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What are types, Treatment, diagnosis of rectocele

What are Types, Treatment and Diagnosis of rectocele?

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.

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What is Rectocele? What are cuases and symptoms of Rectocele?

What is Rectocele? What are the causes and symptoms of Rectocele?

Rectocele is a posterior Vaginal wall prolapse that occurs when the thin wall of tissues can lead to posterior vaginal prolapse. Childbirth and other manners that place pressure on the pelvic tissues can lead to posterior vaginal prolapse.  There will be no signs and symptoms with a mall prolapse.

If the posterior vaginal prolapse is large, it may cause a bulge of tissue through the vaginal opening. This bulge may be uncomfortable but sometimes causes pain. If this was not that severe, then self-care measures and other nonsurgical options are effective. If there is severe posterior vaginal prolapse that might require surgical repair.

Let’s check the symptoms of Posterior prolapse,

What are the symptoms of Posterior prolapse?

Here are the posterior vaginal symptoms:

  • Sexual matters such as feeling ashamed or sensing looseness in the tone of your vaginal tissue.
  • Difficulty of rectal pressure or fullness
  • Soft Bulge of tissue in your vagina that might point through the vaginal opening.
  • A sensation of rectal pressure or fullness
  • Feeling that the rectum has not completely removed after a bowel movement.

Most of the women with posterior vaginal prolapse also experience prolapse of other pelvic organs such as the bladder, uterus. 

What are the causes of Posterior Vaginal Prolapse?

Here are the causes of Posterior Vaginal Prolapse 

  • Pressure on the pelvic floor 
  • Chronic constipation or straining with bowel movements
  • Chronic cough or bronchitis
  • Repeated heavy lifting
  • Being overweight or obese
  • Pregnancy and childbirth

What are the risk factors of Rectocele?

Here are the risk factors that increase the risk of rectocele:

  • Genetics: Some women may born with weaker connective tissues in the pelvic area which will naturally lead to posterior vaginal prolapse.
  • Childbirth: Women who gave birth through the vagina, then there is a high risk of developing posterior vaginal prolapse. Even if women had tears in the tissue between the vaginal opening and anus that extend the hole of the vagina during the childbirth you are at high risk. 
  • Ageing: Muscles get to lose as you grow older. Their elasticity and nerve function causing muscles to stretch or weaken.
  • Obesity: Gain weight may stress on pelvic tissues.

If you are facing Rectocele, then you need to have a call with Mrs Sarah Hussain the leading Female gynaecologist in London. Request a call for treatment now.

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3 conditions in Uterus related to pelvic pain and bleeding

3 conditions in Uterus related to pelvic pain and bleeding

Most of the women ignore abnormal bleeding or pelvic pain as they think it is normal, but in reality, these symptoms can be a sign of abnormal cell growth in the uterus which is known as a womb.

The uterus contains various types of cells to help women carry a baby. When the cells grow abnormally, three common or sometimes painful conditions can arise 

  • Fibroids
  • Uterine polyps
  • Adenomyosis

Each of these conditions causes symptoms that can negatively influence women’s life such as pain, abnormal bleeding, and fertility issue. Mrs. Sarah Hussain, the leading female gynaecologist in London offers world-class treatment for all these problems either through medication or surgery depending on the woman’s specific needs.

Treatments for uterine conditions

  • Fibroids: Fibroids are mild tumors made of smooth muscles of the wall of the uterus that can be in size from grain to watermelon. Women with reproductive and premenopausal age are most likely to experience symptoms which may occur in about 30 % of cases which includes:
    • Abnormal menstrual bleeding
    • Constipation
    • Urinary frequency
    • Increase in abdominal size
    • Pelvic pressure
    • Pelvic pain
    • Painful intercourse

If left untreated more serious problems can arise. Large fibroids can press on the other organs in the abdomen and pelvis that include bowels, bladder, and blood vessels. Fibroids can also distort the uterine cavity that will result in difficulty getting pregnant. If women dont have bothersome pelvic pressure or pain, then female consultant gynaecologist will start with medication for progesterone hormones pills in order to manage abnormal bleeding. If it was not treated with medication, consultant gynaecologist will go for surgical treatment that includes:

Endometrial ablation 

Focused ultrasound

Uterine fibroid embolization

Laparoscopic ultrasound-guided radiofrequency ablation



  • Endometrial polyps: It is the abnormal cells overgrowths in the uterus line and extends into the uterine cavity. Most of them are harmless but it may sometime cause cancer. It was very rare in women younger than 20 which typically affects premenopausal and postmenopausal women. Women with obese and also who take tamoxifen, prescribed after breast cancer is at increased risk of developing polyps. Abnormal bleeding is the most common symptom that means:

Bleeding after menopause

Bleeding between periods

Bleeding after sex

Overly-heavy periods

Female gynaeologist use transvaginal ultrasound to identify polyps which entail placing a small device in the vagina that emits sound waves that create an image of the uterus shows the growth.  Hysteroscopy is the alternative treatment that involves placing a small, thin camera into the uterus to see the polyps. The treatment involves removing symptomatic polyps and diagnose the concerning cell. Consultant gynaeclogist will use a small, thin instrument and a hysteroscope to identify and remove polyps with a bit of pain.

