Rectocele, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
A rectocele is a medical disorder that results from a tear in the rectovaginal septum (which is normally a tough, fibrous, sheet-like separator between the rectum and vagina).
Rectal tissue bulges through this tear and into the vagina as a hernia.
A rectocele is a herniation (bulge) of the front wall of the rectum into the back wall of the vagina.
The wall between the rectum and the vagina is termed the rectovaginal septum.
This structure can become weaken and thin over time, leading to a rectocele.
When rectoceles are small, most women have no symptoms.
A rectocele may be a weakened swelling or happen as part of a complete weakening of the pelvic floor muscles.
Other pelvic tissue parts such as the bladder (cystocele) and the small intestine (enterocele), can protrude into the vagina, resulting in similar symptoms as rectocele.
In women, the vagina is separated from the rectum by a firm wall of tough, fibrous tissue called fascia.
Occasionally, a part of this wall becomes weak, and part of the rectum bulges into the vagina forming a rectocele.
The protrusion may occur after a vaginal delivery but symptoms may not develop until later in life.
Rectoceles are more frequently observed in older women who developed menopause.
Some disorders can raise the danger of forming rectocele such as:
1. Chronic constipation,
2. Chronic cough,
3. Repetitive heavy lifting
4. Any activity that puts pressure on the pelvic floor over time.
Rectoceles are most frequently observed in older women who have frequent vaginal childbirths.
A woman with a rectocele also tends to have linked disorders such as:
1. Cystocele (an abnormal bulging of the bladder through a weakness in the anterior vaginal wall)
2. Uterine prolapse (abnormal sagging of the uterus into the vagina because of loss of its pelvic support).
Symptomatic rectoceles normally happen together with weakening of the pelvic floor.
There are many things which can lead to weakening of the pelvic floor such as:
1. Advanced age,
2. Multiple vaginal deliveries
3. Birthing injury during vaginal childbirth (e.g. vacuum delivery, forceps delivery, tearing with a vaginal delivery, and episiotomy during vaginal delivery).
As well, a history of prolonged constipation and excessive straining with bowel movements are believed to play a contributory factor in forming a rectocele.
Multiple gynecological or rectal surgeries can also result in weakened muscles of the pelvic floor and rectocele formation.
There are two main causes of this tear: childbirth, and hysterectomy.
Diagnosis:
Examination of the pelvic region involves both a vaginal and rectal examination.
A special x-ray video, called defecography, can also observe and confirm a rectocele.
Treatment:
1.Changes in diet (higher intake in fiber and water),
2.Pelvic floor exercises such as Kegel exercises,
3.Use of stool softeners,
4.Hormone replacement therapy for post-menopausal women
5.Insertion of a pessary into the vagina,
6.Various forms of surgery (posterior colporrhaphy or the suturing of vaginal tissue to the back of the pelvis).
TABLE OF CONTENT
Introduction
Chapter 1 Rectocele
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Rectal Prolapse
Chapter 8 Uterine Prolapse
Epilogue
Kenneth Kee
Medical doctor since 1972. Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009. Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993. Dr Kenneth Kee is still working as a family doctor at the age of 70. However he has reduced his consultation hours to 3 hours in the morning and 2 hours in the afternoon. He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com. His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com This autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com. From which many free articles from the blog was taken and put together into 1000 eBooks. He apologized for typos and spelling mistakes in his earlier books. He will endeavor to improve the writing in futures. Some people have complained that the simple guides are too simple. For their information they are made simple in order to educate the patients. The later books go into more details of medical disorders. He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter. The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks. He does not do any night duty since 2000 ever since Dr Tan had his second stroke. His clinic is now relocated to the Buona Vista Community Centre. The 2 units of his original clinic are being demolished to make way for a new Shopping Mall. He is now doing some blogging and internet surfing (bulletin boards since the 1980's) starting with the Apple computer and going to PC. The entire PC is upgraded by himself from XT to the present Pentium duo core. The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive. He is also into DIY changing his own toilet cistern and other electric appliance. His hunger for knowledge has not abated and he is a lifelong learner. The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned. This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale. Dr Kee is the author of: "A Family Doctor's Tale" "Life Lessons Learned From The Study And Practice Of Medicine" "Case Notes From A Family Doctor"
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Rectocele, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Rectocele,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2015 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Rectocele, Diagnosis, Treatment and Related Conditions or in vernacular terms
(What You need to treat Rectocele)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://ken-med.com.
From which many free articles from the blog was taken and put together into 650 amazon kindle books and some into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Rectocele
What is the Rectocele?
A rectocele is a medical disorder that results from a tear in the rectovaginal septum (which is normally a tough, fibrous, sheet-like separator between the rectum and vagina).
Rectal tissue bulges through this tear and into the vagina as a hernia.
A rectocele is a herniation (bulge) of the front wall of the rectum into the back wall of the vagina.
The wall between the rectum and the vagina is termed the rectovaginal septum.
This structure can become weaken and thin over time, leading to a rectocele.
When rectoceles are small, most women have no symptoms.
A rectocele may be a weakened swelling or happen as part of a complete weakening of the pelvic floor muscles.
Other pelvic tissue parts such as the bladder (cystocele) and the small intestine (enterocele), can protrude into the vagina, resulting in