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Old 05-22-2009, 11:44 PM   #1
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Unhappy Rectocele Surgery - Confused and Scared

I saw a colon & rectal surgeon and was told I have a rectocele. Doctor wants to operate through my rectum and from everything I've read, it's done through the vagina. Also, the doctor says I will go home the same day, what? Anyone had this surgery? Did you go home the same day? What about the pain? I'm about ready to back out and could use some good advice and/or info.

 
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Old 05-23-2009, 03:33 AM   #2
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Re: Rectocele Surgery - Confused and Scared

Hi

I have had many surgeries and rectocele was one of them but I was in hospital for 3 days after, if you feel you should stay in then insist. The pain was ok, but I expect you will have to rest for a week when you get home. It wasnt hugely painful, and stopped me having to empty my bowel vaginally. The operation itself is ok, ive had 11 and this one was easy but i would of thought going home the same day is silly

 
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Old 05-23-2009, 05:00 AM   #3
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Re: Rectocele Surgery - Confused and Scared

I am having rectocele surgery on June 15th, through the vagina, done by a gynecologist. I think it is always done through the vagina. It is the wall of the vagina that is weakened, usually through childbirth, and thus has to be strengthened to prevent that bulge from the bowel. There is basically nothing wrong with the rectum at all. I am almost certain that you misunderstood what is going to be done. Call the practice and ask! I was given pages and pages of information - at first I neglected reading it because I was too scared... now I know exactly what is going to be done.

I will be put 'out' and lie on a gynecological examining table type of bed with my feet in the usual stirrups and legs apart. The doctor will open the vagina with the usual device (speculum) and cut and stitch the excess tissue (the saggy baggy parts) together, so everything is back to its normal tightness. The stitches will dissolve, and fall away, and my vaginal walls will be strong enough now to withstand the pressure of the bowel movement going by 'next door' so to speak, so they won't bulge into the vagina, which is what a rectocele means. Cele is 'ballooning' and the rectum is balooning into the vagina. It is only skin and perhaps muscle that is bulging in, there is no content of the bowel or fecal matter going into your vagina.

At the same time my doctor will look further up where the bladder is also bulging slightly into my vagina. IF she feels this is bad enough to need surgery, she will also correct that cystocele (cyst = bladder, cele = ballooning) by the same method. That makes the entire operation longer.

I was told I would stay at least one night, maybe 2, but this may be because I am 70 and take longer to heal than younger women.

During and right after surgery a tube - catheter - is placed in the urethra (opening to the bladder) so urine is not prevented from flowing by the swelling. This stays in for a day or longer, depending on how fast the swelling goes down and how soon you can urinate without it. I am hoping I can urinate without the catheter before dischange from the hospital, but some people go home with it in, and go back 2 days later to have it taken out.

Pain medications are used and you are not supposed to suffer a lot of pain. Going to the bathroom to defecate will be hard in the first 10 days so stool softeners are used to make it very very soft .. then it comes out without problems.

Good luck with it. I hesitated also, but now think it is better to have it done now, before it gets worse and worse. I will write and describe everything when I get home from the hospital around June 17. Meanwhile, you will be in my thoughts and prayers.

love,

Martha

 
Old 06-05-2009, 07:25 AM   #4
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Re: Rectocele Surgery - Confused and Scared

Quote:
Originally Posted by TheRedGirl View Post
I saw a colon & rectal surgeon and was told I have a rectocele. Doctor wants to operate through my rectum and from everything I've read, it's done through the vagina. Also, the doctor says I will go home the same day, what? Anyone had this surgery? Did you go home the same day? What about the pain? I'm about ready to back out and could use some good advice and/or info.
Same here! I would like to hear from more people who have had this surgery done through the rectum.

 
Old 06-05-2009, 07:45 AM   #5
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Re: Rectocele Surgery - Confused and Scared

At my pre op exams at the hospital I got a pamphlet that says it may be a hospital stay of 2 to 6 days. I now have 10 or 12 pages of rectocele literature, and all of it mentions only vaginal surgery; but I am sure it can also be done from the other side. Good luck to both of you.

Love,

Martha

 
Old 06-06-2009, 02:07 AM   #6
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Re: Rectocele Surgery - Confused and Scared

Martha: Thanks for all your info. I did not misunderstand the doctor. I saw a COLORECTAL SURGEON and at my exam he told me he would go through my rectum which is exactly where he did the exam and he said that's where he would go for the surgery.

UPDATE: Saw my gynecologist. He also diagnosed a rectocele and is doing the surgery. He was surprised at confused as to why a colorectal surgeon would want to do this type of surgery. He said he did them all the time. Also, a friend of mine is a scrub nurse and she said colorectal surgeons have done this surgery before. Go figure. I'm feeling better now and ready for this surgery. Thanks for all the help.

 
Old 06-06-2009, 05:04 AM   #7
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Re: Rectocele Surgery - Confused and Scared

I am glad you are feeling more comfortable with the gynecologist doing it. Do you have a date for the operation?

Mine will be on June 15. On the day before I have to do preparations involving a clear liquid diet, enemas, antibiotics. They are making sure the entire area will be as germ free as possible.

