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Causes, Symptoms and Treatment Options. What Is It? In women, the vagina is separated from the rectum by a firm wall of tough, fibrous tissue called fascia. Sometimes, an area of this wall gets weak, and part of the rectum bulges into the vagina. This bulge is called a rectocele. The problem usually develops after the wall is damaged during a vaginal delivery. A rectocele is often caused by weak muscles and ligaments that cannot hold and support the vagina and rectum. A wall of tough tissue, called the rectovaginal septum. Surgery: Past pelvic surgeries, such as a hysterectomy. EXternal Pelvic REctal SuSpension (Express procedure) for rectal intussusception, with and without rectocele repair. The rectocele was repaired with a collagen patch. Rectocele - HRT Questions Hysterectomy Recovery. Nuclear Meltdowns (hotflashes), depression, NO patience. I was put back on the patch after one week.
The bulge may occur after a vaginal delivery, but symptoms may not develop until later in life. Rectoceles are more commonly seen in older women who have entered menopause. Some conditions can increase the risk of developing rectocele, including chronic constipation, chronic cough, repetitive heavy lifting, or any activity that puts pressure on the pelvic floor over time. Because small rectoceles often do not cause any symptoms, it is difficult for health experts to determine exactly how often they occur. As few as 2. 0%, or as many as 8. In 1 recent study of 1. ![]() ![]() United States who had rectoceles, the typical patient was about 6. A woman with a rectocele is also likely to have related conditions, including a cystocele (an abnormal bulging of the bladder through a weakness in the anterior vaginal wall) and uterine prolapse (abnormal sagging of the uterus into the vagina because of loss of its pelvic support). Vaginal Cystocele Repair. Surgery typically starts by making an incision along the vaginal skin overlying the. Symptoms. A small rectocele may not cause any symptoms, especially if it bulges less than 2 centimeters (less than 1 inch) into the vagina. However, larger rectoceles can trigger a variety of rectal and vaginal complaints, including: A bulge of tissue protruding through the vaginal opening Constipation Difficulty having a bowel movement Pain or discomfort during sexual intercourse A feeling that the rectum has not emptied completely after a bowel movement. A sensation of rectal pressure. Rectal pain Difficulty controlling the passage of stool or gas from the rectum. Low back pain that is relieved by lying down. In many women, this back pain may worsen as the day goes on and is more severe in the evening. In some cases, the patient must use a technique called manual evacuation or digitation to help empty the rectum. In this technique, the patient presses on the rectocele with her fingers while defecating to help the stool to pass. Diagnosis. Your doctor will ask about the number of times that you\'ve had a vaginal delivery, and about any problems, such as vaginal tears, you may have had with your deliveries. After reviewing your rectal and vaginal symptoms, your doctor also may ask about any urinary problems that suggest that you might have a cystocele as well as a rectocele. In most cases, your doctor can confirm that you have a rectocele by doing a gynecological and a rectal examination. As you doctor examines you, he or she may ask you to strain or bear down as if you were trying to defecate. This straining maneuver should cause the rectocele to bulge, and allow the doctor to see the rectocele\'s size and location inside your vagina. At some medical centers, imaging tests of the rectum may be done to outline the size and location of the rectocele. Expected Duration. A rectocele is a long- term condition that does not heal on its own. It may remain a minor problem or become larger and more problematic with time. Prevention. During delivery, some doctors cut the skin between the vagina and the rectum to enlarge the opening. This procedure is called an episiotomy. As late as the 1. Now, however, there is some evidence that rectoceles may develop near healed episiotomies. Episiotomy is no longer done for every vaginal delivery and many doctors and midwives go to great lengths to avoid doing the procedure unless absolutely necessary. Doctors usually discuss the risks and benefits of this procedure with their pregnant patients in the weeks before delivery. Some health experts believe that Kegel exercises can either help to prevent