Rectocele is the rupture, disintegration or melting of the existing barrier between the rectum, the last part of the intestine, and the vagina, the beginning part of our female organ, and the tissue in between becomes soft. Therefore, it is a disease characterized by swelling from the rectum, that is, the last part of the intestine, towards the vagina during defecation, that is, the last part of the intestine, towards the vagina and difficulty in going to the toilet.
The most important complaints of rectocele patients are that they try to give birth to the toilet by pressing around the toilet hole, called the anus, because the feces cannot be removed during the toilet. In advanced rectocele disease, attempts are made to remove the toilet by supporting the vagina with the help of fingers. For this reason, it is a disease that can cause patients to withdraw from social and business life. Pain accompanied by increased pressure in the pelvic bones upon straining is another clinical finding. Trying to relax with the help of hot application is a distinct feature of the disease.
The biggest factor of the disease is difficult and prolonged births. It seems to be quite common in our country, as the frequency of normal birth is high and patients, especially in rural areas, strain for a long time due to difficult births, causing the barrier to break down and tear.
The disease is classified according to the width of the herniated area. Accordingly, hernias smaller than 2 centimeters are called small degree rectocele, those between 2 and 4 centimeters are called moderate rectocele, and hernias larger than 4 centimeters are called large degree rectocele. It is named.
Detailed proctological examination is often sufficient for diagnosis, but in rare patients, defecography examination has an important place in determining the diagnosis and stage of the disease. Nowadays, thanks to the combination of defecography, which is a normal radiological examination, and the MRI device, MR DEFECHOGRAPHY can give very clear results in patients.
Gynecologists and general surgeons are trying to help our patients in the treatment of the disease. In advanced cases. With teamwork, gynecologists and general surgeons work together It needs to be understood and applied.
In early stage rectocele disease, increasing the consumption of pulp, taking enough fluids, regulating toilet habits and developing the levator muscles, which are the abdominal floor muscles, called kegel exercises, can solve the complaints of the patients. It can often regress.
Contrary to popular belief, rectocele is not likely to turn into a malignant bowel disease during follow-up. For this reason, patient complaints should be taken into consideration first when planning disease treatment. Surgery should be planned if patients with rectocele complaints on MRI defecography have concurrent clinical complaints.
No matter what approach is used, treatment should be planned by paying attention to the damage to the important anal area muscles, the large intestine wall and the abdominal floor muscles.
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