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Cystocele and Rectocele Repair
|Copyright © Nucleus Medical Media, Inc.|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Reaction to anesthesia
- Accidental damage to vagina, rectum, and bladder
- Accidental damage to nearby organs
- Difficulty with bowel movements
- Chronic disease such as diabetes or obesity
What to Expect
Prior to Procedure
Talk to your doctor about your current medications. Certain medications may need to be stopped before the procedure, such as:
- Anti-inflammatory medications
- Blood thinners
- Anti-platelet medications
- Eat a light meal the evening before the surgery.
- Do not have anything to eat or drink after midnight on the night before the procedure.
- If you are having a rectocele repair, you may need to have an enema the night before the surgery.
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- A medicated vaginal packing is usually left in the vagina overnight.
- If you had a rectocele repair, the bladder catheter will be removed as soon as you are able to use the restroom on your own.
- If you had a cystocele repair, the bladder catheter often needs to stay in longer—sometimes 2-6 days. This will allow the bladder more time to begin to work normally.
- You may notice a smelly, even bloody, discharge from the vagina for 1-2 weeks.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
- Avoid lifting anything that weighs more than 10 pounds for about six weeks.
- Avoid sexual intercourse for about six weeks.
- Avoid inserting anything into the vagina, including tampons, for about six weeks.
- Have someone to help you at home for a few days following the surgery.
- Drink plenty of fluids and eat a healthy, high fiber diet to keep stools soft.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor’s instructions .
Call Your Doctor
- Signs of infection, including fever and chills
- Excessive bleeding or any discharge from the incision site
- Unusually heavy vaginal bleeding, or foul-smelling discharge from the vagina
- Nausea or vomiting
- Pain that you cannot control with the medications you have been given
- Inability to pass urine into the catheter
- Pain, burning, urgency or frequency of urination, or persistent blood in the urine
- Cough, shortness of breath, or chest pain
American Congress of Obstetricians and Gynecologists http://acog.org
National Kidney and Urologic Diseases Information Clearinghouse http://kidney.niddk.nih.gov
Canadian Urological Association http://www.cua.org
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
Agarwala N, Hasiak N, Shade M. Graft interposition colpocleisis, perineorrhaphy, and tension-free sling for pelvic organ prolapse and stress urinary incontinence in elderly patients. J Minim Invasive Gynecol. 2007;14:740-745.
Bladder prolapse (cystocele/fallen bladder). American Association of Urology Foundation website. Available at: http://www.urologyhealth.org/urology/index.cfm?article=118. Updated January 2011. Accessed December 2, 2013.
Kobashi KC, Leach GE. Pelvic prolapse. Journal of Urology. 2000;164(6):1879-90.
Pelvic organ prolapse. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated October 30, 2013. Accessed December 2, 2013.
Vaginal prolapse surgery. The Royal Women's Hospital website. Available at: http://www.thewomens.org.au/Vaginalprolapsesurgery . Updated January 2008. Accessed December 2, 2013.
6/2/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
6/9/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Sung VW. Rardin CR, et al. Changes in bowel symptoms 1 year after rectocele repair. Am J Obstet Gynecol. 2012 Nov;207(5):423.e1-5.
- Reviewer: Adrienne Carmack, MD
- Review Date: 12/2013
- Update Date: 06/09/2014