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Cystocele and Rectocele

First, why is my cystocele worse when my bladder is empty?  One would think the opposite would be true.

Next, my gyno-urologist says I have both cystocele and rectocele but they are not that bad.  She said she was not sure that surgery would help.  However, I cannot completely empty my colon and often have to push on my vagina for a bowel movement even though they are not hard, have continuous bladder infections (asymptomatic), and I can feel a slightly larger than a walnut bulge that is protruding from the vagina.  She sent me to my gyn, who feels I should have surgery, because right now I am in excellent shape (68, 5 ft. 4, 133 lbs.), and it will only get worse.  Went back to gyno-urologist and she says yes, I will need surgery but we can put it off probably until next year.  Tried me on Detrol, which did not help and said I really should see my gastro person.  He is now going to do a colonoscopy and after that wants me to see a colon and rectal surgeon for an evaluation.  I feel like a ping pong ball.

What can the gastro doctor see with a colonoscopy?  Why am I getting conflicting opinions?  I should add that I had a hysterectomy 30 years ago.
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