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@@violetblue4155 thanks

It sounds like you have severe nerve damage or potentially have prolapse that is causing poor flow of urine and stool. He certainly need evaluation by a gynecologist to determine that.

You can ask any questions here. But my office is in Tennessee.

@@carolynmontgomery7815 main issues are if you have difficulty with emptying your bladder that’s when cystocele becomes a significant issue. Also, if you have start having significant urinary tract infections. As far as repair, it would be appropriate to consider it at that time. Typically intercourse is no issue and will not make the problem.

So nice of you

C sections included

Definitely the posterior rectal side is more tender but patients seen at 2 weeks are typically doing well. Everyone is different though and it is based on pain tolerance.

@@DrJeffreyMcQueary thank you for your input but I neglected to ask I’m assuming your first bowel movement is scary 😱 but you will go that’s my greatest fear I also have autoimmune and active RSD but it’s managed at this point I do have a excellent doctor I feel I need a antibiotics is that out of the normal to ask? Now when they do this type of procedure are you catheter? Please tell me if so they can remove it before I wake I don’t have good experience with catheters Dr.Jeff thank you for doing what you do and I apologize for all the questions but you can understand my fears I was supposed to have this last March but I had bicep tear and rotator and that was not fun so I’m 7 months out doing well it’s just the thought of another surgery it scares me! Thank you again for allowing me to ask you and yes I will be consulting with my specialist but it helps to know questions to ask him

@@carlamarquette822 antibiotics are common, but unfortunately also is a catheter. Typically, I make sure my patients urinate after surgery even if they’ve had just a repair of a rectocele.

Where do you live in Canada?

@@DrJeffreyMcQueary in British Columbia

@@ivankavitrihmatjaz5566 Dr Geoffrey Cundiff is in Vancouver.

@@DrJeffreyMcQueary Thank you!

I will make videos on that soon but problems still very similar to uterine prolapse

Sounds like you need to see specialist in Urogynecology to throughly evaluate and see what the real problems are. GI specialists don’t treat these issues unless it is internal hemorrhoids.

@@DrJeffreyMcQueary This specialist does it . There are no internal hemorrhoids .

@DrJeffreyMcQueary Some GI specialists are cross trained. This is Canada, not the USA. If he feels, I need a different specialist, and he will refer to another specialist . My GP is the stupid one in this situation

@@user-ur3cg1wq4b ok

@@user-ur3cg1wq4b good luck

They may but they can irritate the bladder with IC

Thatis why I am here to talk about difficult subjects and help you understand that you are not alone. More of your friends have these problems than you realize.

I am not sure why but a very common to have that pain at the end of the urinating.

Wonderful!

@@veronicaleonard7341 would be happy to help or give you my opinion, I am in Bristol.

I’m not sure I completely understand your question but would be happy to give you answer.

@@DrJeffreyMcQueary I have to have a pelvic ultrasound , why am I asked to fully empty my bladder and bowel

@@lizwaandersch3421 For an ultrasound that is done through the vaginal area you typically want to be empty, but typically have a full bladder when it is done through the abdominal area. The bladder is used as a window to see the uterus and ovaries.

@@icbratbrattz7909 I’m glad that worked for her, but her doctor may have also reattached ligaments that pulled everything back up.

That is often why we use nerve medications such as Lyrica and amitriptyline.

I started on gabapentin early then changed to lyrica once it became less costly and generic. I've been on amitriptyline 25 mg at bedtime. Drink, drink, drink.

@@rigelmoon9030both medications are helpful but nothing completely helps. Hope you are managing the symptoms now.

No, typically just constipation issues.

@@robinlabranche6147 you certainly don’t have to do anything about this, and it won’t cause you any major harm. But prolapse often will give you bladder issues with difficulty with emptying your bladder. This can lead to persistent bladder infections and some bladder issues such as urinary urgency and retention. Still don’t hesitate to see an expert in, dealing with these problems as well as fixing these problems and do the right thing for you.

You can have a normal delivery and you shouldn’t have a repair until you are done with childbearing.

@@DrJeffreyMcQueary thank you

Typically in 2 weeks

@@DrJeffreyMcQueary Dr does overactive bladder causes continuous urge to pass urine .i have continuous urge to pass urine. My age is 32 rest all is normal presently taking alfuzosin 10mg and solifenacin succinate 5mg...for 11 day but no improvement

Will this type of medicine can help me...

