Re: GENERAL: 24 years old w/rectocele and prolapse... best treatment?
From: Amy Rosenman, M.D. (anonymous@obgyn.net)
Sat, 24 Jan 2009 07:29:53 -0600 (CST)
Message posted on Amy Rosenman, M.D. behalf by: Hope Waltman, Women’s
Health Forum Moderator
Prolapse can occur at any age, a urogynecologist is the best option for
evaluation and treatment especially if you are interested in non
surgical options, and you should be as you want to have children
someday. If surgical repair is done before pregnancy, you will likely
need a cesarean delivery for each pregnancy so as not to disrupt the
repair work. Pessaries are a very good interim option and are used
frequently in this situation of trying to put off surgery until after
your family is complete. There is also another option, Colpexin, a
biofeedback pessary like device that adds support while helping your
pelvic floor muscles strengthen with Kegel exercises. Best of luck to
you.
--
Amy Rosenman, M.D.
Assistant Clinical Professor GYN
Geffen School of Medicine at UCLA
Santa Monica, California
http://www.obgyn.net/meet.asp?page=/all_advisors/A_Rosenman
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.
At Tue, 20 Jan 2009, Psychosomatic wrote:
>
>I'm 24, nulliparous, and I have known for a while that I have a smallish
>rectocele and mild uterine prolapse (diagnosed by a gynecologist a few
>years ago). I know without a doubt that the rectocele is due to years
>of irregular stools (IBS) and some time being obese, although I'm at a
>good weight now (YAY!). My present problem is to the point that a
>couple times a week I have to ...help... myself go to the bathroom (to
>be explicit, I have to insert a finger or thumb and push on the back
>wall of my vagina to have a bowel movement). While doing this, I have
>recently noted that my cervix is nearly at my introitus (less than an
>inch away from the opening). That seems a little low to me...
>
>I saw a gyn PA at my school's clinic, and it seemed like she didn't know
>what to do with me, so she sent me to colorectal surgery. Is that
>right? Is that where I should go? Because I'm in PA school and I would
>like to have kids at some point, I'm not interested in surgery if there
>is ANYTHING else we can do (like a pessary... do they even use those
>any more?)
>
>If you were treating a patient that had this problem, where would you
>refer her? Gynecology? Urogynecology? Colorectal surgery?
>
>*sigh* I'm frustrated and embarrassed. I shouldn't have to deal with
>this at this stage in my life... and the responses I have received from
>my providers only make me feel more awkward and stupid. I don't want a
>runaround. I want to go to the right person FIRST. Please help. :(
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)