Rectocele repair video

Underwent a complete work up and was found to have a large rectocele warranting repair. Follow Us Here: Surgical video of paravaginal repair , or cystocele. The rectum sinks into the vagina, causing bulging.

Considering pelvic prolapse repair ? See how it’s done in this animation. The bulge, or herniation, occurs as a result of thinning and weakening of the band of tissue that separates the vagina from the rectum.

What to expect after rectocele surgery? How is rectocele surgery performed? This is the traditional approach to rectocele repair by gynecologists. It offers the chance to correct not only the rectocele but a relaxed perineum and widened vaginal opening. It also has the advantage of not disturbing any tissue in the rectal area.

This repair may be done by reinforcing the area with stitches, or it may involve more complex techniques, such as placing a mesh patch to strengthen and support the wall between the rectum and. You have prolapse of other pelvic organs in addition to posterior vaginal prolapse that is bothersome. Surgical repair for each condition can be completed at the same time.

When this happens, tissues or structures just behind the vaginal wall — in this case, the rectum — can bulge into the vagina. One patient had complaints related to the rectocele and received a reintervention. No pain, defecation disorders, or dyspareunia occurred.

If the perineal body has to be narrowe an additional vaginal access is needed. The video demonstrates the technique step by step. This bulging can cause symptoms such as the sensation of sitting on a ball, incomplete emptying of the rectum, and pelvic discomfort. Posterior prolapse ( rectocele ) A posterior vaginal prolapse, also known as a rectocele , occurs when the wall of fibrous tissue that separates the rectum from the vagina weakens.

A rectocele or bulge of the back wall of the vagina is most often repaired by a vaginal procedure called a posterior colporrhaphy. If the muscles at the opening of the vagina have been stretched or separated during childbirth, the repair may include a perineorrhaphy. A rectocele , particularly small ones that may go unnotice is a common condition, especially in women over the age of 50. Expertise and rankings.

Mayo Clinic doctors evaluate and treat more than 8people with posterior vaginal prolapse each year. These specialists have extra training in pelvic floor disorders and expertise in treating this condition, including repairing treatments done elsewhere. Using an incision in the abdomen, the surgeon pulls the rectum back in place. Using sutures or a mesh sling, he or she anchors the rectum to the back wall of the pelvis (sacrum).

In some cases, such as a long history of constipation, the surgeon removes a portion of the colon. Navigation Close Navigation. Bruce Rosenzweig, MD.

Repair of a rectocele may be through hormonal therapy, therapy, or minimally invasive, and outpatient surgery. The of treatment are very successful and patient satisfaction usually is very high. Tahery has developed his own technique of repair without using mesh and using the patient’s own tissue with great success.

Often these women have difficulty emptying their bowel completely and are left with a sensation that there is more to pass symptoms of obstructive defeacation syndrome. This type of prolapse can protrude and bulge from. This may happen if you have weak muscles and ligaments that cannot support the vagina and rectum. A rectocele is a bulge of the rectum into the back wall of the vagina (shown right). A wall of tough tissue, called the rectovaginal septum, separates the rectum from the vagina.

The vagina and pelvic organs are then resuspended internally with a combination of sutures and a supportive mesh or fascial graft (Figure 3). If neede a bladder suspension, vaginal hysterectomy, and rectocele repair can be accomplished at the same time via a vaginal incision. A Foley catheter (i.e. bladder catheter) is placed to drain the.