Recovery time for rectocele repair
Recovery time for rectocele repair. The Anterior repair is done at the same time. This can be done through a vaginal surgery and involves the reconstruction of the vaginal wall and tissue between the bladder and the vagina. At some medical centers, imaging tests of the rectum may be done to outline the size and location of the rectocele. com Learn from a personal experience of stage 2 rectocele repair and how to prepare for surgery and recovery. The symptoms of a cystocele withdraw after its repair; however, some symptoms, such as stress incontinence, may require a separate surgery to recede. Read on now to learn the types of outcomes women experience after rectocele surgery and learn: What is a rectocele? Typical rectocele symptoms 2 main types of rectocele surgery; When to avoid rectocele surgery; Positive outcomes from posterior vaginal wall surgery; Potential complications after rectocele repair surgery; Overall success of the Apr 26, 2024 · Mayo Clinic doctors have extensive experience with repair procedures. This surgery put your organ back in place. Managing your bowels well is vital for successful recovery and rectocele repair. This surgery may not be available in all areas. Allow for time to rest and try to find people to help you with your day-to-day duties. Feb 10, 2023 · A surgeon can perform surgery to repair the prolapse through the vagina or abdomen, with or without robotic assistance. And increase your activity level gradually. You can expect to feel better and stronger each day, although you may get tired quickly and need pain medicine for a week or two. 6. A posterior repair is a major operation usually recommended after simpler treatments have failed. It can take longer than other types of Your goal should be to minimise the use of laxative medications over time. A pack is put in th evagina at the end of sugery and a catheter also. The downside of the latter is limitations with penetrative sex. I should have given recovery another week. Listen to your body, take your time, and don’t put yourself under pressure during the healing process. Please speak Nov 15, 2005 · Recovery from total vaginal hysterectomy w/ cystocele & rectocele repair Preparing ( 4grade rectocele) but time it was over was fixed completly. While most people who undergo the procedure experience improvement in… Recovery Guide After Vaginal Repair Surgery/ Vaginal Hysterectomy A Guide for Women 1. But you may get tired quickly and need pain medicine for a week or two. Jan 19, 2017 · I had rectocele surgery last April. Managing your rectocoele repair well with these 10 rules can help you ensure the success of your surgery and avoid repeat rectocele. Once the area of the rectocele is reached, surgery includes these general steps: The vagina and pelvic organs are then resuspended internally with a combination of sutures and a supportive mesh or fascial graft (Figure 3). This condition is known as posterior wall prolapse, rectocele or fallen rectum. This procedure can be done under a regional (spine) or general anesthetic. Light exercise such as walking is encouraged. Cystocele and rectocele repair is surgery to lift and tighten the tissue around the bladder and rectum so that these organs no longer push into the vagina. But if they don’t work, you may need surgery. Apr 2, 2018 · I had a big repair last year - rectocele and enterocele and perenium repair and general pelvic floor sorting. Sacrocolpopexy: A type of surgery to repair vaginal vault prolapse. This information is for you if you are about to have, or you are recovering from, an operation for a prolapse of your pelvic floor (when the sling of muscles that supports your bladder, bowel and vagina has slipped or descended). The extent of surgery will depend on the stage and severity of your prolapse. Vaginal prolapse repairs typically take about 2. A rectocele is a long-term condition that does not heal on its own. Last February I had a vaginal hysterectomy and Cystocele repair. Follow instructions provided by your doctor. Your surgeon will fix the wall between your bladder and vagina to keep your bladder from moving again. Toggle navigation Call us: 651-600-3035 Jul 14, 2024 · A meniscus tear is a common knee injury. This week I have been obsessing about every little sensation and wondering if everything is ok? May 5, 2023 · Health conditions: Obesity, diabetes and other health issues can make recovery from abdominal surgery more difficult. e. And the extent of pelvic prolapse surgery will affect your recovery. It’s important to rest for a few weeks after the surgery to allow Oct 12, 2022 · The surgery takes two to four hours to complete. This is major surgery and can take up to 3 or 4 months to recover from. 5 hours and patients usually Recovery time following rectocele repair surgery varies depending on the specific procedure performed. Jul 9, 2021 · Rectocele repair and how to stop rectocele worsening