Rectocele Intestinal Hernia can be defined as the opening of the front wall of the rectum (the lower part of your large intestine) into the vagina in women and the back wall of the bladder in men. This condition is a very common disease that usually does not cause symptoms. In rectocele formation, the thin wall tissue separating the rectum from the vagina weakens and causes the vaginal wall to swell. Women generally experience lower back pain, painful sexual intercourse, etc. Symptoms such as these show symptoms of long-lasting constipation in men. When these symptoms occur, a doctor should be consulted. If a rectocele larger than 3 cm in diameter is detected, the treatment method to be applied is surgery.
What are the Symptoms of Rectocele (Intestinal Hernia)?
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A soft raised tissue coming out of the vaginal opening in your vagina
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Difficulty during defecation,
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A feeling of pressure or fullness,
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The feeling that the rectum is not completely emptied after a bowel movement,
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Sexual anxiety or a feeling of looseness in the vaginal tissue,
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Difficult vaginal births,
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Multiple births,
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Lifting heavy objects,
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Chronic cough,
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Weakening of vaginal muscles caused by estrogen deficiency after menopause,
Rectocele We can classify the symptoms as follows:
Rectal Symptoms:
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Difficulty during bowel movement
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The need to put pressure on the vagina and/or the space between the rectum and the vagina for a bowel movement
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The strain that comes with a bowel movement
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Multiple defecation throughout the day
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Constipation
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Rectal pain
Vaginal Symptoms
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Pain during sexual intercourse (dyspareunia)
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Vaginal bleeding
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Feeling of fullness in the vagina
What are the precautions that can be taken to reduce the risk of rectocele?
Precautions you can take to reduce the risk of rectocele are as follows:
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Stay healthy by eating a high-fiber diet. giving louse,
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Increasing daily water consumption, (usually 6-8 glasses a day)
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Preventing excessive filtration with bowel movements. ,
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Application of pressure to the back of the vagina during bowel movement,
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Some exercises (pelvic floor exercises such as Kegel),
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Hormone exchange therapy
Rectocele Diagnosis and Treatment:
Rectocele There are non-surgical and surgical treatment options. Most symptoms associated with rectocele can be resolved with nonsurgical treatment, but this depends on the severity of the symptoms.
Rectocele is often found during a routine physical examination. However, correct diagnosis is very important. If the correct diagnosis cannot be made, patients may have to undergo unnecessary hemorrhoid and anal fissure surgery.
A number of tests can be performed to diagnose rectocele and determine its level:
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Defecography: It is a special x-ray that shows the changes of the rectum and anal canal. This work is very special. With this, the size of the rectocele and the degree of rectal emptying can be determined.
Surgery is required when rectocele treatment causes symptoms that affect daily life. It is very important to determine that the symptoms observed are caused by rectocele before the treatment to be applied.
CSURGICAL TREATMENT
Surgical treatment of rectoceles can only be achieved by surgical treatment of the disease. It should be considered in cases where it cannot be eliminated or improved by non-standard methods. Surgical treatment can be performed with abdominal, rectal or vaginal surgery. The type of method to be applied depends on the size of the rectocele and the symptoms it presents. The purposes of the surgical intervention to be performed are as follows:
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To remove the extra tissue caused by the rectocele,
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To strengthen the wall between the rectum and the vagina with the surrounding tissue, or using a knit patch
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