Thursday, October 23, 2014

Saturday, May 10, 2008 SRbear, Community Member, asks

Q: colon resection for rectocele - did not work - how to fix it?

About 1 month ago I had a colon resection to repair a rectocele and and my pelvic muscles where tacked up (somehow, I don't know how)  Well the surgery did not work, I still have all the same symptoms I had before surgery.  It feels like rectocele still there.  I as unable to push out stool, and stool leaks out (it has a schedual of it's own !!)  My question is ..How can you tighten up a weak, stretched out muscle , and will I always have this problem..?  I am scared to death that I will end up with a colostomy.

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Answers (1)
Dr. Amy Thomas, Community Member
6/ 9/08 1:10pm

Recurrence of a rectocele after surgical repair is variable, but sometimes it occurs because the factors contributing to the initial formation of a rectocele are still present after the treatment.

 

Measures to prevent developing or re-developing a rectocele include weight loss (if needed), proper nutrition (high-fiber, low-fat diet with plenty of water), smoking cessation, and avoidance of strenuous occupational and recreational stresses that could damage the pelvic support system.

 

Pelvic muscle exercises (Kegel exercises) can help strengthening the supporting structures in the pelvis. Estrogen therapy can also help maintain tone in the pelvic tissues.

 

You should discuss the return of your symptoms with the surgeon who performed the operation so they can evaluate you for recurrent rectocele and determine the best next management steps.

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Justme, Community Member
4/15/10 8:03pm

I have crohns disease a partial rectal prolapse, rectocele, and pelvic floor dysfunction. The PT has stated that she would like to try and relieve the pain through physical thereapy or at least try to. She says that my problem is getting my muscles to relax, as they do not release but stay tight thus causeing cramping and even more so when I try to move my bowels....which is not very often due to the rectocele. I am at my wits end I have not been able to have a bowel movement without assistance for almost 3 years and when I do 40% of the time I am in so much pain that I need to call someone to come and help me as I have a 2 year old and can barely walk! And I also suffer from panic disorder and well the pain triggers those very quickly! Did mention just to move my bowels my rectocele feels like I have to go up past my uterus through my vaginal opening...I don't know if I am explaining all of this clearly at all.

My question is do I have the rectocele corrected as well as the partial prolapse and then continue with PT after do I do PT and then have them repaired? I am afraid that if I do not do the surgery first I will still have to keep straining and aggravating the pelvic muscles and that I would be going in circles with PT...and if I had the rectocele fixed first then I wouldnt be able to do PT for 8 weeks or more and the staining might damage the repair? All I know is I cannot live like this anymore...the pain is too much, the anxiety is too much and I feel like I need to do something now! I am practically house bound because I never know when I am going to finally have a bowel movement and then the pain that comes with that is so severe that I can't be anywhere but home. Any suggestions as to what I should do would be helpful. I have 5 Doctors working on a plan that I do not seem to be a part of and not one of them seems to be on the same page as the other. I am 32 and do not want to waste anymore of my life! 

Thanks~ Me

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By SRbear, Community Member— Last Modified: 06/18/12, First Published: 05/10/08