I am needing a rectocele repair, badly, if I can find someone who will take my traditional medicaid. What I want to know is how long before the surgery should we use the estrogen (I have both vagifem and estrace cream)? I had a hysterectomy, total and done vaginally, in Oct 2009, then bladder fell 2 months after, had the cystocele repaired and then around 6 weeks later the rectum and top of vaginal vault fell. I have had a pessary in for around a year to hold it but it is getting so hard to have a BM. I want this rectocele repair to be the last surgery! I need to do what I can to make that be it!