Treatment FAQ

what is the best treatment for rectocele

by Jordon Haley Published 3 years ago Updated 2 years ago
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Rectocele Treatment
Mild cases can often be improved with pelvic floor exercises and bowel training. Moderate to severe cases are often treated with a vaginal pessary (a support device inserted into the vagina) or rectocele repair (a minimally invasive surgical procedure).

Procedures

Moderate to severe cases are often treated with a vaginal pessary (a support device inserted into the vagina) or rectocele repair (a minimally invasive surgical procedure). Rectocele Repair. Your doctor may recommend rectocele repair if other treatment methods …

Therapy

Treatment for Rectocele really depends on the severity of the condition. More mild cases benefit from Kegel exercise that strengthens the pelvic muscle tissues. Additional nonsurgical options includes inserting Pessary supports into the vagina. For situations where the rectocele bulges outside the vagina, surgery is recommended.

How can I Fix my rectocele naturally?

May 18, 2021 · If you wish to know what is the best treatment for rectocele, the non-surgical treatment methods include: Diet: Eat more high-fiber foodstuffs like fruits, vegetables and whole grains, at least 25-35 grams of fiber per day.

Can you fix a rectocele without surgery?

A surgical procedure called posterior colporrhaphy is commonly used to repair rectoceles. During the procedure, your provider removes damaged tissue that's no longer supporting your pelvic organs and sutures the healthy tissue together for added support.

How to correct a rectocele?

Nov 05, 2020 · As it is a structural (anatomical) defect, you cannot fix a rectocele by natural means alone. The treatment of rectocele (also known as posterior vaginal prolapse) depends on the severity of its symptoms, and surgery is the only definitive treatment to fix it. As it is a structural (anatomical) defect, you cannot fix a rectocele by natural means alone.

Will ThermiVa help with rectocele?

Jul 27, 2020 · Various forms of exercise, pelvic floor therapy, dietary restrictions or additions, staying hydrated, and practicing proper core and pelvic floor engagement techniques are highly beneficial for treating rectocele. Surgical procedures should always be a last resort when dealing with core or pelvic floor related issues.

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How can I stop my rectocele getting worse?

Reduce your risk of prolapse worsening with these 12 tips:Regular Pelvic Floor Exercises (Kegels) ... 'The Knack' Exercise Technique. ... Support Pessary. ... Pelvic Floor Safe Exercises. ... Bowel Management to Avoid Straining. ... Body Weight Management.Managing Coughing. ... Allergy Treatment.More items...•Mar 6, 2015

Can you fix a rectocele without surgery?

What are non-surgical repairs for a rectocele? Most symptoms of a rectocele can be kept under control without surgery. These methods include: Avoiding constipation by following a high-fiber diet (more than 25 grams of fiber per day) and drinking 6 to 8 10-ounce glasses of water per day.May 20, 2021

What should you not do with a rectocele?

Avoid heavy lifting. It puts pressure on your pelvic muscles. Do pelvic floor (Kegel) exercises, which tighten and strengthen pelvic muscles.

How can I improve my rectocele?

You could try to:Perform Kegel exercises to strengthen pelvic muscles and support the weakened fascia.Avoid constipation by eating high-fiber foods and drinking plenty of fluids.Avoid bearing down to move your bowels.Avoid heavy lifting.Control coughing.Lose weight if you're overweight or obese.Sep 2, 2020

What kind of doctor fixes a rectocele?

Colorectal surgeons, gynecologists and urogynecologists are trained in the diagnosis and treatment of this condition. These trained physicians can perform surgeries to attempt repair of a rectocele.

How long does a rectocele repair last?

It remains important not to become overtired or to perform any heavy lifting, strenuous exercise or physically demanding duties for a total of six weeks from the date of operation. Healing is not complete for 12 weeks (3 months) from the time of surgery.

What does a rectocele feel like to touch?

What does a rectocele feel like to touch? Your rectocele may be so slight that you can't feel it. If the prolapse is more pronounced, it may feel like a bulge or lump in the back wall of your vagina. You can insert a (clean) finger or two to feel for a rectocele.Mar 22, 2022

Can you feel a rectocele with your finger?

Posterior Wall Prolapse (Rectocele or Enterocele) Symptoms typically include: A bulge sensation. Problems having a bowel movement. The need to put your finger in or around the vagina or rectum to help empty bowels.

Will a rectocele go away?

A rectocele is a long-term condition that does not heal on its own. It may remain a minor problem or become larger and more problematic with time.Feb 14, 2022

Can a rectocele shrink?

Ideally, you cannot shrink the prolapse. You can just restore your rectum to its normal position by manual reduction or surgery.Aug 7, 2020

How do I know if I have a cystocele or rectocele?

A cystocele is when part of the bladder wall bulges into the vagina. The bulge happens through a defect in the wall between the bladder and vagina. A rectocele is when part of the wall of the rectum bulges into the vagina. The bulge happens through a defect in the wall between the rectum and vagina.

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.

How to treat rectocele without surgery?

Strategies include: Avoid constipation by following a high-fiber diet (more than 25 grams of fiber per day) and drinking six to eight 10-ounce glasses of water per day. Avoid straining during bowel movements and long periods of sitting on the toilet.

What is the most common surgical repair?

The most common surgical repair is a transvaginal rectocele repair , also called a posterior repair. The rectocele is reached through the vagina. It offers the chance to correct not only the rectocele but a thinned perineum and widened vaginal opening.

