সংজ্ঞা
A cystocele occurs when part of the bladder wall bulges into the vagina. The bulge happens through a defect in the wall between the bladder and vagina.
A rectocele occurs when part of the wall of the rectum bulges into the vagina. The bulge happens through a defect in the wall between the rectum and vagina.
These form because of a problem with the fascia, ligaments, and muscles of the pelvis.
পদ্ধতির কারণ
Cystocele and rectocele can cause problems going to the bathroom, urine leakage, or pain during sex. This surgery is done to help relieve these symptoms.
Most often, this type of surgery is not done until all other treatments have been tried. Other treatments may include muscle exercises and the insertion of a pessary device (a supportive ring). If you have tried these treatments and have had no relief, your doctor may suggest surgical repair.
সম্ভাব্য জটিলতা
Complications are rare, but no procedure is completely free of risk. If you are planning to have this type of repair, your doctor will review a list of possible complications, which may include:
- এনেস্থেশিয়ার প্রতিকূল প্রতিক্রিয়া
- সংক্রমণ
- রক্তপাত
- Accidental damage to vagina, rectum, and bladder
- Accidental damage to nearby organs
জটিলতার ঝুঁকি বাড়াতে পারে এমন কারণগুলির মধ্যে রয়েছে:
- ধূমপান
- Previous pelvic surgery
কি আশা করছ
পদ্ধতির আগে
- Talk to your doctor about your current medicines. Certain medicines may need to be stopped before the procedure, such as:
- Aspirin or other anti-inflammatory drugs for up to one week before surgery
- Blood-thinning drugs like clopidogrel (Plavix) or warfarin (Coumadin)
- Eat a light meal the evening before the surgery.
- Do not have anything to eat or drink after midnight on the night before the procedure.
- If you are having a rectocele repair, you may need to have an enema the night before the surgery.
এনেস্থেশিয়া
You will often have your choice of either general or regional anesthesia. With general anesthesia, you will be asleep. Regional anesthesia will numb your lower body, but you will be awake.
পদ্ধতির বর্ণনা
You may be given an antibiotic just before surgery. A bladder catheter will be inserted in the urethra. This will allow urine to drain and decrease pressure on the bladder.
A cut will be made in the skin to expose the involved muscle and tissue. In some cases, the muscles and tissue will be sewn back onto itself. This will make it stronger. In other cases, a mesh-type material will be used to strengthen the tissue. Any tissue that has been weakened by previous surgeries, pregnancies, or age will be removed. Excess vaginal lining will be removed as well.
In some cases, a suspension or elevation procedure may be done. These are special sutures that provide extra support to the bladder.
এতে কতক্ষণ সময় লাগবে?
45 minutes to two or more hours
এটা কতটা আঘাত করবে?
You will likely experience vaginal discomfort for 1-2 weeks following the surgery. You will be given medicine to help relieve this.
গড় হাসপাতালে থাকার
The usual length of stay is 1-2 days. Your doctor may choose to keep you longer if complications arise.
পোস্ট-প্রক্রিয়া যত্ন
হাসপাতালে
- A medicated vaginal packing is usually left in the vagina overnight.
- If you had a rectocele repair, the bladder catheter will be removed as soon as you are able to use the restroom on your own.
- If you had a cystocele repair, the bladder catheter often needs to stay in longer (sometimes 2-6 days). This will allow the bladder more time to begin to work normally.
- You may notice a smelly, even bloody, discharge from the vagina for 1-2 weeks.
ঘরে
আপনি যখন বাড়িতে ফিরে আসবেন, একটি মসৃণ পুনরুদ্ধার নিশ্চিত করতে নিম্নলিখিতগুলি করুন:
- Avoid lifting anything that weighs more than 10 pounds for about six weeks.
- Avoid sexual intercourse for about six weeks.
- Avoid inserting anything into the vagina (such as, tampons) for about six weeks.
- Have someone to help you at home for a few days following the surgery.
- Drink plenty of fluids and eat a healthy, high fiber diet to keep stools soft.
- কখন গোসল করা, গোসল করা বা জলে ভিজানো নিরাপদ সে সম্পর্কে আপনার ডাক্তারকে জিজ্ঞাসা করুন।
- আপনার ডাক্তারের নির্দেশাবলী অনুসরণ করতে ভুলবেন না।
আপনার ডাক্তারকে কল করুন
আপনি হাসপাতাল ছেড়ে যাওয়ার পরে, নিম্নলিখিতগুলির মধ্যে যেকোনটি ঘটলে আপনার ডাক্তারের সাথে যোগাযোগ করুন:
- জ্বর এবং ঠাণ্ডা সহ সংক্রমণের লক্ষণ
- Excessive bleeding, or any discharge from the incision site
- Unusually heavy vaginal bleeding, or foul-smelling discharge from the vagina
- বমি বমি ভাব বা বমি হওয়া
- ব্যথা যা আপনি ওষুধ দিয়ে নিয়ন্ত্রণ করতে পারবেন না
- Inability to pass urine into catheter
- Pain, burning, urgency or frequency of urination, or persistent blood in the urine
- কাশি, শ্বাসকষ্ট বা বুকে ব্যথা
জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।