to reduce your risk of rectocele surgery with Pelvic Floor Physiotherapist Michelle Kenway https://www. The procedure takes about one hour. You will need general anesthesia for repair surgery. Cystocele may come back with time What to Expect During Your Cystocele Repair Surgery You’ll receive anesthesia (medication to make you sleepy) during your surgery. These associated conditions could be predictors of a poor outcome after surgical repair of rectocele, as the defect could be a secondary condition. Typically, it takes a few weeks to return to normal activities, with a longer period for complete healing. Recovery and results During the postoperative recovery period, a catheter may be inserted into the bladder, and a pack may be placed in the vagina to reduce initial bleeding. The various surgical approaches have different risks and benefits. As you consider surgery, be sure to ask questions. Apr 18, 2007 · Page 2- rectocele & cystocele repair--recovery? Pelvic Floor and Bladder Issues Mar 22, 2022 · Rectocele is one form of pelvic organ prolapse (POP), a condition where organs droop because of a weak pelvic floor. Aug 10, 2022 · Expertise and rankings. Reconstructive Surgery: Surgery to repair or restore a part of the body that is injured or damaged. I returned to work on week 5 after surgery due to pressure from my office; however, it was too soon. A cystocele repair is a surgery to put your bladder back in its normal place. Posterior colporrhaphy, also known as posterior repair or rectocele repair, is a surgical procedure performed to correct a rectocele, which is a bulging of the rectum into the vagina due to weakened pelvic floor muscles and supporting tissues. A Cochrane Database systematic review comparing transvaginal repair to transanal repair of rectoceles concluded that transvaginal repair results in lower recurrence rate of symptoms. Find out what to do and avoid in the first weeks after surgery and how to prevent recurrence. It also adds support to your muscles. These experts might use vaginal approaches or other minimally invasive surgery, also called laparoscopic surgery, to treat some types of pelvic organ prolapse. Next, your healthcare team performs a voiding trial. A hospital stay is rarely needed. lifting, straining, vigorous exercise, coughing and constipation. The recovery time for a sacral colpopexy is typically around six weeks. These specialists have extra training in pelvic floor disorders and expertise in treating this condition, including repairing treatments done elsewhere. In this outpatient procedure, your surgeon makes an opening in your vagina and reinforces the tissue layer under the vaginal skin with strong sutures. Posterior repair is often combined with a repair of the area between the vagina and the back passage, the perineum (perineorrhaphy). The incisions made at the repair sight will typically heal in approximately 2 to 3 weeks. You should not plan to go to work or Posterior repair is performed in conjunction with perineorrhaphy to correct a rectocele and to reconstruct the perineal body. Aug 22, 2019 · Recovery. In general, the recovery period and post-operative restrictions are very similar for both vaginal prolapse repairs and for da Vinci Robotic prolapse repairs. After you leave the hospital, avoid all heavy activity such as lifting for the first 2 weeks. Recovery time can vary between women depending on the severity of the repair and surgical technique used. Published: October 2015. to joint colorectal/urology clinc, to pelvic physio for biometric feedback ( still not sure of the point of that. Despite these controversies, surgical treatment of rectocele should be restricted When pelvic floor conditions require surgical reconstruction or repair, our team of urogynecologists have years of experience and training to handle even the most complex issues. Posterior repair: correction of bowel prolapse (rectum bulges forward into the vagina; rectocele) Vault repair: treat prolapse of upper vagina. Cystocele repair surgery is done through a small incision (surgical cut) in your vaginal wall. but bleedin hardly Posterior Repair (Rectocele) Procedure. In this surgical procedure, the doctor will make an incision into the back wall of the vagina. The surgery attaches the vaginal vault to the sacrum with surgical mesh. . The surgeon also removes extra tissue. This is removed after 24 hrs and once I was weeing ok - three good wees that were measured and an ultrasound to see if the bladder was emptying ok I was ok to go home. Faster post-operative recovery time (average 2-3 weeks or less) What to Expect. 