In our previous blog, we have discussed what is Rectocele? What are the symptoms and causes of Rectocele? Now in this, we will look into what are the types and treatments of Rectocele? Let’s start.
Childbirth, age and a variety of other factors can cause normally tough, fibrous, the sheet-like divider between the rectum and vagina to weaken. Most people can treat Rectocele at home, but in case of severe may need surgery. There are different types of Rectocele, and they are:
What are the kinds of Rectocele?
- A rectocele is a type of pelvic organ prolapse. Women with Rectocele, the rectum bulges into the back wall of the vagina.
- The urinary bladder bulges into the frontal wall of the vagina are known as an Anterior vaginal wall prolapse or cystocele.
- The uterus sags down into the vagina is known as uterine prolapse
- The top of the vagina bulges down after a hysterectomy
Rectocele prolapse may vary in severity. Some may experience different types of prolapse at the same time, such as Anterior and Posterior vaginal wall prolapse.
Diagnosis of Rectocele
Diagnosis of prolapse vaginal prolapse generally occurs during a pelvic exam of your vagina and rectum. During the pelvic exam, your female consultant gynaecologist will ask you:
- To bear if having a bowel movement which may cause the posterior vaginal prolapse to bulge, so your consultant gynaecologist can assess its size and location.
- To tighten your pelvic muscles as if you are stopping a stream of urine. This test checks the strength of your pelvic muscles.
- MRI or X-ray can determine the size of the tissue bulge
- Defecography can determine how efficiently your rectum empties
What are the treatments of Rectocele?
The treatment for Rectocele will depend on the severity of the posterior vaginal prolapse. Your private gynaecologist will recommend the following treatments such as:
- Observation: If posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing kegel exercises to strengthen your pelvic muscles which may give relief.
- Pessary: A vaginal pessary is a rubber ring inserted into the vagina to help the bulging tissues. A pessary must be eliminated regularly for cleaning.
Surgery for Rectocele
Surgical repairs will be preferred:
- If the posterior vaginal prolapse protrudes outside your vagina.
- If you have prolapse of other pelvic organs in addition to posterior vaginal prolapse that is bothersome.
The surgery uses a vaginal approach and usually consists of removing excess, stretched tissue that forms the posterior vaginal prolapse. A mesh patch will be inerted to support and stretched tissue that forms the posterior vaginal prolapse. A mesh patch might be inserted to support and strengthen the fascia.
If you are facing Rectocele, our female consultant gynaecologist Mrs Sarah Hussain will help you treat this with world-class treatment. Please schedule an appointment for a call now.