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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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External Sphincter Paralysed. Was On Bowel Regime. Rectocele Surgeries. How May Are Safe To Have?

How many rectocele surgeries is it safe or effective to have? I had vaginal approach cystocele, enterocele, rectocele and perineal tightening 15 yrs ago. No mesh or stuff like that. Then 1-1/2 yrs later, had GI doc, do rectocele again re tally. The rectocele is very bad again, and I don't know if a third one is reasonable. I have bowel regime to keep bowel soft, but its still difficult at times, and if I happen to get a bit constipated...it's a REAL problem I think it's not good for my heart arrhythmia...the straining!

I have some nerve damage. Internal sphincter will spasm, and external sphincter is paralyzed and will leak. The rectum seems to just "fall over" when stool enters it. Splinting does not work anymore either.

Thanks for any response
Ser46
Mon, 10 Jun 2013
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General & Family Physician,  's  Response
Hi, Ser, you are 46 years, had cystocele, enterocele, rectocele, perineal tighting, 15 years ago, 18 months ago G.I,doctor did rectocele again, but failed.
It is not prefered to have so many surgeries, i prefer to my patients to have culture and sensitivity of discharge, and have treatment for a long time depending on the result. And here after to have the same procedure as it may recur due to condition of the tissues there. try to have balanced and nourishing food helping for repair of the tissues. Thank you.
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External Sphincter Paralysed. Was On Bowel Regime. Rectocele Surgeries. How May Are Safe To Have?

Hi, Ser, you are 46 years, had cystocele, enterocele, rectocele, perineal tighting, 15 years ago, 18 months ago G.I,doctor did rectocele again, but failed. It is not prefered to have so many surgeries, i prefer to my patients to have culture and sensitivity of discharge, and have treatment for a long time depending on the result. And here after to have the same procedure as it may recur due to condition of the tissues there. try to have balanced and nourishing food helping for repair of the tissues. Thank you.