a rectocele or relieve some of its symptoms. Kegel exercises are muscle- strengthening maneuvers that help to tighten the tissues around the vagina, but they have not been proven to prevent rectoceles. Treatment. If you are troubled by symptoms of a rectocele, you doctor likely will do surgery to repair the weakness in the fascia between your rectum and vagina. This repair may be done by reinforcing the area with stitches, or it may involve more complex techniques, such as placing a mesh patch to strengthen and support the wall between the rectum and vagina. If you also have a cystocele or uterine prolapse, then surgery to repair these conditions usually can be done at the same time as your rectocele repair. A nonsurgical treatment called a vaginal pessary is available as an alternative. A pessary is a device shaped like a ring, block or plug that is placed into the vagina to support the bulging tissues. Several types of pessaries are in use, some that you may be able to remove and clean daily, others that may require a doctor\'s visit for periodic removal and cleaning. Your doctor will decide which type of pessary is best for you, and will make sure it fits properly. When To Call a Professional. Call your doctor promptly if you discover an abnormal bulge in the wall of your vagina, or if you suddenly develop severe rectal pressure, pain or bleeding. Call your doctor for an appointment if you suffer from chronic constipation, pain or discomfort during sexual intercourse, or any difficulty passing stool. Prognosis. When surgery is used to treat rectoceles, the structural problem can be repaired successfully in the majority of cases. Most patients experienced improvement or complete relief of their symptoms. External resources. American College of Obstetricians and Gynecologists. P. O. Box 9. 69. 20 Washington, DC 2. Phone: 2. 02- 6. 38- 5. American College of Surgeons (ACS)6. North Saint Clair St. Chicago, IL 6. 06. Phone: 3. 12- 2. 02- 5. Toll- Free: 1- 8. Fax: 3. 12- 2. 02- 5. American Urogynecology Society (AUGS)2. M Street NWSuite 8. Washington, DC 2. Phone: 2. 02- 3. 67- 1. Fax: 2. 02- 3. 67- 2. AUGS. org. Society of Gynecologic Surgeons (SGS)http: //sgsonline. Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional. Use of this content is subject to specific Terms of Use & Medical Disclaimers.
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Ciencias sociales - Wikipedia, la enciclopedia libre. El t. Otras denominaciones confluyentes o diferenciadas, seg. Las ciencias sociales estudian el origen del comportamiento individual y colectivo buscando descubrir las leyes sociales que las determinan y que se expresan en el conjunto de las instituciones y sociedades humanas. Aparte las ciencias sociales estudian un aspecto espec. Tratan el comportamiento y las actividades de los humanos, generalmente no estudiados en las ciencias naturales. Caracterizaci. Dentro de las ciencias naturales existe poca discusi. Sin embargo, en ciencias sociales hist. De hecho, algunos estudios o disciplinas sociales, si bien involucran razonamientos y discusi. Por el contrario, un estudio puede basarse en razonamientos y observaci. En sus inicios se tom. ![]() Sin embargo, con el tiempo se ha identificado la particularidad del objeto de estudio, que es la sociedad, la cual no se encuadra dentro de los m. William James expresaba, a finales del siglo XIX: . Esto no es ciencia, es solamente un proyecto de ciencia. Las leyes que la han de constituir consistir. Tal tipo de organizaci. Esa prueba puede ser conceptual, emp. Tampoco hay ciencia alguna sin . Se ajusta a las ciencias sociales como la sociolog. Si una disciplina no emplea el m. Dichas relaciones no son en su totalidad, sino en partes o sectores de cada disciplina. La escasa intercomunicaci. La transdisciplinariedad es la apuesta que emerge de esta insuficiencia de las disciplinas y lo interdisciplinar. Lista de ciencias sociales. Por ejemplo, si bien la ling. Por eso mismo, algunos autores han llegado a considerar que las lenguas son un objeto natural que se genera espont. 2013 (PDF) Ana Cristina Pesso A. 1 al 15 de noviembre I Congreso Internacional Online sobre. Comprar Enciclopedia internacional de las ciencias sociales. Enciclopedia internacional de las ciencias sociales. Introduccion A Las Ciencias Sociales PDF. 6 Ciencias sociales y pol Biblioteca de Ciencias Sociales. Wright, Este articulo fue extra. ![]() ![]() Ha realizado un importante aporte al desarrollo de las Ciencias Sociales en.
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