Rectocele Repair
Surgical correction of a symptomatic posterior rectocele causing obstructed defecation - performed transanally or transvaginally when pelvic floor physiotherapy has not achieved adequate improvement.
What is Rectocele Repair?
A rectocele is a herniation of the anterior rectal wall through a weakness in the rectovaginal septum, creating a pouch that captures stool during defecation - causing incomplete evacuation and obstructed defecation symptoms. Rectocele repair strengthens the rectovaginal septum and reduces the herniation.
Dr. Samhitha Reddy performs rectocele repair at Lux Hospitals, Hyderabad via a transanal or transvaginal approach - as part of the comprehensive pelvic floor dysfunction treatment in Hyderabad and ODS management programme. Surgery is offered after pelvic floor physiotherapy and biofeedback has been completed without adequate improvement, for large (>3 cm) symptomatic rectoceles confirmed on defecography.
Rectocele repair is indicated for symptomatic rectoceles causing ODS that have not improved adequately with biofeedback therapy. Small rectoceles (<2 cm) commonly respond to biofeedback alone. Surgery is reserved for large (>3 cm) symptomatic rectoceles.
How the Procedure Works
Pre-operative Defecography
Defecography confirms the rectocele size, degree of herniation during straining, and any associated intussusception or enterocele that would modify the surgical plan.
Anaesthesia
Spinal or general anaesthesia. Positioning depends on approach - lithotomy for transanal, modified lithotomy for transvaginal.
Rectovaginal Septum Dissection (Transanal)
A transanal approach opens the anterior rectal wall and exposes the rectovaginal septum. Excess tissue and the rectocele defect are identified.
Septum Reinforcement
The rectovaginal septum is repaired with plication sutures, reducing the herniation and reinforcing the posterior vaginal wall. A levatoroplasty may be added.
Closure & Recovery
The mucosa is closed with absorbable sutures. Hospital stay 1 day. High-fibre diet, stool softeners, and pelvic floor physiotherapy post-operatively.
Outcomes
Who Needs This Treatment?
- →Directly corrects the structural defect causing obstructed defecation
- →Effective for large symptomatic rectoceles not responding to biofeedback
- →Transanal approach avoids any external skin incisions
- →Can be combined with Rectopexy if internal intussusception is also present
- →Day-care or 1-day stay - rapid recovery
- →Available at Lux Hospitals, Hyderabad for affordable pelvic floor treatment in Hyderabad
A symptomatic rectocele is essentially a structural mechanical problem - the stool is falling into a pouch it should not be falling into. Once biofeedback has been properly tried and defecography confirms a large herniation, surgical repair provides direct, logical, effective correction.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Rectocele Repair Surgery Cost in Hyderabad
The cost of rectocele repair surgery in Hyderabad depends on the severity of the rectocele, complexity of the condition, investigations required, and the care needed before and after surgery.
For patients with symptomatic rectocele causing discomfort or functional problems, the approximate cost of rectocele repair ranges between ₹60,000 and ₹1,30,000.
| Procedure | Approximate Cost Range |
|---|---|
| Rectocele Repair | ₹60,000 – ₹1,30,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Rectocele Repair Cost
The overall cost may depend on:
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Severity of rectocele: The size of the rectocele, severity of symptoms, bowel function issues, and associated pelvic floor conditions may influence treatment planning.
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Pre-operative evaluation: Required investigations, clinical examination, pelvic floor assessment, and medical evaluations before surgery may affect the overall cost.
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Additional procedures: If procedures such as pelvic floor repair, treatment of associated prolapse conditions, or other colorectal and pelvic floor interventions are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, bowel care, and follow-up requirements may influence the final estimate.
Is Rectocele Repair Covered by Insurance?
Rectocele repair may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether rectocele repair is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.