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Embarrassing Bodies, 1:20am Monday 30th May 2016 on More 4. Catch up for free on All 4 »

Episode 3 - Bristol

Rectocele

Michelle comes to the clinic with a toilet trauma that is taking over her life. Following a hysterectomy, Michelle has been unable to fully remove waste from her bottom, requiring her to insert her fingers into her vagina in order to help push the poo out. Dr Pixie suspects a Rectocele, and sends her to a specialist. Having undergone several tests, Michelle is cleared for a surgical procedure to repair the rectocele, which is carried out with apparent success. Unfortunately 6 months after her operation Michelle experienced some complications and is undergoing further treatment.

The EB team would like to thank:

Spire Healthcare – Regency
Oxfordpelvicfloor.co.uk

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Please help! I had a rectocele and a cystocele repair done in April 2015 sex is still very uncomfortable a year on and I tear every time with intercourse at the bottom of my vagina,do i go back? Will they be able to fix this problem? I was told sex could be painful after but I don't think I can carry on like this.PLEASE HELP





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I had rectocele and levator plasty operation- rectocele was causing constipation and soiling,and discomfort. The lack of pelvis floosr was following the breech delivery of my eldest (now 30) year old son and a major episiotomy.I subsequently had five more childre, (currently ages 18,17, 11,9 and 8) The operation was a complete shambles. The colorectal surgeon says his side of the operation is a success- the rectocele has been removed, the pelvic floor tightened. Healed well.However I am totally faecally incontinent. I have little forewarning of a bowel motin and complete inability to control this. It is totally effecting every aspect of my life. I am trying colnic irrigation- but this is not helping nad very intrusive. It simply seems to wash out the piece of bowl that has just been emptied, but doesn't stop the next bowel motion arriving as soon asit wants to.As a teacher I live ind read of this happening in front of a class of kids- and avoid eating during the school day. (I then am hungry and grumpy and eat anything edible when I get home. I cannot find any facts or figures looking at the success rate of the operation I had. I would not have agreed had I not been assured that the outcome was likely to improve things. I didn't expect nappies and anal plugs and discomfort . I am only 52... is this it fort he rest of my life? I am embarrassed and ashamed. yet still trying to be positive.





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Hi i have had a protogram which revealed a rectal prolapse and a rectalseale. Also i have had a sigloydoscopy which showed a lot of hemroids. What will happen next.





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I have read with interest the comments put forward. There appears to be much controversy with regards to rectal prolapse, whether internal intussusception or full blown rectal prolaspe. In my experience. A top leading London hospital inferring that my prolapse issues were within limits on the colorectal side. Gynaecology not convinced my symptoms were of true uterine prolapse and worried to operate ie hysterectomy or suspension surgery and semi-discharged. If Channel 4 would like to high light that there appears to be no leading hospital that deals with prolapse for women in all 3 departments. St. Marks is a bowel hospital not a prolapse hospital. Women are seeking forum sights to get help from other patients. A more than sad state of affairs. I have been told that I am a candidate for Ventral Rectopexy. I do not however suffer with constipation, or digital emptying. It is has taken all of 4 years to get to this point. The stress has been enormous. I have had a journey of seeing a number of consultants and my life has very much gone on hold. The surgery Ventral recropexy is very much controversial not many doctors have the skill for the operation and hence do not promote the op which may or may not have a 50-60 per cent success rate. The patient is not able to be put in touch with past patients for reassurance and therefore is left with a very uncertain future. If channel 4 is able to promote this problem. So many women young and old are left in a helpless situation. Many are given the wrong surgery which in fact can hasten the speed of rectal prolapse Ie Hysterectomy can make everything worse. This is more than a sad state of affairs. I am also a patient and still struggling with this daily issue. A dedicated prolaspe hospital needs to come about, bringing colorectal and gynaecology together. The top london hospitals are not doing this. This is more than an unsatisfactory state of affairs in 2015. Especially if you are the patient. A hosptial which is dedicated to purely prolaspe issues for men and women needs





