This sounds like you have prolapse of the top of the vagina, as well as some descent of the rectum ( At least according to the opinion of one colorectal surgeon). The good news is that if you get the abdominal sacralcolpopexy, then you can also have the rectopexy done at the same time, it involves putting in an extra couple of stitches to pull up the rectum, fixing the intersusseption. This combined procedure should fix the rectal and vaginal prolapse. I find that most of my patients who have an abdominal sacralcolpopexy do not need to have a rectocele repair at the time of the sacralcolpopexy.
Please verify that you are going to a fellowship trained urogynecologist, who has done many of this type of procedure
Dr. Hoyte
A related discussion,
Crohns and rectocele was started.
Hi again,
During the abdominal sacralcolpopexy, the rectopexy can also be performed, which usually helps fix the rectal intersussecption. In my patients, this tends to help those with defecation problems associated with vaginal and/or rectal prolapse.
Dr. hoyte
prolapsed,
Are they giving you a resection, with the rectopexy? Or are they just pulling your intenines up? I am having surgery on WED. scared.
hi yes i agree with you but the reason they didnt do mine ? they said it was too much surgery all at once apparently when you have an hystrectomy this operation can interfere with bowels so in my case they wanted every thing to settle down before next op but do agree with you 1oo%
I talked to my uro gyn. He said that he can pull up my rectum as well when he does the sacral colpopexy. He said to do the rescetion as the last resort. I am scheducled for the 25th of June for the surgery. I am scared. I just want this to solve my problem. Since this will be another abdominal scar, I am having a plastic surgeon do a tummy tuck at the end, hope that it is not too much.
Why do they do all these other surgeries if a hysterectomy will cure all problems? I do not understand some of the approaches or thinking at all. If the uterus pulls down it creats discomfort. The organs are joined by ligaments, nerves, blood vessels and do not float in space or separate of each other. To pull down on all above creates a force and so on that affects all organs. Why do they not seem to know this? It explains many complaints of pain and discomfort that women make all of the time. It makes perfect logic and sense but still it does not seem to compute with some. Am I alone in this in stating that they do not always listen or attend to what the woman says?
im the exact same as you can go in the morning but after that no chance i think rectopexy needs a colorectal surgeon because its bowel side of things my gyno said im going to give you hystrectomy ? but will leave bowel side he said he wasnt expert in this field ? its very complexed i felt i was going round in circles good luck when ive had my surgery i promise i will keep you all posted asap good luck xxxxx
Dr Hoyte?
Can the uro gyn do the rectopexy for me? The colo rectal doc at the same hospital is one of the docs that does not see the intussusception. I am havng stool that is stuck, and sometimes pretty bad rectal vaginal pain, spasms.
Thank you
Let me know how your surgery comes out, because my lining they told me was very lose and that the next surgery is to tack my lining to my back. The rectopexy surgery was about 5 hours and it wasn't that bad. The lay up time was the worse.
How did they diagnois this? The operation the uro gyn wants to do is sacral colopoexy which is only pulling up the vagina. He did not mention rectpexy, but a colo rectal surgeon did. Will they be doing a resection of the bowel too? I can have a bowel movement in the morning, but then not completely and then this freeling like something is stuck up there . What kind of doctor is doing this? thanks for your reply.
hi im suffering the same as you i think im trying to get as much information as possible i used to feel as though my insides were falling out i think this is because of periniel decent forgive spelling ? ive had rectocele repair last oct 4 months after hystrectomy in jan 08 now waiting for surgery again for internal mucosa prolapse i think its lining of bowel they are going to go in through my abdomen to lift the op is called anteria rectopexy maybe this is what your going to have i can totally undestand you ? this is my 4th op in as many months im totally gutted but got severe constipation and feel as though i cant take this no more i go in hospital any time now the doc says this needs putting back up surgically because nothing else will help thanks for your input good luck from prolapsed