How long does it take to repair a pelvic floor?

In most cases, surgery is done under general anesthesia and takes about one hour. The most common surgical repair is a transvaginal rectocele repair, also called a posterior repair.

Why does my vagina have a bulge?

The bulge occurs as a result of thinning and weakening of the band of tissue that separates the vagina from the rectum. This thinning has a number of causes, including: Advanced age. Multiple vaginal childbirths or trauma during childbirth (for example, the use of forceps or the tearing of tissue during delivery).

Can a rectocele be repaired?

This is the traditional approach to rectocele repair by urologists and gynecologists. A rectocele can also be repaired by a colorectal surgeon through a transanal repair. The rectocele is reached through the anus.

What is the purpose of rectocele repair?

The goal of rectocele repair is to strengthen the wall between the vagina and rectum. In this surgical procedure, the doctor will make an incision into the back wall of the vagina. The layers under the vaginal wall are then sutured together in such a way as to tighten the tissues and reinforce the strength of the wall.

What causes rectocele?

Rectocele is caused by prolonged pressure on the pelvic floor. Risk factors for rectocele may include: 1 Pregnancy and childbirth, especially repeated vaginal deliveries and/or tearing or episiotomy during delivery 2 Aging 3 Chronic constipation 4 Obesity 5 Chronic cough or bronchitis

What are the factors that increase the risk of rectocele?

Factors that may increase your risk of developing a rectocele include giving birth vaginally, age, obesity and chronic constipation. Mild cases of rectocele are often improved with nonsurgical therapies, such as bowel training. If symptoms are particularly problematic, your doctor may recommend surgical repair.

Can rectocele cause pain?

Mild cases of Rectocele may not experience specific symptoms. However, in more severe cases you’re likely to notice vaginal discomfort or pain during intercourse. You may also notice a pulling or tugging sensation in your pelvis area or a feeling of pressure or pain. This pressure may also rest on other organs like the bladder causing symptoms of stress incontinence. The most prominent symptom for most patients is a soft bulge of tissue in the vagina.

Is a rectocele a defect?

For the benefit of explanation we will consider Rectocele an isolation. A Rectocele is a defect of the support of the posterior vaginal wall and is a type of Vaginal Prolapse.

How to prevent rectocele?

Avoid constipation by following a healthy diet and regular exercise. Take a stool softener to keep your bowel movements soft. Have plenty of water throughout the day (6-8 ounces) Keep weight under check. Avoid straining at stools ( bearing down worsens the rectocele) Avoid heavy lifting.

How to get rid of a swollen pelvic floor?

Here is how you can do them: Try tightening your pelvic floor muscles slowly for 3 seconds. You will feel like you are lifting them or like you are holding your pee. Then release for 3 seconds. Do this 10 times at a stretch. This is one set. You should do one set of Kegel exercises 2-3 times a day.

How to stop constipation from a swollen bowel?

Avoid heavy lifting. Control coughing (you can use over the counter cough suppressants) Do pelvic floor muscle-strengthening exercises. A high- fiber (25 grams/day) diet is a healthy option that helps in treating constipation as well as is useful in controlling weight gain.

How to increase fiber intake?

You can increase your fiber intake by replacing processed foods, fatty foods, and meat with plenty of fruits and vegetables in your diet. Adequate intake of water and fibers will help you to pass softer, bulkier stools, thereby avoiding the need to strain at stools.

How to repair a rectocele?

Rectocele repair surgery is a major, out-patient surgery. A doctor will typically only recommend surgery for rectocele if at home exercise programs and / or physical therapy has not resolved the problem. The surgical procedure for rectocele removal is called posterior colporrhaphy which removes the herniated bowel from the wall of the vagina. Rectocele surgery is designed to: 1 Ease pain and discomfort 2 Minimally invasive transvaginal procedure 3 Outpatient (usually released without needing overnight stay) 4 Quick recovery time (2-3 weeks or less on average)

How long does it take for a rectocele to heal?

The incisions made at the repair sight will typically heal in approximately 2 to 3 weeks. Please speak with your doctor for more information on recovery expectations.

How does posture affect the pelvic floor?

Not only that, but our posture can also greatly affect our joints, muscles, and bone health. When it comes to working with my clients on their rectocele, I always ensure part of their treatment involves restoring and healing their pelvic floor function. An unintentional mistake many women make when standing upright is shifting their weight forward in their hips. Think of the hips leaning forward. This shift can actually increase tension in the muscles of the pelvic floor leading to varying types of POP. In the process of resolving pelvic alignment, I might work on hamstrings, upper back mobility, glute function, pelvic mobility and more. Resolving pelvic floor issues requires us to view the pelvic floor as a part of an entire system and therefore requires a whole-body approach. The process of learning how to align your body to better support you while you stand takes time, but is well worth the process. And your pelvic floor will thank you for it! Better alignment = less pelvic floor tension and pressure.

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Treatment

Clinical Trials

Lifestyle and Home Remedies

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on the severity of the condition.
Procedures

Rectocele repair: Done to remove the excess stretched tissue when the condition cannot be managed with self-care practices.

Therapy

Physical therapy:Pelvic exercises, which strengthens the muscles, are recommended to manage the condition.

Specialist to consult

Gynecologist
Specializes in the health of the female reproductive systems and breasts.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

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