Rectocele Surgery (Repair Bulging of Rectum into the Vagina)

· Those in Mexicali, Mexico for 3 days or more.
· Those who need vaginal rectocele repair surgery after other treatments have failed.
· Those with bulging, pain, and discomfort in the vagina.
· Those with difficult bowel movements.
· Those who are unable to control bowel movements.

A rectocele is a bulging of the rectum into the vagina. This can happen when the tissues that support the rectum and vagina are weakened and torn. Vaginal childbirth, chronic constipation and heavy lifting can increase your risk of getting a rectocele. The condition can cause symptoms like incomplete emptying of the rectum, sensation of sitting on a ball and other discomfort. Through surgery, the rectocele can be repaired and the rectum can be restored to its original position.

Surgery is usually done through vaginal approach, but some conditions may need a combined abdominal and vaginal approach. Your most suitable surgery method would be determined by the doctor. Incision would be made along the vaginal skin overlying the rectum and to assess areas of weakness and needing repair. Stitches will be made into the weakened tissue to close any tears and encourage scar tissue to build in the area for support.

1. General Anesthesia will be administered.
2. Incision(s) will be made along the back wall of the vagina.
3. Weakened tissues will be sewn to close any tears.
4. If necessary, the perineum may be repaired with deep stitches.
5. Incisions will be closed with stitches and the vagina may be packed with gauze.
6. End of treatment.

<Advantages>
· Stops pelvic discomfort
· Improved bowel emptying
· Safe procedure
· High success rate (80 - 90%)
· Improves comfort and quality of life
· Allow for more physical activities and a more comfortable sexual life

<Limitations>
· Complications associated with major pelvic surgery
· Vaginal discharge may occur for up to 6 weeks and you may need to wear pads

· Pain, but the doctor may prescribe some medicine to control it.
· Blood clots. To manage this, blood thinners may be injected, or walking soon after surgery may be encouraged.
· Infection
· Bleeding
· Problems related to anesthesia
· Sexual dysfunction caused by poor healing of the vaginal incisions.

· Tell the doctor about all medications and supplements you are taking.
· Stop smoking and taking unhealthy diets for 2 to 4 weeks before the procedure.
· List all allergies, including to local or general anesthesia.
· If you have worries about the major operation and your risks, please consult with the surgeon and nurses.

· Take medications as prescribed.
· During your recovery, light activity is good for you. But do not perform strenuous activities or lift heavy objects until the doctor says it’s okay to do so.
· To prevent or treat gas, stay away from carbonated drinks and drink more warm drinks.
· Eat healthy diets and drink enough water to prevent constipation.
· Take plenty of rest especially for 2 weeks after the procedure.
· Refrain from intercourse for 6 weeks.

Q1: When can I go back to work?
A1: A lot of patients can go back to work after 2 weeks, but this depends on the type of job you have and your recovery progress. The doctor can help to determine the best time to return to work.

Q2: How long would I need to fully recover?
A2: Give yourself 3 months to recover. Avoid activities that are strenuous and follow aftercare guidelines provided by the doctor.

Q3: Will urinating be difficult after surgery?
A3: You may have trouble urinating due to the discomfort or anxiety. During the recovery process, don’t let your bladder get too full. It’s easier to urinate more often. And don’t strain or bear down while urinating as it can damage the area of your recent surgery.

Q4: Can I do Kegel exercise after surgery?
A4: Yes, you may perform the exercise when the doctor has cleared you to do so. This exercise can help to strengthen the muscles around your vagina, bowel, and bladder.

Q5: How do I know if I am having a complication or infection?
A5: Call the doctor immediately if you can’t urinate, have ongoing difficulty urinating, your urine is bloody, cloudy or foul-smelling; you have severe abdominal swelling, or other conditions that cause concern.

[Clinic Name] Hospital de la Familia
[Location] Mexicali, Mexico
[Nearest Stations / Attractions] The hospital is about 17 mins drive from Mexicali International Airport and 10 mins drive from Holiday Inn Express & Suites Mexicali
[Clinic Opening Time] Monday to Sunday (24 hrs)