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Reposting - Bowel problems(Dr.von Almen)More questions

From: Peggy (anonymous@obgyn.net)
Wed, 29 Nov 2000 11:16:31 -0600 (CST)


At Tue, 28 Nov 2000, Peggy wrote: >
>At Mon, 27 Nov 2000, j wang, M.D. wrote:
>
>I have looked into this via the internet and know what causes rectoceles
>, my question is I have just started having this problem about 2 weeks
>ago, I had a vaginal delivery in 1982 and a c-section 1987,LAVH & LSO
>1998,RSO 1999, Why would I start having problems now?Is this surgery
>done out patient or is there a hospital stay required and how long?Sorry
>for so many questions.Peggy
>
>>Dr. V has the day off. A rectocele repair is performed by a
>>gynecologist. The repair is much like taking in a seam on a coat after
>>someone has lost weight. The vaginal wall is opened down the middle,
>>the tissue is supported with sutures, the extra tissue is trimmed, and
>>it is all stitched back together. Recovery is about 3-4 weeks before
>>feeling completely normal.
>>
>>At Mon, 27 Nov 2000, Peggy wrote:
>>>
>>>At Sun, 26 Nov 2000, William F. von Almen, II, MD, FACOG wrote:
>>>
>>>>Dr. von Almen,
>>>Thank you for your responce, Exactly what is involved in repairing a
>>>rectocele? Is it painful? how long for recovery?Peggy
>>>
>>>>At Sun, 26 Nov 2000, Peggy wrote:
>>>>>
>>>>>Recently I have been having a problem with bowel movements,The feces has
>>>>>been getting stuck and when I put a finger in my vagina there is a big
>>>>>bulge and when I push on it the feces is easily expelled. What could be
>>>>>causing this and What kind of Dr. would I see for this?Thanks in
>>>>>advance
>>>>>Peggy
>>>>Peggy
>>>>
>>>>sorry, my first response got lost in cyberspace. You have what we call
>>>>a rectocoele. This is usually from the stretching of the fascia (tough
>>>>tissue) between the rectum and the vagina. This weakness allows the
>>>>stool to bulge up and often needs to be pushed out manually. See your
>>>>gyn. He can evaluate you and prescribe appropriate therapies and or
>>>>surgery. Hope this helps.
>>>>
>>>>--
>>>>William F. von Almen, II, MD, FACOG
>>>>Editorial Advisor-Pregnancy and Birth
>>>>Private Practice
>>>>New Orleans, La.
>>>>
>>>>*Please understand I can not respond to private emails.
>>>>
>>>>*These comments are for educational purposes only. They are
>>>>not meant to take the place of an examination by a qualified
>>>>health care provider. They are not intended to be the start
>>>>of a physician-patient relationship.
>>>>
>>--
>>James 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.
>>





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