Re: UROGYNECOLOGY: Second Rectal Prolapse 30 yrs old never had kids
From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Sun, 19 Aug 2007 10:30:20 -0500 (CDT)
Message posted on Amy Rosenman, M.D. behalf by: Hope, Women’s Health
Forum Moderator
I would recommend a cooperating urogynecologist and colorectal surgeon
as well as some connective tissue disease testing for diseases of
connective tissue that cause weakness of support tissue.
Future deliveries should be by cesarean section. A gastro enterologist
should be involved in correcting the underlying constipation and
straining or the condition will recur again.
Sounds like there might be a sliding enterocele between the vagina and
the rectum, a loop of small bowel that gets in the rectovaginal septum
and needs to be corrected as well.
Best of luck to you.
--
Amy Rosenman, M.D.
Assistant Clinical Professor GYN
UCLA - Santa Monica, California
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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At Fri, 17 Aug 2007, Chloe wrote:>
>I am 30, and dealing with a second rectal prolapse. A rectocele with
>possible entrocele and pelvic organ prolapse involvement. Three yrs.
>ago I had a Colon Resection and 15 inches was removed. At that time it
>was beleived that is what caused the first prolapse but now we know this
>is multi factorial and due to my history of constipation, terrible
>stomach cramping/pain, bowl dropping out and many other issues test have
>shown other organs are involved. I have had a Defrocgraphy which shows
>something between the rectum and vagina and the Anal Mamectory told
>there is severe damage to the rectal muscles. With knowing all this I
>am trying to make sure I am properly diagnosed and see surgeons who can
>come togehter and correct the multiple areas affected. I have not had
>kid's yet and do not fit the typical criteria for these issues.>
>Thank you for any advice or help.>
>Regards...
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