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Pooping Bulge, Surgery fixes Rectocele!
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- Опубликовано: 27 янв 2024
- You may need surgery for a rectocele and your doctor has diagnosed you with this condition. Dr. McQueary helps you understand what surgery is best for you
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Women's Healthcare Answers is a channel for women who suffer from gynecologic issues presented by Jeff McQueary MD, a Tennessee gynecologist.
I want to focus on YOU! Especially if:
Your Gynecologic problems are dominating your life
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you can SOLVE YOUR PROBLEMS with answers and solutions I will give you!
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Jeffrey McQueary, MD is a board-certified gynecologist, urogynecologist, and female pelvic medicine and reconstructive surgeon on RUclips to educate people about general gynecology issues such as heavy or irregular menstrual bleeding, endometriosis, urinary tract infections, menopause, and gynecologic cancers. He will also teach about advance issues such as pelvic prolapse, urinary leakage, overactive bladder, and much, much more...
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DISCLAIMER: This video is purely educational and does not constitute certified medical advice. The content of this video is for information purposes only and constitutes my personal opinion and not that of my employer, healthcare system or the medical community in general. Always contact your own physician but personal use of this information is at your own risk. Jeffrey McQueary, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
Good news! I got my urogynecology appt on august 29th. Thanks for your support. I hope it goes well.
Wonderful!
Thank you so much.
You're welcome!
I'm a new subscriber.i will be watching related videos. You explain well. Thank you so much. You sound southern what state are you in please?
I have been in the south for 31 years but originally was from California
Thank you for your videos. I will spend time watching as I need to make a decision regarding my current situation and want to know all of my options. 63 years old had a UFE 2011 b/c of fibroids to save my uterus. Back them probably only needed Progesterone to balance out the estrogen but was only offered a hysterotomy. Fast forward to today. Uterine lining is thick, and atrophied from UFE. 2 unsuccessful attempts to get enough tissue to biopsy both in office and inpatient. Only way to see what's going on with uterus is to have it removed. Was told by my gynecologist doctor to come back when I was bleeding. I went to see a different gynecologist with better bed side manners and I'm scheduled for an ultrasound and MRI to really see what's on the pelvic area. Also been doing pelvic health PT. Doses this really help? Also found out I had bladder prolapse and was referred to urogynecologist. Told by urogynecologist I have bladder/cervix/uterine is down (stage 2-3) and possible stage 1 rectocele. Only offered hysterotomy and repair using mesh. Doctor said she does not use own tissue b/c over time prolapse can happen again because of my age and the thinning of the lining. Not sure about the mesh because mesh has been in the news for causing problems . Do I want surgery NO, but being 63 I don't want problem to get worse than to old for surgery or worst scenario end up with some form of cancer. Thoughts please and thank you.
Very good explanation of your issues. There are definitely surgeons that can repair your prolapse without mesh in fact I typically repair with skin graft. It works well. Hopefully you can find the treatment that helps you the most! Good luck!
When I had my first baby, he was a force up birth . No episiotomy was performed, and I had a fourth-degree tear into the anus . Years later, I had external hemorrhoids removed . One big one was missed . Now, something tore and there was blood . I think it was the rectum. I also had a vaginally hysterectomy many years ago . In order to poop, I take Fibre 4 and senorita as necessary . My GP sent a referral to a GI SPECIALIST. NOT AN OB OR GYNECOLOGIST. . I told my GP about these issues 3 years ago . He doesn't listen . Now bad things happened . I really hope I can be repaired .
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
Thank you so much for your videos :) But I also wondered about the risks of worsening terminal constipation with the surgical repair…? Considering that it is not about transit but only because of the rectocele…
Motility of the Bowel is a problem with constipation but a rectocele is obstructive to the stool movement through the rectum. Repairs if done correctly, repair the obstruction so the rectum can evacuate well. Good luck.
@jadeserant-grandil2547
If the repair is done properly, you should have no constipation. I know people that had it done . No constipation.
With a rectocele surgery what is recovery like ? Is it painful? I have to have it im scared to death I have a great gyno/neuro but I’m scared it will hurt to have a bowel movement? Any advice?
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.
I had no problems with the rectercele until I had a colonography. I am convinced that the technician, who did the colonography, used too much air when she was blowing up my rectum and I believe that she stretched my colon.
Do you think this is possible?
Typically most of those type of tests do not cause any long-term problems.
Are you saying that they can repair the vagina so the buldge knit can be removed? My doctor said they can't cut out anything that's fallen down? Please explain. Thank you great information I need.
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.
I've made my appointment and have a month to wait. What is it called when the rectum itself becomes dislodged into the vagina and you're unable to defecate? The spincter seems unable to allow anything to pass but, the feces bulk is felt inside of the vagina?
Sorry for TMI. I am trying to be an informed patient
This is the definition of a rectocele. Good luck with your evaluation and treatment.
@@DrJeffreyMcQueary thank you so much 💓
Can the rectocele and the sphincter be repaired during one surgery session.
They sure can. Hope all hoes well.
Can a rectocyle be fixed the same time as a hysterectomy?
@@hm3nurse absolutely yes
Hello dr. I'm having 2nd grade uterus prolapse with rectum prolapse,feeling lot of pressure in vegina,there is a bulge showing at the vegina opening just after my delivery 10 years before,it is very uncomfortable,there is swelling and burning sensation at the right side of vegina to the buttok ,having swelling too on the stitches while i get constipation, swelling is very soft to touch and not painful while touching but a very uncomfortable feeling at the and of vegina and anul, I'm using ring pessary since 7 months,i use to remove my pessary every night and disinfectant daily and insurt it again, is it okay to remove pessary daily doesn't this action make the vegina more looser??please guide me about pessary,
Thank you........😊
The way you are using the pessary is correct.