  • Adenomyosis: Adenomyosis is the expansion of the uterus due to tissue that normally lines the uterus grows into the muscular wall of the organ. Adenomyosis cause is unknown as the diagnosis can be made only by microscopic examination of the uterus following a hysterectomy.  Symptoms of adenomyosis include:

Heavy bleeding

Period pains

Pain during sex

Pelvic pressure or bulkiness

Treatment options offered by female London gynaecologist include hormone medications such as birth control pills, progesterone, or intrauterine devices. Endometrial ablation is an effective surgical option or hysterectomy might be suggested if the medication doesn’t work.

If you are facing any of these issues, then book an appointment now with Mrs. Sarah Hussain, the leading consultant female gynaecologist at London, Chigwell.

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4 stages of endometriosis


Endometriosis: It is a condition in which the uterus lined by the endometrial tissue starts to spread outside the uterus. The implants get embedded in places like ovaries, fallopian tubes, and also in the other regions of the pelvic parts. 

In normal conditions, the endometrial tissue grows inside the uterus and the tissue sheds during every menstrual cycle. 

But there is a condition in which the endometrial tissue sheds where the implants grow outside the uterus, thereby causing shedding, inflammation cysts, and scars the tissues which are present in the entire region of pelvic.

Symptoms caused by endometriosis are-chronic pelvic pain, painful urination, pain during sex, heavy periods, infertility, gastrointestinal issues, and many more.

Female gynaecologist performs laparoscopy by the implants and scarring that enables them to see the patient is which stage of endometriosis. Based on the views of the reports of laparoscopy, the endometriosis has been divided into four stages. Based on the view doctors give scores, a score of 15 means that the patient is in the first stage or second stage, which means minimal or mild, respectively. A score of 16 to 40 is that the disease is in stage 3, which is moderate when the score is 40 or more, which means that it is the fourth stage, and the stage is more severe. 

What are the different stages of endometriosis?

  • STAGE 1:

This is concluded minimal, the implants that grow outside the uterus are few and are also small and shallow. This stage moreover, does not give any discomforts stages of pain. This doesn’t mean that the first stage of endometriosis effects are minimal or has no impact on her life. They are just minimal.

  • STAGE 2:

The implants found in this stage are more deeply embedded than the implants that are present in the first stage of the endometriosis. This stage is considered mild.

  • STAGE 3:

This stage not only has deeply embedded implants, but they also have endometrial cysts present at least one of the ovaries. When the tissue is attached to the ovary, the endometrial cysts are formed then the cysts start shedding blood and tissues. The blood that is being shed turns brown; these cysts are also called “chocolate cysts.” Organs are bonded together by thin bands called the filmy adhesions, and these adhesions are the scars that are formed when the body tries to get healed from the inflammation caused by the endometriosis. In women who are with endometriosis, they can cause the organs to stick together when they shouldn’t, which are the cause for the sharp and stabbing pains and also nausea. 

  • STAGE 4:

This is the severe stage of endometriosis and in this stage in addition to deeper implants of there present large cysts on at least one of the ovaries, and also many dense adhesions along the region of pelvic. 


This endometriosis causes an impression like cancer, which starts in one region and spreads to different parts, but this endometriosis does not grow like cancer, it does not spread. The diagnosis of endometriosis takes at least three to eleven years due to the painful symptoms. At Least one in ten women have endometriosis. 

Mrs Sarah Hussain the leading private female gynaecologist offers world-class treatment for endometriosis. Book an appointment now.

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What are fistulas? What is the symptoms, causes and treatment of Fistulas

What are fistulas?

A fistula is an abnormal connection between a tunnel-like hole between two organs or vessels. Fistulas may occur in various parts of the body. In women, fistulas include the genital and urinary tracts are the most regular and happen because of prolonged or obstructed childbirth, injury during pelvic surgery, infection, inflammation or radiation treatment in the pelvis or genital area.  

The most common fistulae in women are one that happens between the bladder and vagina.

Fistulas can involve other genital organs:

  • Cervical 
  • Enterovaginal 
  • Metroperitoneal
  • Recto-uterine
  • Vesico-uterine
  • Ureterovaginal fistulas
  • Anal fistula

Causes of Fistulas

The common cause of a connection between the vagina and the bladder is the injury to the bladder during the pelvic surgery, especially hysterectomy. Symptoms may occur immediately after surgery. Sometimes it may delay for 1-2 weeks. 

Symptoms of Fistulas

A vesicovaginal fistula or flow between the bladder and vagina can be painless; however, will cause troublesome incontinence problems that cannot be regulated as urine continuously dribbles into the vagina upon entering the bladder. 

Other symptoms 

  • Frequent infections
  • Diarrhoea
  • Abdomina pain
  • Fever
  • Weight loss
  • Nausea
  • Vomiting

Treatment of fistulas

Taking proper medication makes fistulas both treatable and preventable. Your female gynaecologist will talk about the symptoms and what may have caused them. Your consultant may check for urinary tract infection, also conduct blood tests and use a dye to locate all areas of leakage. Fistulas will not be treated on their own. Small vesicovaginal fistulas that are detached early may be managed by placing a catheter in the bladder for some time. Most of the fistulas are treated surgically. 

Most often, vesicovaginal fistula can be treated by a minimally invasive vaginal procedure. In some situations, a minimally invasive laparoscopic or robotic or open surgical approach may be preferred.

While doing surgery, the consultant will check the damaged area for cellulitis, oedema or infection, while also eliminating any scar tissue and securing proper blood supply. Once after surgery, antibiotics or other medications may be prescribed. 

Mrs Sarah Hussain the leading female gynaecologist in London offers world-class treatment for all gynac issues. Book an appointment now.

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