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Hi Sandra. I have had a hystero-uterosacropexy due to a prolapsed womb (stage 3) bladder and bowel in 2012. I have mesh around my womb screwed into the ligaments at the base of my spine. The bladder and bowel were repaired vaginally, without mesh. I had a fantastic urogynaecologist at St Peters Hospital in Chertsey, who did an amazing job. Sadly in 2014 I went back to see him as I still had trouble evacuating without splinting. Where I suffer with IBS so badly and was straining, i had made another rectocele, but higher up in the vagina. I was sent to see a colonrectal surgeon to see if it was something they needed to fix, and after a proctogram, was told no, the urogynae needed to operate. So in April 2015, I was operated on again, though the vagina. Unfortunately now I have a very secure back wall in my vagina, I still have a rectocele which a second proctogram showed. I was asked to have anal rectal physiology, which St Peters do have, and they also have an MDT (multi discipline team) meeting once a month to discuss patients with pelvic floor issues. Unfortunately the biofeedback and ARP has been a bit of a disappointment and more talking than anything else. The colonrectal surgeon suggested having biofeedback at St Marks in London, but they are a specialist bowel hospital but again, they don't have all the details from the gastroenterologist, the urogynae, the colon rectal, Anal Rectal teams etc, plus its miles to travel, so I face your pain. When a second proctogram revealed the prolapse was still there, I was advised that a Ventral Rectopexy would be an option for me but because I have had 2 surgeries already, this comes at a high risk of complications, erosion of tissue, and the possibility of a colostomy bag if it goes wrong. The consultant sent me to Southampton hospital, for a second opinion and they too have a good unit whereby the urogynae and colonrectal surgeons work together. The difficulty we have is finding them. I too have been told I need to do colonic irrigation, in Southampton you have district nurses come to your house and show you how to do it, at St Peters, I'm still waiting for that elusive appt to let me know when I can see them . So what I am saying is, St Marks, St Peters and Southampton all have colonrectal surgeons,and anal rectal physiology depts. I know at St Peters, Mr Bearn and Mr Gelman work closeley together and I know Karen Nugent in Southampton has a urogyne that she works closely with. I do wish that more places did it and that it wasn't something that they are still trying to find the next best cure for. I am currently having psychotheraphy to learn how to deal with the situation, as I've been told its too risky to operate on me, but i need the operation in order to function. Next step is to work out how to manage... Sometimes, its not as simple as just having IBS is it. ;-(

Iv been diagnosed with a rectoceil following. Hildbirth. Consultant not keen to operate as not severe but i hate it and it's really affecting my life. Heard but reports on success of repair surgery.





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Hello, past year and a half I knew something major was wrong( Rectocele ), soo painful walking and doing dishes even with that awful pressure in lower abdomen. Can't pee unless I have B.M first, then gas releases like a balloon, my abdomen will feel slightly better, then I can pee.intercourse is very uncomfortable,flank pain also. During that year and half , my Obgyn said nothing of this problem, a urologist said my bladder was pressing slightly to uterus, I had internal imaging of uterus and they found cysts on ovaries, NOT 1 mention of Rectocele !! So I had 3 hernia repair 9/8/14, a day stay turned into a 4 day stay due to not being able to urinate on my own! Again, nooo mention of Rectocele !! Now it's 3/15 and I again pushed to see urogynocholgy, and She found Rectocele . My QUESTION , How Could this be missed when it's visable by looking as well as by touching!! The Hospital said I couldn't pee after hernia surgery due to reaction from anestisia !!! They never is investigated, just kept sticking catheter in every 6 hours for me to pee untill day 4 , I did on my own and was sent home. I've been suffering from this Rectocele , and how could no one notice?????





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I suspect i have a rectocele prolapse. I have been to the doctors 3 times and no gp has found this. How can i see a urogynecologist as they are the experts in the field?





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Rita which hospitals did you go to before the last one. I have Beeb told by a radiologist that I have a grade 3 full thickness rectal prolapse, but the surgeon advised he is going to do a halo op similare to the haemorroidectomy. I do not want this either as people who have had this report severe pain and time off work for months as unable to sit.





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Iv been diagnosed with a rectoceil. Dr not keen to operate and recommended physio and to wait 6mnths. Im 8 weeks post baby but its really getting me down. I constantly feel it and feel wet and as if my vvagina and anus are wide open. What should i do?





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.I had my hysterectomy 40 years ago, never had a problem. Then I just had a problem with sex. My husband could not enter me. That is when I found the rectocole at the opening of my vagina. I am 65 years old , and did not want to wait to fix this. I had two Doctors tell me the same thing .The wall that holds my bowel from entering my vagina fell down. I had the surgery two weeks ago . The surgery went through my vagina ,and used only my own tissue for repair .My rectom had pain for 3 days , now I feel much better . I go to the Doctors next week. Good luck in desiding what to do.





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