Re: posterior rectocele more questions
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 8 Aug 2000 20:47:00 -0500 (CDT)
At Tue, 8 Aug 2000, JJ wrote:
>
>At Mon, 7 Aug 2000, jwang,MD wrote:
>
>No--I am positivie it is a posterior rectocele in the back wal of the
>rectum.
That's the only place you can have a rectocele, posteriorly.
>YOu see--after my son was born had quite a battle with
>consitpation which leaded to a trip to the ER--which led to disimpaction
>by resident. the resident was a little (A lot ) over zealous and did a
>total disimpation for almost an hour. By the way did ZZI mention she
>had nails on the long side?? Well I was told by GI that I had
>significant tearing in the back wall of the rectum (which I believe was
>from the resident) and I beleive this caused the posterior rectocele
>which I have also been diagnosed with.
More likely pregnancy and delivery related than aggressive disimpaction.
>IT is very very uncomfortable
>because there is no splinting in this area!!! How is the treatment
>prognosis for this and how long is the recouperation period??
Depending upon the extent of the defect, a posterior repair can be with
suturing tissue on each side to recreate a new wall suport or if very
extensive, cadaveric fascia (transplanting "dead-person" tissue) may be
used to repair of cover the posterior rectocele, considered by many as a
"hernia" of the area.
>I also
>have a small enterocele my question is how are these both repaired and
>what is the recoup period??
The enterocele needs to be dissected out and repaired. No real recoup
on that end. The posterior repair will be uncomfortable for days to
weeks.
Hope this helps.
HSM
>>
>>I'm not sure what you mean by posterior and anterior rectocele. A
>>rectocele means that the back wall of the vagina and the rectum behuind
>>it lose support and bulge down out toward the vaginal opening. Usually
>>we can refer to this as losing posterior support. It may be that you
>>have lost a significant amount of support in the entire back wall of the
>>vagina, or that you also have a cystocele, or dropping of the front wall
>>of the vagina and the bladder behind it.
>>
>>At Mon, 7 Aug 2000, JJ wrote:
>>>
>>>I was diagnosed with a posterior as well as anterior rectocele (both in
>>>the rectum) How correctable is the posterior rectocele? Do i need a
>>>colorectal surgeon or can an obgyn do it??
>>>Thanks in advance
>>
>>--
>>J Wang, M.D
>>Assitant Clinical Prof.
>>Tufts University School of Medicine
>>
>>>**Note: Opinions expressed here are for educational purposes only
>>>and, as such, do not constitute a physician-patient relationship.
>>>This information is not intended to supplant the need for you to
>>>consult with your physician prior to choosing therapeutic options
>>>and/or interventions.>
>>
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
**Note: Opinions expressed here are for educational purposes only
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