11 A study by Bradley et al of women undergoing sacrocolpopexy for vaginal vault prolapse with or without rectocele repair, reported a 45% prevalence of at least 1 bowel symptom A rectocele and an enterocele may occur together. Rectocele repair (or posterior repair) repairs the stretched or torn wall between the rectum and vagina. Lennox Hoyte believes that 4-6 weeks of no lifting, sex or tampons is proper for recovery time for rectocele surgery, due to the thought that is the proper time for tissues to heal. The stitches dissolve over within a few months and don't need to be removed. Sometimes, small portions of synthetic mesh may be used to help support weakened tissues. This shouldn’t make your stay in hospital any longer and the recovery at home is much the same. They may resume their daily activities, including sexual intercourse, in about 4 weeks after the procedure. Find out how to prepare, what to expect and how long it takes to recover from this procedure. Create a plan for your care and recovery after the operation, and allow plenty of time to rest. Hi, I have surgery for rectocele repair scheduled for next Tuesday. You can expect to feel better and stronger each day. Jun 22, 2022 · Short operating time: A colpocleisis is less time-intensive and invasive than reconstructive surgery. Round and round to orologist, protogram, diagnosed paradoxical sucutaneous muscle contraction. Some days it also made hiking uncomfortable. It may not cover everything you want to know so please ask if you need further information. A urogynecologist treats females with pelvic floor disorders. Jul 25, 2023 · Rectal prolapse repair through the area around the anus, called a perineal rectosigmoidectomy. Pain/Discomfort After Surgery 4. A Foley catheter (i. Learn about the symptoms and treatments. Key Points for Rectocele Repair & Recovery. It is often combined with a repair of the area between the vagina and the Nov 19, 2017 · I didn't drive for for 8 weeks. Bladder Function After Surgery 5. Uterovaginal or vaginal vault prolapse can manifest as an asymptomatic bulge or as bothersome symptoms such as constipation and defecatory dysfunction. Posterior repair is used to tighten the back (posterior) wall of the vagina. The surgeon pulls Jul 15, 2022 · Colorectal surgeons often approach rectocele repairs via a transanal approach. A rectocele is a hernia that develops when the perirectal fascia is insufficient to support the anterior rectal wall and the rectum prolapses through the levator sling. I was using a pessary to hold repair up and was having difficulty going to toilet with ring in and I remember at the time mentioning to physio that I felt then that the pessary was causing a kink in the wall. The approach your doctor recommends will depend in part on the severity of the rectocele. This is medication to make you sleep. I must add this surgery was not my cure-all. During the procedure, your surgeon moves the prolapsed small bowel back into place and tightens the connective tissue of your pelvic floor. Transanal repair has been shown to be less effective than transvaginal repairs. Heavy exercise, such as heavy weightlifting, should be avoided for 6 weeks. If you’d like individual advice, we have a network of over 40 physiotherapists specialising in pelvic health who can support you during your recovery. Bowel Function After Surgery 6. Cystocele: An operation to repair a cystocele is called an anterior repair (colporrhaphy). Dec 12, 2022 · Treatment for a cystocele includes cystocele repair surgery, surgery to place a urethral sling, or both. Most of the time, rest, ice, and pain meds are enough to help you feel better. Colporrhaphy is a surgery used to repair weaknesses in your vaginal walls that are causing unpleasant symptoms. These might include robotic surgery. Cystocele repair surgery. Full wound strength may not be achieved until 2 years after surgery! Based on this, we recommend that you limit your activities for a full 6 to 12 weeks after surgery. What should I expect after a perineoplasty? As with most procedures, your body needs time to heal after a perineoplasty. Mayo Clinic care providers evaluate and treat more than 800 people with posterior vaginal prolapse each year. Some General anesthesia is usually used for repair of a rectocele or enterocele. This It may take up to 6 months to achieve 90% wound strength. Rectocele repair refers to the repair of rectum prolapse. You'll stay in the recovery room until the anesthesia wears off. I had one night in hospital. Please note that this information will be reviewed every 3 years after publication. During surgery, the lining of the bowel, or the section of bowel that has prolapsed, is removed and stitched back together. Prevention of Deep Vein Thrombosis 3. Patients usually make a rapid recovery. Jun 8, 2011 · HysterSisters who have had rectocele repair report that, though getting their rectoceles repaired has been worth it, it involves a relatively difficult recovery—particularly if it is performed at the same time as other pelvic floor repairs. During this surgery, the surgeon pulls the rectum through the anus and removes the prolapsed portion of the rectum. A surgeon may repair the vaginal wall or stitch the opening. May 25, 2016 · The first I had any real problems