Cystocele and rectocele repair surgeries are procedures to repair pelvic organ prolapse that usually occurs as a result of vaginal delivery, reports WebMD. Doctors can repair both conditions during the same surgery, approaching the affected area through the vagina, explains Mayo Clinic.
Cystocele, or bladder prolapse, occurs when the bladder presses against the vaginal wall, according to WebMD. Symptoms include urinary incontinence, difficult urination and pain during sex. During surgery, the surgeon tightens loose tissue and strengthens the vaginal wall. Because about 20 percent of women have a recurrence of prolapse, patients should refrain from surgery until they have finished childbearing. Even after surgery, women may experience pelvic pain, incontinence and painful intercourse.
Rectocele, or posterior prolapse, involves a weakening of the vaginal wall that causes the rectum to bulge into the vagina, notes Mayo Clinic. Sometimes the posterior prolapse sticks out of the vaginal opening and becomes troublesome. Surgeons remove excess tissue and sometimes fit a mesh patch to reinforce the wall between the vagina and rectum. During recovery after surgery, patients must include fiber in their diets and drink plenty of liquids to avoid constipation, states WebMD. After a hospital stay of one or two days, women can usually resume normal activities in about six weeks.