What is cystocele rectocele?
What is cystocele rectocele?
Anterior vaginal wall prolapse is commonly referred to as cystocele or urethrocele (when the bladder or urethra is involved). Posterior vaginal wall prolapse is commonly referred to as enterocele (when the small intestine and peritoneum are involved) and rectocele (when the rectum is involved).
How do you fix a prolapsed rectocele?
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. The rectocele is reached through the vagina.
- A rectocele can also be repaired by a colorectal surgeon through a transanal repair.
Is there a way to repair grade 4 cystocele?
The 4-defect repair technique relies on anatomical restoration of 4 distinct deficiencies of pelvic support and is highly effective for relief of symptoms of grade 4 cystocele. Grade 4 cystocele is defined as extrusion of the bladder base beyond the vaginal introitus at rest and represents the extreme of anterior vaginal wall prolapse.
How often is cystocele repair performed in the US?
A 2002 study indicated cystocele repair accounts for 8% of all prolapse repair surgeries; in 1997, approximately 18,500 cystocele repairs were performed. Cystocele repair was combined with rectal prolapse repair in 10% of prolapse surgeries, with hysterectomy (surgical removal of the uterus) in 6%, and with both procedures in 16%.
When to use 4 defect cystocele in pelvic reconstruction?
The 4-defect repair of grade 4 cystocele corrects discrete and severe deficiencies of vesicourethral support. We describe this technique used during pelvic reconstruction in 130 women. During a 3-year period 130 patients (age range 35 to 96 years) underwent repair of grade 4 cystocele using the 4-defect repair technique.
Can a cystocele be repaired with a hysterectomy?
Repair of grade 4 cystocele was accompanied by other transvaginal repairs in 94 patients (83%), including rectocele repair in 81, hysterectomy in 22 and enterocele repair in 31. Of the patients 92% had excellent objective and subjective results for anatomical cystocele repair.
Where does the sling go during cystocele repair?
Wearing away of the sling into the vagina, urethra, or bladder. If this happens, the sling may need to be removed. You’ll receive anesthesia (medication to make you sleepy) during your surgery. Cystocele repair surgery is done through a small incision (surgical cut) in your vaginal wall.
What are the effects of cystocele and rectocele repair?
Cystocele and Rectocele Repair. Cystocele and rectocele repair is surgery to lift and tighten the tissue around the bladder and rectum so that these organs no longer push into the vagina. These problems can cause discomfort, leaking of urine or bowel movements, bladder infections, constipation, and pain during sex
How to stop bleeding after cystocele repair surgery?
If a sling is being placed, 2 smaller incisions will be made on your lower abdomen (belly) or inner thigh. A catheter will drain urine from your bladder while the area heals. It will be taken out the day after your surgery before you leave the hospital. You will have a gauze dressing in your vagina to help stop bleeding.
Can a uterine prolapse be repaired with a rectocele?
If you also have a cystocele or uterine prolapse, then surgery to repair these conditions usually can be done at the same time as your rectocele repair. A nonsurgical treatment called a vaginal pessary is available as an alternative.