at posterior end wa's while I was waiting for my hysterectomy and anterior repair. Aug 10, 2023 · This straining maneuver should cause the rectocele to bulge, and allow the doctor to see the rectocele's size and location inside your vagina. You need to be able to do an emergency stop safely & without pain & I wouldn't have been ready before. Another thing: sometimes a rectocele can feel like a flesh pocket filled with pebbles – the pebbles being feces that have gotten stuck in the rectocele and can't exit the body normally. Methods: Between December 2000 and December 2009, we asked sexually active female patients who were to undergo rectocele fascial repair for symptomatic rectoceles to participate in this study. Your Recovery. In a secondary analysis of a randomized trial for 3 different approaches to rectocele repair, the presence of at least 1 bowel symptom at baseline ranged from 80–97%. Although these approaches are major surgeries, pain levels are not as high as surgeries done through larger incisions. PATIENT!INFORMATION! What!preparation!is!needed!for!a!rectocoele!repair?! You$will$probably$come$into$hospital$on$the$morning$of$the$operation,$which$usually$takes$1–2$ Surgical recovery times vary depending on the procedure performed and can also vary for each individual person. You can ready about my decision to have surgery here . bladder catheter) is placed to drain the Robotic-assisted sacrocolpopexy has some benefits over other methods. Avoid strenuous activity for the first 6 weeks. Aug 10, 2022 · Posterior vaginal prolapse (rectocele) care at Mayo Clinic. Mar 17, 2017 · After a vaginal hysterectomy, it might be tempting to try to speed up recovery, but that can actually set you back and increase recovery time. The recovery was looong and I found that I really needed bed rest for several weeks, with only short periods up and about. Posterior colporrhaphy (also known as posterior vaginal repair) addresses issues affecting the back wall of the vagina, such as rectocele (prolapse of the rectum). Often, rectocele happens with other forms of pelvic organ prolapse, where organs like your uterus or bladder shift out of place, too. Noninvasive Rectocele and Cystocele Repair Apr 21, 2021 · When pelvic organ prolapse starts affecting your daily life, it could be time for surgery. In this pelvic floor disorder, the rectum presses against weakened tissues and bulges into the vagina. What can I expect when I awake after a vaginal repair surgery or vaginal hysterectomy? 2. Two A rectal prolapse can be treated by surgery called a perineal repair (Delorme’s operation or Altemeier procedure). But there are some general principles that apply to all types of pelvic prolapse surgery. ). changes to your sex life, such as discomfort during intercourse – but this should improve over time; vaginal discharge and bleeding; experiencing more prolapse symptoms, which may require further surgery; a blood clot forming in 1 of your veins, such as in your leg – you may be given medicine to help reduce this risk after surgery Cystocele repair refers to the repair of the bladder prolapse. It is traditionally considered a posterior compartment damage with weakness of posterior vaginal wall support resulting in a bulging of the rectum into the vaginal cavity (1, 2). You can expect some swelling and discomfort during the first several In the early post-operative period, you should avoid situations where excessive pressure is placed on the repair, i. Try not to worry too much, you are very early days as yet. Posterior vaginal repair (May 2020) 3 What is a posterior vaginal repair? A posterior vaginal repair (posterior colporrhaphy) is an operation performed within the vagina (front passage) to treat a posterior (back) vaginal wall prolapse also called a rectocoele. Apr 26, 2024 · Anterior prolapse repair is done through a cut, called in incision, in the wall of the vagina. If your surgeon has any concerns about the surgery, you may need to stay overnight for observation. Find out how to prepare for and recover from repair surgery, which takes 1 to 2 hours and requires general anesthesia. Minimally invasive surgery can shorten your hospital stay and make recovery faster. Your bowel should be better supported and you should no longer have a bulge in your vagina. A urologist treats the parts of the body that make and pass urine (pee). Recovery for rectocele is usually quick and has minimal risks during recovery. The surgery involves tightening and reinforcing the vaginal wall to restore its normal structure and function. Often called “Kegels,” PFM strengthening involves exercising the PFM by contracting them for short or long periods of time—usually from two to four seconds to train the “fast twitch” muscle fibers, and five to 30 seconds to train the “slow twitch” muscle fibers. You may be asked to take an enema or medicine to clean out your Jul 27, 2020 · Rectocele surgery is usually successful and