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Re: ctocele Repair, Yes or No?

From: Alicia Lapidus M.D. (anonymous@obgyn.net)
Thu, 7 Aug 2003 15:07:01 -0500 (CDT)


Unless it's unbearable I would rather wait, and of course since I'm a GYN I prefer the vaginal route since it was the place where it came the problem.

At Thu, 7 Aug 2003, Confused wrote: >
>I have just returned from an appt with a Colorectal Surgeon. I am 35
>yrs old, and have had two large babies, both vaginally without
>episiotomy. Following my son's birth (my second child) I knew something
>wasn't quite right. I have finally worked up the nerve to find out
>what's going on, and have been diagnosed with a rectocele. It is not
>huge, but nor is it terribly minor. Most prevalent symptom is the
>"splinting" or help I need for going to the bathroom.
>
>Doctor has suggested that fiber and water will help, but that the
>rectocele will not go away, and may over time get worse. She also
>indicated that the longevity of the surgical repair work can be about 10
>years, meaning I may have to have it done again, if I choose to have it
>repaired now.
>
>I am trying to find any information I can on the life of this type of
>repair. As she is a colorectal surgeon, she repairs via the anus wall,
>vs the vaginal wall. I do suffer from minor to major hemorrhoid
>flare-ups as well, and some discussion was had about doing both the
>repair work and the hemohrroidectomy at the same time.
>
>I'm terribly confused and do not know which way to lean. I don't know
>if I should have the surgery done now, while I'm younger and have better
>healing powers, and hope for the best. Or do I wait until I'm older,
>the rectocele gets worse and then have the surgery?

--
Alicia Lapidus MD
Head Obstetrics Division,
Hospital J. A. Fernández
Buenos Aires
Argentina
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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