I am a 28 year old female (nulliparous/virginal) with a history of chronic and difficult-to-treat constipation since childhood. It has never really been evaluated until now.
A CT done at an ER visit 2/1 showed that I was literally quite full of crap. Colonoscopy 2 weeks later showed my colon is somewhat dilated. A recent defecogram revealed large 3 x 3 cm rectocele and moderate/large enterocele, which is causing the distal rectum to completely collapse on itself, creating a mechanical obstruction to evacuation of the stools. The defecogram also showed colonic and rectal dysmotility. Anorectal manometry was done yesterday, results are pending. In addition, I strongly suspect uterine prolapse (cervix is maybe 1.5" above the introitus when sitting on the toilet), and cystocele (incomplete emptying, anterior vaginal fullness, and stress incontinence), but I have never been formally evaluated for those... and I think I need to be.
Based on the defecogram results, I'm very afraid that the colorectal surgeon is going to recommend surgery. However, if we do more studies and find that I do have uterine prolapse and/or cystocele, I want those fixed at the same time. One surgery. Can a colorectal surgeon do all of that, or would I need a gynecologist?
And then what about the dysmotility? What (if anything) can be done for a lazy gut?
Also, I really need to know - do you think I could ever carry a pregnancy, or is my poor body just not suited for that kind of pressure? I know that if I get pregnant after having a repair done, it could destroy everything, but what about before? Are my tissues just too weak? Am I too messed up already?
This is a lot to take in and a lot to think about. I am overwhelmed and anxious, and my next appointment isn't until 4/22.
What's the prognosis? What is next? Where do I go from here?
Your reply is greatly appreciated. Thank you.