Treatment of cystocele, rectocele - the displacement of the bladder to the bottom of the cystocele and the protrusion of the intestinal wall towards the vagina are called rectocele
Cystocele creates a bulge in the vaginal roof. Verctocele causes a bulge in the vaginal floor

What are the symptoms of cystocele and rectocele

• Urinary incontinence especially when sneezing, coughing and laughing hard
• Strong urge to urinate
• Feeling of a mass protruding from the vagina
• vaginal dilatation
• Gas incontinence
• Constipation
• Low back pain

Causes of cystocele rectocele

Obesity, chronic cough, straining to have a bowel movement. It is a hereditary cause of tissue laxity, and it is difficult to give birth.

Prevention

Keeping body weight balanced
Preventing constipation by having a balanced diet containing fiber and plant fibers Doing pelvic floor muscle strengthening exercises (Kegel) especially after natural childbirth Treatment of cystocele if it is mild, avoid lifting heavy objects Limiting sugary and caffeinated liquids Accustoming the bladder to urinate at a certain time and after a while, making the intervals longer Emptying the bladder according to the specified schedule
Losing weight, treating with estrogen hormone and performing contractions of the pelvic floor muscles for 20 to 30 seconds and releasing it several times a day, placing a prosthesis called a pessary in the vagina to push the bladder up. The treatment of more severe degrees of prolapsed bladder is surgery T.V.T operation, placing a band under the neck of the bladder and fixing it under the skin of the lower part of the abdomen, the inner part above the groin
This operation may bring about 75% improvement in urine control, but there is a possibility of sensitivity to the type of tape and damage to the bladder tissue and a very small possibility of bladder perforation. Balizer treatment is also effective to a certain extent, especially in cases that have not had natural childbirth The definitive treatment for cystocele and rectocele is their reconstructive surgery with general anesthesia or lumbar (spinal) anesthesia
With an incision from the inside of the vagina, we separate the tissue that is on the bladder, and then the excess part of the vagina is separated from the bladder, and its place is stitched in the middle of the bank. Rectocele surgery is cut on the posterior surface of the vagina and the excess vaginal tissue is separated from the intestine. Its place is stitched and then the scar place of the stitches during childbirth is also removed and the perineum is repaired. Hospitalization time for this operation is 24-48 hours and it takes about 4-6 weeks for complete recovery. The side effects of this procedure are the inability to urinate after removing the document, frequent urination, pain and burning, bleeding, which are temporary and rarely perforation of the bladder or
The intestine is at the site of the operation

At the end, we wish health and happiness to all our dear guests and companions.
Dr. Siddiqa Akhan Tabib
July 21, 1400