Rectocele: what is this, symptoms, diagnostics, treatment, prevention
Rectocele – What is this disease?
This pathology, as rectocele, is a disease, associated with prolapse of pelvic organs. When the disease occurs divertikuloobraznoe bulging of the anterior wall of the rectum towards the vagina.
This pathology is characterized not only from the point of view of changes in the relationship between tissue Anatomy of the perineum, but motor-evacuation rectum dysfunction, coupled with a change in reflex activity of the so-called obturator apparatus of the intestine.
Rectocele: the cause of the
This pathology, as rear rectocele or other variety, can appear for the following reasons:
- constipation for a long time, that lead to dysfunction of the rectum;
- weakness, with congenital, musculo-ligamentous skeleton pelvic floor;
- pathological changes, that occurred in levatorah, that is in the muscles, that raise the anus;
- seriously changed the partition rektovaginal'naja;
- sphincter dysfunction;
- various genital pathology;
- dystrophy or atrophy of the rectovaginal septum, as well as pelvic floor muscle group, that is associated with age-related changes in a woman's body;
- chronic bronchitis, accompanied by bouts of coughing;
- too much physical activity, eg, from heavy bags could well develop rectocele;
- obesity.
Rectocele: symptoms
With this pathology, as rectocele, symptoms emerge gradually. At first disturbed the regularity of bowel movement, accompanied by a feeling of incomplete emptying it. When the patient is forced to frequently retch. Because of this sick can often apply different laxatives. Rectocele gradually begins to increase and then a woman, to empty the bowels, be using your fingers to "gouge" fecal masses back into the rectum through the back wall of the vagina.
Due to the constant natuzhivanija damaged mucosa channel anus. For this reason, such complications can appear, How to butt plugs cracks, chronic hemorrhoids and so on. Women often, suffering from rectocele, have other pathologies. For Example, This can be jenterocele, cistocele or uterine prolapse (that is prolabirovanie of the uterus through the vagina).
Rectocele: diagnostics
For diagnostic purposes in the first place, the doctor should collect history. Then the patient in the gynecological examination Chair and digital rectal. Necessarily conducted sigmoidoscopy. If the disease has already spread to the second or third stage, make proktografiju with natuzhivaniem, the results of which determine the, whether surgical treatment of rectocele. The differential diagnosis specialists perform with pathologies, as a hernia and rectovaginal cistocele.
Rectocele: types of disease
Order, who wants to know more about rectocele, the photo above will help. You can see the, exactly how it looks kind of bulging of the rectum. The disease develops gradually, Therefore, it can be divided into several stages during.
To 1 extent characterized by very slight bulging, that can be detected only during rectal finger study. And here is a rectocele 2 extent manifested more tangibly. The patient appears very strong feeling not fully oporozhnennogo bowel syndrome, as well as violations of defecation. While bulging already comes to the threshold of the vagina. Many patients are asked question doctor, rectocele 3 extent that it is? Experts answer this question, What is a rectocele is accompanied by a very unpleasant symptoms, such as the frequent urge to defecate and constant feeling crowded bowels. The front wall of the rectum, and the back wall of the vagina, significantly protrude beyond sex slit.
Rectocele: patient actions
That there were no sad consequences of illness, You must seek help in time to an experienced doctor.
Rectocele: treatment
Usually, at first, doctors spend conservative treatment, that should correct the violations of motor-evacuation function of the large intestine. It is worth noting, that conservative methods successfully applied in the postoperative period. These methods include:
- osmotic laxatives drugs;
- eubiotics, that normalize intestinal flora;
- prokinetiki;
- a diet high in fiber.
Due to this it is possible to normalize evaquatornuu the intestines. This therapy should begin within a couple of months prior to the anticipated date of operation.
Rectocele: complications
The development of the disease in the absence of proper treatment can trigger dangerous complications:
- chronic hemorrhoids
- butt crack
- Fistula of rectum
- chronic kriptit
Rectocele: prevention
The recommendation of a doctor for HIV prevention, to avoid rectocele:
- regular emptying of the bowel;
- do strengthening exercises;
- timely cure constipation;
- limit heavy physical exertion.