helps resolve the symptoms in nearly all patients. Robotic surgery is often more expensive than other methods. If needed, a bladder suspension, vaginal hysterectomy, and rectocele repair can be accomplished at the same time via a vaginal incision. Nov 24, 2023 · Concomitant pathologies with rectocele found on MRI were enterocele (n = 9), hysterocele (n = 4), cystocele (n = 3), and rectal intussusception (n = 42). Plan for your care and recovery after the operation. Dr. Expected duration. Many women are discharged after their rectocele repair without clear guidelines as to how to fully recover after surgery and more importantly without instructions on how to prevent repeat prolapse. General anesthesia is usually used for repair of a rectocele or enterocele. Improved urinary retention: Urinary retention (the ability to empty your bladder) improves in 90% of colpocleisis cases. Find out what is involved Vaginal prolapse is a common condition where the bladder, uterus and or bowel protrudes into the vagina. When the rectocele was very bad, it made me afraid to pick up my kids’ toys. The patients were gynecologically examined before and after surgery and prolapse staging was performed using the ICS-Pelvic Organ Prolapse Staging. Rectocele is also called posterior vaginal wall prolapse. Risks Most people do not have problems after repair surgery. Because rectocele and enterocele are defects of the pelvic supporting tissue and not the bowel wall, they are treated most successfully with surgery that repairs the vaginal wall. It is used when the rectum drops out of its normal position and bulges into the back of the vagina, causing the back wall of the vagina to sag, which may result in bowel dysfunction. The more commonly performed form of this repair is known as the Altemeier procedure. When it’s over, you’re taken to a recovery area to wake up from the anesthesia. Two weeks ago I had surgery for a sling bladder suspension for incontinence also an enterocele and rectocele repair. pelvic floor rehab pelvic surgery post-op recovery prolapse surgery rectocele rectocele repair rectocele surgery Dec 15, 2020 A week ago I had prolapse surgery to repair my rectocele. Recovery . You had pelvic prolapse surgery. The Operation takes between 30 and 100 minutes. The rate is highest among women between 60 and 69 years of age (42 per 10,000); the mean age of patients is 54. After a laparoscopy, you may have shoulder pain. p Oct 23, 2017 · Hi, I am 79 years old. You will be taken to the recovery room and monitored for a short time before going to the observation unit. Most people can return to their normal activities in about 6 weeks. The layers under the vaginal wall are then sutured together in such a way as to tighten the tissues and reinforce the strength of the wall. Depending on the side of the defect, the repair can either be anterior, posterior, vault or total. My main goal for surgery is that it helps my chronic constipation that has drastically reduced my quality of life in all possible ways. The first week I just got up for my meals and then went back to bed, last week I stayed up longer and walked around my flat. May 20, 2017 · Hi sal . It cause symptoms such as a sensation of a vaginal lump, constipation, difficulty emptying the bowel or bladder or problems with sexual intercourse. See full list on healthline. Using laparoscopic surgical tools, a surgeon removes the uterus through an incision. This is called a colporrhaphy. 18 In addition, slow colonic transit time should be excluded as the cause of constipation prior to rectocele repair. Urethral sling surgery Mar 2, 2020 · Every woman’s experience of pelvic organ prolapse surgery is different. Like any surgery, you will also have a recovery time and could experience pain or discomfort while healing. Oct 2, 2019 · Cystocele and Rectocele Repair with Hysterectomy: Guide. Oct 2, 2019 · Cystocele and rectocele recovery time 45 minutes to 2 or more hours will take to repair. Since the bladder still needs to be emptied during this recovery time, you will either have a catheter or you will be taught how to catheterize yourself during this time (see Intermittent Self Catheterization leaflet). Rectocele Surgery Recovery Time. This can be done with and without the use of transvaginal synthetic mesh. It will be swollen, tender and narrow from the surgery and around 4 to 6 weeks the wounds will tighten up and stitches will loosen off. Dec 16, 2013 · Introduction. Women typically recover from the cystocele repair in about 4-6 weeks. Sacrohysteropexy: A type of surgery to repair uterine This may be due to swelling or other causes that usually go away in a few days to 2 weeks. It can lead to a shorter hospital stay and a faster recovery time. Try to find other people to help you with your day-to-day duties. Jan 8, 2024 · Surgical interventions are usually minimal. Maximal strength and healing around the repair occurs at 3 months and care with heavy