If there is any bulging of the bladder, this will also be repaired at the same time
– this is called and anterior repair or cystocele repair. It is possible that a graft or mesh may be used during the surgery to help in the long term success of the repair.
How long do prolapse repairs last?
Median follow-up was
136.7 months (range 75.8-258 months)
. Apical prolapse cure rate was 100%. The success rate for anterior and posterior vaginal compartment was 96 and 94% respectively. Urinary and sexual symptoms significantly improved.
Can a cystocele repair failure?
According to studies,
5-15% of women may have to face failure even after a prolapse repair surgery
. Usually, there is a partial failure in these cases and requires no treatment or sometimes pessary (device placement in the vagina) or less extensive surgery than originally may help.
How successful is rectocele repair?
Studies show about
75% to 90% of patients have significant improvement
but this level of satisfaction decreases over time.
How successful is cystocele surgery?
The anatomic success rate of cystocele repair was
75/79 (94.9%)
and a highly significant improvement was noted for symptoms and on quality of life questionnaires.
What happens after rectocele and cystocele surgery?
You may stay in the hospital anywhere from 2 to 6 days. The catheter may remain in your bladder 2 to 6 days or until your bladder starts working normally again. You may be constipated during this time. During the first 4 weeks after the operation, there may be some smelly, sometimes bloody drainage from your vagina.
How do they fix cystocele and rectocele?
A cystocele and rectocele repair is an operation that
lifts and tightens the tissue around the bladder and rectum so these organs no longer push against the vagina
. This procedure is also known as an Anterior and Posterior Repair.
How is cystocele rectocele repair done?
Cystocele repair surgery is done
through a small incision (surgical cut) in your vaginal wall
. If a sling is being placed, your surgeon will make 2 smaller incisions on your lower abdomen (belly) or inner thigh.
How long does a rectocele repair take to heal?
Typical recovery for the procedure is
2-3 weeks
. Your doctor may prescribe pain medication to make you feel more comfortable. You can expect to resume normal physical activity within hours of your procedure. But you should not have sex until 6 weeks after surgery.
How long does a cystocele repair last?
Women typically recover from the cystocele repair in about
4-6 weeks
. Women typically recover from the cystocele repair in about 4-6 weeks. They may resume their daily activities, including sexual intercourse, in about 4 weeks after the procedure.
Is a pessary better than surgery?
Although
POP surgery has several advantages over pessary treatment, the risk of complications is higher and it might be less cost-effective
. Since previous studies have shown promising results with pessary treatment, it might be an equivalent option in the treatment of POP, probably with less risk and lower cost.
Is prolapse surgery considered major surgery?
Vaginal prolapse surgery is a major surgery
with serious risks and potential complications. You may have less invasive treatment options depending on your circumstances.
How do I know if my rectocele is failing?
The presence of the following five symptoms was evaluated:
prolonged and unsuccessful straining at stool, feelings of incomplete evacuation, manual assistance during defecation, false urge to defecate, and a stool frequency of less than three times per week
.
Can you have both cystocele and rectocele?
Cystocele, urethrocele, enterocele, and rectocele are
particularly likely to occur together
.
Can rectocele reoccur after surgery?
OUTCOMES OF SURGICAL REPAIR
As with any surgical procedure, there are associated risks including bleeding, infection, new onset dyspareunia (pain during intercourse), fecal incontinence, rectovaginal fistula (a communication between the rectum and vagina), as well as
a risk that the rectocele may recur or worsen
.
Is mesh used in rectocele repair?
Mesh can be placed in the anterior vaginal wall to aid in the correction of cystocele (anterior repair),
in the posterior vaginal wall to aid in correction of rectocele (posterior repair)
, or attached to the top of the vagina to correct uterine prolapse or vaginal apical prolapse (apical repair).
What are the risks of cystocele surgery?
The risks of the procedure are those general risks of any major pelvic surgery, which include
the risks of an anesthetic, the risk of blood clots, as well as infection and bleeding
. Other possible complications are injury to the bladder, urethra, bowel, ureters, blood vessels and nerves.
How serious is cystocele?
A cystocele may put pressure on or lead to a kink in the urethra and cause urinary retention, a condition in which you are unable to empty all the urine from your bladder.
In rare cases, a cystocele may result in a kink in the ureters and cause urine to build up in the kidney, which can lead to kidney damage
.
How painful is prolapse surgery?
Usually the graft is anchored to the muscles of the pelvic floor. Generally this surgery is
not very painful
. You may feel as if you have been ‘riding on a horseback’. You will have some discomfort and pain, so please do not hesitate to take pain medication.
Which pessary is best for cystocele?
In patients with a mild cystocele, treatment using a ring with support, a dish with support, a Hodge with support or a donut pessary will suffice. To manage a large prolapse of the anterior vaginal wall, the
Gellhorn pessary
may be the best choice, although insertion and removal can be difficult.
Is a rectocele repair painful?
The most common postoperative symptom after rectocele repair is rectal pressure and discomfort
. This should resolve over several weeks as the tissue heals. The success for this procedure to correct the bulge is over 80-90 percent depending on the technique used.
How long before you can drive after rectocele surgery?
Avoid strenuous activity, straining, heavy lifting more than 10 pounds, and sexual activity for at least 6 weeks. Talk to your surgeon before resuming these activities.
Do not drive for 24 hours after surgery
. Do not drive if you require narcotic pain medications.
