Re: UROGYNECOLOGY: Rectocele/Enterocele
From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Sun, 19 Aug 2007 11:05:00 -0500 (CDT)
Message posted on Amy Rosenman, M.D. behalf by: Hope, Women’s Health
Forum Moderator
You can try a Colpexin sphere which is a pessary like device that even
strengthens the pelvic floor. At such a young age I would steer clear
of synthetic mesh until there is more longterm data. At this time the
experience with synthetic mesh is only months, not yet years long
(except for the TVT/TOT for incontinence). You should consult a
urogynecologist and consider a cystocele repair with or without
paravaginal repair, and cervical suspension to the uterosacral ligaments
which can be done laparoscopically or vaginally. If further pregnancies
are desired, you should consider Cesarean delivery.
--
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.
** Private emails cannot be entertained due to time
constraints; consequently, they will receive no response.
At Thu, 2 Aug 2007, caitcon wrote:
>
>Hi I posted a few weeks back with no reply. I will try again, as I am
>interested in more info.
>Here is my story, I am 36, two vaginal deliveries 2002 and 2004. I had
>urinary stress incontinence since the my last birth in 2004.
>I had TOT sling and cytocele repair May 07. A few weeks after surgery I
>developed rectocele and enterocele. Rectocele went from stage 1 5 weeks
>post-op. to now a Stage III. Enterocele has also gotten worse. I
>tried one pessary size 3 ring w/support which caused more discomfort and
>urinary leakage. My doctor told me that no pessary would work for me.
>He also told me that I need to see a specialist since my condition is
>beyond his abilities......
>He said in 25 years of being a doctor he has never seen a young woman
>progress so fast. I have a strong family history of POP. My grandma
>lived with this condition for 45 years..... my uncle was just diagnosed
>w/ POP and will have emergency surgery to restore bladder function next
>week. His surgeon said that he has only had a handful of men that have
>ever had POP in his 30 years. My mom also had surgery for cystocele and
>rectocele in the past.
>My doctor wants me to have graft/synthetic mesh surgery to fix
>everything. I want some more info on synthetic mesh before I proceed.
>I also would like to know if somebody has had good luck w/ other styles
>of pessaries to relieve some of the symptoms (i.e. pelvic heavyness and
>rectal pressure)
>Thanks for any suggestions
>Caitcon
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)