Furthermore, the need of reaching into the vagina to push stool out is not uncommon. |
A bulge into the vagina can also be caused by small bowel pushing the vaginal tissues. This is called an enterocele. It can occur at the same time as a cystocele and a rectocele. In fact, we often cannot tell what is causing the bulge in the vagina whether it is bladder, rectum, or bowel, or all! Modern repair uses mesh with excellent success found. This repair is technically quite challenging and few are trained in the modern repair of this problem. Surgical repair consists of using sutures to bunch up the bulging tissues together. More modern repair consists of the use of mesh. This newer method gives success rates of over 95%. |
In our center Rectocele Repair is done in the operating room under general, regional, or local anesthesia with intravenous sedation. The procedure takes 60 minutes to perform. |
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All After pictures are taken just a few minutes after the operation, and show both swelling and stitches. The result will therefore improve even more after the stitches are removed and the swelling has come down. |
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Images before and after surgery Click here |
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