Is rectocele treatable?
Treatment of rectocele
Rectocele that does not cause symptoms should not be treated surgically, unless of course another orthopedic surgery is planned.
In addition, non-surgical, conservative treatment may be prescribed with diet, laxatives, vaginal pessaries, HRT and exercises. At the same time, following a diet rich in fiber and consuming fluids helps to avoid constipation. Finally, laxatives can be used to keep stools soft.
A general tip: Excessive straining during defecation and lifting weights should be avoided.
The vaginal pessary is a circular ring placed inside the vagina to hold the rectum in place. Hormone replacement therapy (HRT) can be used in postmenopausal women to help strengthen the muscles around the vagina and rectum. Kegel exercises can also be used to strengthen the muscles that support the rectum and vagina. The pelvic floor muscles are just like all muscles, they can be strengthened with exercise, lasting just 10 minutes, every other day.
According to Block, Orthotic Hernia is a condition that can be corrected, with the Obstructive Suture Technique. It is essentially a suture with tight continuous stitches, which compress the tissues included in the suture line and force them to be expelled. At the same time, it reaches the tissues at the base of the suture line, the submucosal and the muscle layers, allowing them to heal quickly.
This technique is bloodless, easy and effective in terms of treatment and symptom relief. The time required to correct an Orthotic Hernia is approximately 6 minutes.
Women should be looked for the presence of a rectocele in every rectal examination. If the rectocele is asymptomatic but an orthopedic surgery is planned, it can be corrected at the same time. If the rectocele is symptomatic, it should be repaired even if no other anorectal repair is planned. Transanal repair with sutures appears to have advantages over vaginal or other corrective techniques and is the most appropriate method for the correction of rectocele.