Cystocele and Rectocele Repair

Definition

A cystocele is when part of the bladder wall bulges into the vagina. The bulge happens through a defect in the wall between the bladder and vagina.
Cystocele
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Copyright © Nucleus Medical Media, Inc.
A rectocele is when part of the wall of the rectum bulges into the vagina. The bulge happens through a defect in the wall between the rectum and vagina.
Rectocele
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Copyright © Nucleus Medical Media, Inc.
These form because of a problem with the fascia, ligaments, and muscles of the pelvis.

Reasons for Procedure

Cystocele and rectocele can cause problems going to the bathroom such as frequent urination, urine leakage, and difficulty urinating. Pain during sex may also occur. This surgery is done to help relieve these symptoms.Most often, this type of surgery is not done until all other treatments have been tried. Other treatments may include muscle exercises and the insertion of a supportive device called a pessary. If you have tried these treatments and have had no relief, your doctor may suggest surgical repair.

Possible Complications

Complications are rare, but no procedure is completely free of risk. If you are planning to have this type of repair, your doctor will review a list of possible complications, which may include:
  • Reaction to anesthesia
  • Infection
  • Bleeding
  • Accidental damage to vagina, rectum, and bladder
  • Accidental damage to nearby organs
  • Difficulty with bowel movements
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
  • Smoking
  • Drinking
  • Chronic disease such as diabetes or obesity
Prior pelvic surgery may increase the risk of complications.

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