I will be really happy when it is all over!

Love,

Martha

 
Old 06-06-2009, 05:19 AM   #8
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Re: Rectocele Surgery - Confused and Scared

To Joesgirlmillie --- I am gaspng in shock and disbelief about your sad story. God bless you and help you to recover completely back to normal again. Love and prayers, Martha

 
Old 06-07-2009, 08:35 AM   #9
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Re: Rectocele Surgery - Confused and Scared

Thank you & I hope your now happy with what is going on with you, if it feels wrong always follow your instinct xx

 
Old 06-08-2009, 06:46 PM   #10
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Re: Rectocele Surgery - Confused and Scared

I had my pre op consultation with the gynecologist today and she very patiently answered all my questions and reassured me. I was worried about some of the things that could go wrong, which they give you in a printed sheaf of papers and you have to sign. Like promising you were informed of everything that could go wrong, and won't hold the doctor or the hospital responsible. I asked her, among other things, what % of women wind up with a mistaken cut into the bladder, (bladder perforation) or much worse, a cut into the rectum by accident. Well the bladder thing happens 1 in every 200 operations, because the two are so close together. Usually these slips can be repaired during the same surgery. The mistaken snips into the rectum happen only 1 out of 2000 times, and often have to be corrected later by another surgeon specialising in that area. But these numbers are very reassuring.

I also told her I have gone into shock on a previous hospital stay after getting intravenous penicillin, and I was worried about all the antibiotics I was supposed to take the day before surgery, a Sunday , alone in the apartment, and not able to reach the practice. If I went into shock or some other allergic reaction, what should I do? She said I should skip the 12 pills, and only do the Fleet's enemas as a cleanse of the colon. Once I am in the hospital they will put me on intravenous antibiotics, with someone monitoring me all the time in case of unexpected reactions. I was very happy she was so understanding and changed the usual routine a little bit to accomodate my worries and fears.

She did say I will most likley need a urinary catheter for a week after surgery, will go home with it and be taught how to empty the bag, and come back a week later to have it removed. By then the urinary opening is no longer swollen and you can pee naturally. Of course I am not thrilled with this, but I will have to get through it and live with it ... 2 days in the hospital, and 5 more days at home. This too shall pass... one day at a time.

Love,

Martha

Last edited by Martha H; 06-08-2009 at 06:58 PM.

 
Old 06-09-2009, 08:52 AM   #11
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Re: Rectocele Surgery - Confused and Scared

Good luck with your surgery. I'll be thinking about you. It sounds so much more complicated than what I am having done.
I spoke to the doctor yesterday. I'm having outpatient surgery, lasting at the most 8 hours from start to finish for that day. The day before is like the prep that is done for a colonoscopy (the all day cleanout thing). Having several RN's for friends, I asked them questions also. They told me to make sure the doctor doesn't allow interns/residents to actually "assist" with his surgerys. I don't want anyone "learning" on my butt. I think this is covered in your consent papers. They also assured me that colo/rectal docs do this surgery all the time, especially when there aren't other things needing repair, such as the vagina, uterus or bladder. The nurses also said "and don't forget the ice packs for afterwards at home". So, I'm mentally ok with the whole thing and it's scheduled for July 9th.

 
Old 06-09-2009, 10:12 AM   #12
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Re: Rectocele Surgery - Confused and Scared

Just talked to the doctor's office again. Using ice bags after this surgery is not the plan. Warm baths are the solution. The nurse said warm baths are more soothing and keep the blood flowing for healing. Apparently ice stops blood flow and delays healing. I planned on passing all well intended information from friends through the doctor or his nurse and in this case I'm glad I did!

 
Old 06-09-2009, 12:49 PM   #13
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Re: Rectocele Surgery - Confused and Scared

My doctor mentioned the ice/heat controversy yesterday --- she said some feel relief from heat, others feel relief from cold. Do what helps you most.

Good luck on yours. I'll be back when I'm able to sit at the computer, and will tell you all the gory details. Yes, mine is complicated ... not only the vagina but all the tissues around the opening are stretched out of shape.

Love,

Martha

 
Old 06-12-2009, 08:01 PM   #14
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Re: Rectocele Surgery - Confused and Scared

Martha,

I wanted to write to wish you luck next week, in case I get tied up with unplanned events. I say that because I have had to rush my husband to the hospital twice this week and he is keeping my hopping since I brought him home today.
Let yourself be pampered and do not try to be a hero by not taking the ordered pain medication.
<<<<<HUGS FOR LUCK>>>>

 
Old 06-13-2009, 04:30 AM   #15
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Re: Rectocele Surgery - Confused and Scared

Thank you so much for being so caring in the middle of your own troubles. I got my appoinment yesterday on the phone -- I have to be at the hospital at 6:30 AM Monday ... after that I am compeletely in their hands. Kind of a scary feeling having no control over what is done to you! I am scheduled to be discharged on Wednesday if all goes well, and then back to the doc's office Monday in a week for catheter removal IF I go hme with it in. I look to that day as the end of the worst of it ...

Thanks for your prayers

Love,

Martha

 
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