@@irfandar1235 I think it could

@@DrJeffreyMcQueary Dr one last question how many days it[solifenacin 5mg]takes to show full impact on having urinary frequency,urgency..thank u for your guidance...

Glad it was helpful!

Either type of anesthesia can be used but typically general.

I would be happy to be your doctor

It can happen from damage from the delivery. A pessary can help hold the uterus up especially if there is desire to have another child.

Exercises of the pelvis called kegels can also help.

So nice of you

If it is interstitial cystitis, then you have a lot of inflammation or swelling in your bladder. There are many treatments for this and you need to go to a urologist or urogynecologist to find out how to treat this.

Have you had treatment for a bladder infection, also known as a UTI?

@@DrJeffreyMcQueary this is uti doc?how many times to going to hospital to check up then I take antibiotics but how many days back againe

@@nelmaantenero1345 may not be a uti. Make sure they get a culture of your urine when you are tested to know the bacteria that are causing it and the antibiotics that will help effectively.

I have been in the south for 31 years but originally was from California

I am not sure what exactly you mean by bulge knit?

Sorry typo. Buldge knot that dropped down. It's a small very small section from the vaginal wall that has separated and fallen outside the vagina. It appears as skin that's a small roundish bulge knot. That sits very close to the urethra. It's about the size of a normal belly button. It's skin that's detached. So my rectocoele is stage B so its considered very small from the GYN perspective where Colarectal sees the issue for what it is a serious large bulge inside coming in from the rectum. It astounds me that the two different perspectives are wildly of opposite option on the seriousness of my condition. Thank you.

@@TrudySchwartzBurrill the main issue is how you function and if you have difficulty and having a bowel movement, then it is of concern. Go to a urogynecologist and they will take you seriously.

You are having a surgery called a Sacral Colpopexy. It is a very effective surgery using mesh attaching the upper vaginal area directly to ligaments on the tailbone. It’s a very effective procedure if done by the right person. The bladder sling is also very effective and should be great ways to fix your problems. I’ve seen the effectiveness for both of these procedures to be over 95%.

@@DrJeffreyMcQueary That sounds great. Thanks for the encouragement. Dr. Ty Erickson is my doctor and he goes to Africa and does this for the poor, mistreated women over there and does a lot of them here in the US as well. I feel pretty good about it but I do not look forward to the waking up part. That always seems to be the worst part of any surgery I have had. Thanks.

​​⁠ good luck with your surgery and post operative recovery! There are many medications that can help with nausea after the surgery. Ask anesthesia to help.

@@DrJeffreyMcQueary Oh, thank you for that but my problem is waking up. It is horrible and takes a very long time.

@@jurleanwilliams2771 you are welcome

@@hm3nurse absolutely yes

@@user-vw6tc1tw8c Happy to help!

I have had patients say they felt their at an angle but when I look The only thing I see is the pessary falling out. Do you want a pessary or to have those problem resolved? Just get another opinion about your problem, you need confidence in the doctor you see.

Often if your doctor is not very concerned or interested in your prolapse situation, it is because they don’t have great experience in being able to fix these problems. May not be the right doctor for you and seeking out a doctor that specialist and pelvic prolapse such as a urogynecologist would be appropriate.

@@loisperkins2767 Glad it helped!

@@dinapalkowski8146 realizing that your pelvis has weakness that cannot be completely repaired, it is important to not do too much heavy lifting or straining. With that a pelvic surgery can last for many years if not the rest of your life.

This is the definition of a rectocele. Good luck with your evaluation and treatment.

@@DrJeffreyMcQueary thank you so much 💓

You're welcome

Absolutely you can have reconstructive pelvic surgery without hysterectomy in fact that can be a very strong repair. Biological skin graft is a great option.

@@DrJeffreyMcQueary is that a longer surgery? Longer recovery?

@@dinapalkowski8146 actually can be a shorter procedure because it is all performed vaginally.

@@DrJeffreyMcQueary how long is the recovery?

@@dinapalkowski8146 6 weeks

Happy to help in your decision making.

Those are all good treatments but so sorry you have needed a catheter.

@@DrJeffreyMcQueary thank u 🙏🏾

Do you mean colonoscopy? If yes then the procedure is safe with a rectocele.

Fibroids typically do not turn into cancer but the uterus should be fully evaluated. I certainly have done surgery for prolapse keeping the uterus intact even though there were small fibroids after menopause.