Rectocele problem

[MSM35]

Hi. I hope someone can help me. I recently had to have a TVT mesh sling removed (as much as possible). It was infected and exposed. I have been struggling with a bit with incontinence again but now there's a bigger problem. I was having a lot of pain, feeling fullness in my vagina and feeling as if I never completely finish a bowel movement. When at its worst, it is even difficult to urinate. UroGYN said it was rectocele and to work on Kegels for now and manual reduce it as needed and come back in 8 weeks. I don't have a problem with that. I trust him since he was the only doc willing to admit the mesh problem and fix it. Anyway, 4 days ago, I had to push the rectocele back in. As I stood up, I felt a sharp tearing feeling, not awful but uncomfortable. I kept having odd pain so I looked and found a lump about the size of the end of my finger at the front of my anus (nearest the vagina). I have never had hemorrhoids and don't really know what they look like. It was very uncomfotable and ached until it moved over to the right side of the anus. But there is still swelling near the front where it started. I'm wondering if I caused any serious damage in reducing the rectocele or if this is probably just a hemorrhoid. Also, I cannot reduce it or push it back in. It is not hard, but is very tense. I just don't want to call the doctor for something silly (and he's 2 hours away). Any help is appreciated.

[UKlady1001]

Its great to hear you have been taught to do your kegels correctly.  Keep going with them as it is so important to have muscle tone and we need to keep this up as well.  
I honestly am not sure what your lump is and do feel you will need to have an examination to be sure.   Personally, I wouldnt wait to find out but I respect your decision.

Remember you have a right to ask your Urogyne questions about your condition and changes you notice.  You seem happy with your Dr so hopefully you will feel able to ask the questions you have about what you have noticed recently.

Let us know how you get on and what you decide to do.

[MSM35]

Thanks for your response. The rectocele is in the vagina. The new lump is just to the side of the anus. Not sure if there is a physical connection between the two like a fistula or something. I so hate to go back to him so soon. Especially if it's just a hemorrhoid. I'm grateful to have never experienced hemorrhoids but it would help me know if that's what it is. The Kegel's are horribly boring but I was taught to do them properly so I'm not wasting my time and should get some benefit I hope . Again, I really appreciate your input!

[UKlady1001]

Sorry I am not sure if the bulge is out of the vagina or the anus?  This is a new symptom plus you are having problems urinating so I do feel it is important for you to go back to your Urogyne and if poss you can get a second opinion as well.
Did you get proper womens Physio instruction for your kegels?  Iti s important to do them correctly so you could ask your GP or Urogyne for a referral to a women's PT as well.

Difficulty in urinating is usually more to do with the bladder side eg a cystocele or urethrocele although this could also be to do with your TVT removal.  Do you know if you have any other prolapses?  Are you having to strain to urinate?  Have you had a urodynamics study done lately?

There is more than one extra symptom here so try and see your Urogyne before the 8 week check.  Make sure you tell them all of your new symptoms and concerns as well.  This is very distressing for you and it is important you are able to let your Urogyne know how much this is affecting and upsetting you on a daily basis.

Let us know how you get on