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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Surgery For Rectocele Be Postponed?

I am a young breastfeeding mom (22yrs) who suffers from a severe rectocele which developed after my first son, weighing 10lbs, was born after a hard 19 hour labor which resulted in an episotomy. It was tolerable for 2 years. However, Since the birth of my second child (another vaginal birth) the rectocele has become troublesome. Often I don t feel the sensation to pass a BM until the recocele is packed, I often have to apply counter pressure from inside the vagina and manually squeeze the BM out. I have suffered nearly my entire life which constipation. I ve tried increasing my fiber and even took metamucil but it doesn t seem to change anything, I do continue with level excersoes however. I want to look into correctional surgery but with breastfeeding and being a stay at home most with no one around to help during recovery, would it be wise to wait 2 years (the length I plan on nursing) before surgery is considered, or is it a bad idea to let this worsen?
Sat, 8 Mar 2014
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General & Family Physician 's  Response
Hi,
It seems that this is high time to go for rectocele repair.
There might be risk of having cestocele or prolapse of uterus as well.
Consult Gynaec and get examined.
It is not advisable to continue this situation.
Mean while go for pelvic floor muscle exercises after consulting your Gynaec.
Avoid constipation, cough reflex, lifting heavy weight etc.
Ok and take care.
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Can Surgery For Rectocele Be Postponed?

Hi, It seems that this is high time to go for rectocele repair. There might be risk of having cestocele or prolapse of uterus as well. Consult Gynaec and get examined. It is not advisable to continue this situation. Mean while go for pelvic floor muscle exercises after consulting your Gynaec. Avoid constipation, cough reflex, lifting heavy weight etc. Ok and take care.