Cystocele, rectocele treatment

Ženska lahko cistokelo zatipa kot gladko bulico pri nožničnem vhodu, dodatne težave pa lahko povzroča tudi drgnjenje cistokele ob spodnje hlačke, kar lahko vodi do bolečin in okužb sečil, ki so pogost spremljevalec cistokele. Cistokelo navadno spremljajo tudi težave z odvajanjem vode, bolečine v križu in občutek tiščanja navzdol, ki ga lahko občutijo predvsem zvečer. Ob kašljanju, kihanju ali drugemu naporu.

Rektokela ali kila rektuma je izbočenje rektuma v nožnico do katerega pride zaradi ohlapnosti zadnje stene nožnice. Tudi rektokelo delimo na več stopenj pri katerih pri stopnjah dve do štiri rektokela pogleda skozi nožnični vhod. Rektokelo navadno spremlja otežkočeno odvajanje blata, ki je posledica slabega tonusa zadnje stene nožnice kar povzroči zastajanje blata v rektumu, nenadzirano uhajanje vetrov, občutek neizpraznjenega črevesja ali celo inkontinenco za blato.

A woman may experience a cystocele as a smooth lump at the vaginal opening. Further problems may result from the cystocele rubbing against underwear, which can lead to pain and urinary tract infections, common comorbidities of cystocele. Cystocele symptoms usually include urinary issues, lower back pain, and a feeling of pressure, which is especially prominent in the evening. When coughing, sneezing, or other exertion.

Rectocele or rectal posterior vaginal prolapse is the protrusion of the rectum into the vagina as a consequence of weakness of the posterior vaginal wall. Rectocele is also divided into several grades, with grades two to four being visible through the vaginal opening. Rectocele symptoms usually include difficult bowel movements due to the weakness of the posterior vaginal wall, causing stool to remain in the rectum; the uncontrolled passing of gas, a feeling of incomplete bowel emptying, or even faecal incontinence.

At our gynaecology clinic, we conduct the laser treatment of pelvic organ prolapse (cystocele/rectocele), which works by thermally remodeling tissues and improving the connective structures of the pelvic floor while at the same time the contraction and remodelling of collagen fibers. The laser procedure is performed on an outpatient basis. It is minimally invasive, painless, and requires no anaesthesia. Immediately after the procedure, the patient is free to return to her normal daily activities. For two weeks after the procedure, it is recommended to avoid excess physical strain, lifting heavy objects, sexual intercourse, and swimming in standing water. The procedure must be repeated 4–6 times.