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Rectal Prolapse: What are my options?

Women's Health | Last Active: 23 hours ago | Replies (109)

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Hi there- so what I had done was a rectopexy with sigmoid colon resection in September, and sacrololpopexy with hysterectomy (keeping ovaries intact) and a rectocele repair. Several months in I can say that I no longer leak which is so amazing I could kiss my underwear every day- no joke. That being said, part of the problem was constipation, so I still get constipated, the external rectocele is no longer there, but the internal one is still there, or returned, I’m not sure which. My colorectal surgeon wants to do another procedure to strength. My pelvic floor, which is very weak, but I’m not inclined to do that. Instead, I’m working hard with my pelvic floor specialist, who’s helped with a little post-op bladder spillage- when I would get up or sit down- all cured now, and very normal- and with pelvic floor levels, distinguishing between front and back level sensing. I still have to use half a ducolax now and then, or a bit of a suppository, and then need a squatty potty and then also need to splint to get the poop out. And I’m still healing, so I think it will get better. I’m sure everyone’s experience is different, but I’m happy I did the procedures, and recognize that no surgery is a panacea and post op pelvic floor efforts are essential. Best of luck!

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Replies to "Hi there- so what I had done was a rectopexy with sigmoid colon resection in September,..."

@downnout59 thank you for responding. I have prolapsed mucosal rectum and prolapsed bladder. I had for 30 years ulcerative proctitis and it evidently has now healed but with all the agony I went through with that there’s lots of scar tissue which frightens me for having complications due to the scar tissue because I had a small bump removed from the outside of my rectum and was given general anesthesia to take it off.

That’s where my complications began. When the doctor performed the surgery it created a stricture which no doctor would help with and it would close up as i would try to defecate. I ended up taking matters in my own hands to open it after probably 3 years but from all the pushing down to defecate it created a total collapse of the colon along with prolapse in both directions. My worry about surgery is getting another stricture but I will go see a surgeon in March to see what she says. A surgeon that I did see said that if I get it fixed I will probably leak just due to putting the rectum back in place and the muscles not being tight. Maybe that can be worked on through exercises like you did.

I wish you continued prayers in your healing.