lifting (>10kg/25lbs) needs to be taken until this time. The operation is done through the vagina. Demographics Approximately 22. repair surgery. During a cystocele repair, a surgeon moves the bladder into its intended location and sews it into place. While there are several surgical repair options for vaginal prolapse, Recovery. I am extremely nervous, and having trouble getting a clear picture of what recovery will look like. This information is intended only for patients under the care of the Shrewsbury and Telford Hospital Pelvic Floor Service. Your surgery will take 1 to 2 hours. Aug 30, 2021 · It is also common to repair the front wall of the vagina to provide support to the bladder, which is known as cystocele repair, and the back wall of the vagina to provide support to the rectum, which is known as rectocele repair. 7 out of every 10,000 women will undergo pelvic prolapse surgery. The goal of rectocele repair is to strengthen the wall between the vagina and rectum. You may stay in the hospital from 1 to 2 days. It may have a lower risk of complications for some people. Give yourself as much time as you can to recover. The repair is achieved by the placement of permanent mesh that may result in a stronger repair. Prolapse severity: The perineal approach may be best if you have a mild prolapse or your rectum is stuck outside of your anus (an “incarcerated rectum”). Unlike many other reconstructive surgeries used to treat pelvic organ prolapse (POP), your provider can perform the procedure without having to make a large incision (cut) into your abdomen. I had a positive outlook before surgery, and I expect this played a part in my having such an easy recovery. This surgery pulls together the stretched or torn tissue in the area of prolapse. Trans-anal Rectocele Repair (STAMP procedure) Introduction This leaflet provides information about surgery to repair a rectocele. Jun 1, 2022 · Learn about the causes, symptoms, and treatment of enteroceles and rectoceles, when your intestine or rectum bulges into your vagina. post-op recovery rectocele rectocele repair rectocele surgery Dec 28, 2020 This week has been the hardest. Post-Op Recovery Week 3 - Rectocele Repair - Prolapse Surgery; Post-Op Recovery Week 4 - Rectocele Repair - Prolapse Surgery; Post-Op Recovery Week 5 - Prolapse Surgery - Rectocele Repair; Post-Op Recovery Week 6 - Rectocele Repair - Prolapse Surgery; Post-Op Recovery Week 7 - Rectocele Repair - Prolapse Surgery Check-In With My Pelvic Floor What is a posterior vaginal repair? A posterior vaginal repair (colporrhaphy) is an operation performed within the vagina to treat a posterior (back) vaginal wall prolapse also called a rectocele. Rectum: The last part of the digestive tract. Instead, try to follow these tips: Move a little more Anterior colporrhaphy — repair of cystocele through a cut in the vagina; Posterior colporrhaphy — repair of rectocele through a cut in the vagina; Enterocele repair — repair of enterocele through a cut in the vagina; Vaginal vault suspension — uterosacral or sacrospinous ligament fixation of vaginal vault prolapse. If a sling is being placed, your surgeon will make 2 smaller incisions on Sep 18, 2018 · Rectocele Repair: What to Expect A rectocele repair procedure can help with symptoms of pelvic organ prolapse. Learn about rectocele repair, a surgery to correct a bulge in the wall between your rectum and vagina. Bleeding and Vaginal Discharge Jun 7, 2017 · ?So having been through a rectocele repair last April - recovery good but new bulge in the perineum 3 weeks after surgery. Rectocele repair surgeries are usually done through the vagina or the perineum (the skin between the vagina and the anus). I'm 14 weeks post op now & still get tired if I do too much. Rectocele is defined as a herniation of the rectal wall inside the vagina due to a defect of the recto-vaginal septum. Oct 11, 2022 · Recovery time for bladder prolapse surgery Depending on the type of surgery, you might stay in the hospital for 1 to 3 nights. Low risk of a prolapse returning: Colpocleisis treats POP and prevents future instances of prolapse. Additional procedures included transobturator tape (TOT), vaginal hysterectomy and/or primary cystocele repair for five patients in the LVMR group, and anterior colporrhaphy with Kelly plication and TOT for two patients in the TPMR gr Jul 15, 2022 · The goal of rectocele repair, or posterior colporrhaphy, is treatment of the patient’s symptoms. After a short recovery in the surgical center or outpatient facility, you can go home. A surgeon pushes the bladder up and secures the connective tissue between the bladder and the vagina to keep the bladder in place. Sometimes the front (anterior, called cystocele) or back (posterior, called rectocele) walls of the vagina sag so much that your doctor may suggest repairing them at the same time as your hysterectomy. gufaqwb wviez aymvo vkrnpz bjce vccgmdrm opra sxaw lwc bwyvjv