Posterior Vaginal Repair (Rectocele Repair)

Posterior colporrhaphy repairs a rectocele, a bulge of the rectum into the back wall of the vagina caused by weakening of the supporting tissue between them, most often after childbirth. The surgeon tightens this layer with stitches through the vagina and usually rebuilds the perineal body at the vaginal entrance.

It relieves the sensation of a lump, and in most women the need to press on the vagina or perineum to empty the bowel. It does not cure constipation from a slow bowel, and tightening too much can cause pain during sex.

What Posterior Vaginal Repair (Rectocele Repair) involves

With your legs in supports, the surgeon injects local anaesthetic with adrenaline under the back wall of the vagina to reduce bleeding, then makes a midline cut from the entrance towards the top. The vaginal skin is lifted off the underlying rectovaginal fascia on each side. A finger in the rectum helps identify the weakness. In a traditional repair, the fascia is folded together in the midline with a row of dissolvable stitches; in a site-specific repair, only the individual tears in the fascia are closed. Excess vaginal skin is trimmed conservatively and the wall is closed. The separated perineal muscles are then brought together (perineorrhaphy). A vaginal pack and catheter may be left overnight.

Who is a good candidate for Posterior Vaginal Repair (Rectocele Repair)?

Surgery is for women with a bothersome bulge or emptying difficulty after conservative measures have been tried.

• A symptomatic rectocele reaching or passing the vaginal opening
• Needing to support the perineum or vaginal wall with a finger to pass stool
• A widened, gaping vaginal entrance after childbirth tears, causing discomfort or reduced sensation
• Women having other prolapse surgery in whom the back wall also needs support
• Symptoms that persist after pelvic floor physiotherapy, bowel management or a pessary trial

Es ist normalerweise nicht die richtige Wahl, wenn:

• A rectocele found on examination that causes no symptoms
• Constipation from slow transit or pelvic floor muscles that fail to relax, which need bowel investigations first
• Women planning a vaginal birth in the future
• Existing pain with intercourse or pelvic pain syndromes, which surgery may aggravate
• Active vaginal infection or untreated atrophy, which should be corrected beforehand

Technikoptionen

• Midline fascial plication: The standard native-tissue repair, with anatomical success of about 80 to 90 percent.
• Site-specific repair: Closes discrete defects only; slightly higher recurrence but less narrowing.
• Perineorrhaphy: Rebuilds the perineal body; nearly always combined.
• Transanal repair or ventral rectopexy: Performed by colorectal surgeons when there is also internal rectal prolapse.
• Vaginal pessary: A non-surgical alternative that suits women who wish to avoid or postpone an operation.

Was passiert während Ihrer Behandlung

The operation takes 45 to 75 minutes under general or spinal anaesthesia. You stay one night, sometimes two. The pack and catheter are removed the next morning. Perineal soreness when sitting is the main complaint and is controlled with regular tablets and ice packs. The first bowel movement is eased with stool softeners.

Vorbereitung auf Ihre Reise

Planen Sie 7 bis 10 Tage in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

Expect vaginal discharge with dissolving stitch fragments for 3 to 6 weeks. Take laxatives daily for 6 weeks and do not strain. Avoid lifting above 5 kilograms, high-impact exercise, tampons and intercourse for 6 weeks. Desk work is reasonable at 2 to 3 weeks. Vaginal oestrogen cream is often advised after the menopause to help healing. Long-term, avoiding constipation and heavy lifting protects the repair.

• Back to everyday activity: 2 to 3 weeks; 6 weeks of restrictions
• When results show: Bulge corrected immediately; comfort improves over 6 weeks
• How long they last: Long-lasting in about 80 percent

Sicherheit, Risiken und Revisionspolitik

It is a low-risk operation, but it is performed in a sensitive area, and the balance between support and tightness matters.

• Pain during intercourse from narrowing or scar tissue, in roughly 5 to 15 percent
• Recurrence of the bulge over the years
• Bleeding or a haematoma in the vaginal wall
• Wound infection or stitch granulomas causing discharge
• Difficulty passing urine for a few days
• Injury to the rectum, which is rare and repaired at the time
• Persistent bowel-emptying difficulty if the cause was not the rectocele alone

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Posterior Vaginal Repair (Rectocele Repair) in Türkiye

Clinic-Y does not publish a single price for Posterior Vaginal Repair (Rectocele Repair), because the honest figure depends on your case. What moves it:

• Whether it is combined with anterior repair, hysterectomy or a continence procedure
• Anaesthesia type and nights in hospital
• Pre-operative tests such as a defaecating proctogram
• Surgeon's urogynaecology experience
• Follow-up physiotherapy

Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.

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