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Rectocele and Cystocele Grade III: Surgical Treatment in Israel

Rectocele and cystocele Grade III are advanced forms of pelvic organ prolapse that require specialized surgical intervention. At Dr. Sergey Tunitsky’s clinic in Israel, modern reconstructive techniques are applied, including pelvic floor repair surgeries. These approaches ensure complete anatomical restoration and help patients return to a normal quality of life while preserving urinary and bowel function.

 

What Are Rectocele and Cystocele

 

Rectocele and cystocele are types of pelvic organ prolapse caused by weakened muscles and connective tissues of the pelvic floor. Cystocele occurs when the bladder bulges into the anterior vaginal wall, while rectocele is characterized by the rectum protruding through the posterior vaginal wall. Grade III prolapse involves the complete descent of the vaginal walls beyond the vaginal opening, requiring immediate surgical treatment to prevent complications.

Risk Factors

Severe pelvic organ prolapse is associated with several risk factors:

  • Vaginal deliveries, particularly multiple births or deliveries complicated by trauma
  • Age-related changes and loss of tissue elasticity during menopause
  • Chronic increases in intra-abdominal pressure due to obesity, constipation, or heavy physical activity
  • Genetic predisposition to connective tissue weakness
  • Previous pelvic surgeries

Dr. Sergey Tunitsky emphasizes that Grade III rectocele and cystocele represent complex conditions that significantly impact physiological function. Early consultation with a specialist allows for effective correction and prevents disease progression.

 

Symptoms of Rectocele and Cystocele

 

Patients with Grade III rectocele and cystocele often experience pronounced symptoms, including:

  • Persistent sensation of a foreign body in the vagina
  • Visible bulging of the vaginal walls beyond the vaginal opening
  • Urinary issues, including stress incontinence
  • Difficulty with bowel movements, sometimes requiring manual assistance
  • Feeling of incomplete bowel emptying
  • Pain or discomfort during sexual intercourse

 

Diagnosis of Pelvic Organ Prolapse

 

At Dr. Tunitsky’s clinic, pelvic organ prolapse is diagnosed using a comprehensive approach:

  • Detailed gynecological examination with assessment of prolapse severity
  • Specialized pelvic ultrasound
  • Functional urodynamic tests when indicated
  • Magnetic resonance imaging (MRI) to evaluate the pelvic floor
  • Development of a personalized surgical treatment plan

 

Treatment Methods for Grade III Rectocele and Cystocele

 

Surgical correction is the primary treatment for Grade III rectocele and cystocele. At the clinic, the following techniques are performed:

  • Anterior and posterior colporrhaphy to reinforce vaginal walls using advanced suture materials
  • Laparoscopic sacrocolpopexy, a minimally invasive procedure that secures the vaginal vault to the sacrum with a mesh implant
  • Transvaginal mesh placement for additional pelvic organ support in complex cases
  • Combined reconstructive surgeries to simultaneously correct cystocele, rectocele, and related pelvic floor disorders

Dr. Tunitsky notes that the main goal of treatment is not only to repair the anatomical defect but also to restore normal pelvic organ function, providing patients with comfort and improved quality of life.

 

Consultation with Dr. Sergey Tunitsky

 

If you have been diagnosed with Grade III rectocele or cystocele, prompt treatment is essential. At Dr. Tunitsky’s clinic, patients receive professional evaluation and surgical management for complex pelvic organ prolapse.

To schedule a consultation, complete the contact form on the website or call the clinic directly. Our team will assist in organizing your visit to Israel, performing accurate diagnostics, and selecting the most appropriate surgical approach. Entrust your health to an experienced gynecologist-surgeon specializing in pelvic floor reconstructive surgery.

Frequently Asked Questions about Grade III Rectocele and Cystocele Treatment in Israel

What are rectocele and cystocele?

Rectocele and cystocele are types of pelvic organ prolapse caused by weakened pelvic floor muscles and fascia. Cystocele is the bulging of the bladder through the anterior vaginal wall, while rectocele is the bulging of the rectum through the posterior vaginal wall. Grade III prolapse is characterized by the vaginal walls protruding beyond the vaginal opening, requiring surgical intervention.


What are the risk factors for developing grade III prolapse?

Key risk factors include:

  • Vaginal deliveries, especially complicated or multiple births

  • Age-related tissue changes and reduced elasticity after menopause

  • Chronic increased intra-abdominal pressure (obesity, constipation, heavy physical labor)

  • Genetic predisposition to connective tissue weakness

  • Previous pelvic surgeries


What are the symptoms of grade III rectocele and cystocele?

  • Constant sensation of a foreign body in the vagina

  • Visible bulging of the vaginal walls beyond the vaginal opening

  • Urinary problems, including stress incontinence

  • Difficulty with bowel movements, sometimes requiring manual assistance

  • Feeling of incomplete bowel emptying

  • Pain or discomfort during sexual intercourse


How is pelvic organ prolapse diagnosed in Israel?

Diagnosis typically includes:

  • Detailed gynecological examination with assessment of prolapse severity

  • Ultrasound of pelvic organs

  • Functional urodynamic testing if needed

  • MRI of the pelvic floor to assess tissue condition

  • Development of a personalized surgical treatment plan


What surgical methods are used for grade III rectocele and cystocele?

  • Anterior and posterior colporrhaphy to strengthen vaginal walls

  • Laparoscopic sacrocolpopexy with mesh fixation of the vaginal apex to the sacrum

  • Transvaginal mesh placement for additional pelvic support in complex cases

  • Combined reconstructive procedures to correct cystocele, rectocele, and related disorders simultaneously


What is the main goal of treatment at Dr. Sergey Tunitsky’s clinic?

The primary objective is to restore pelvic organ anatomy, normalize urinary and bowel function, and return comfort and quality of life to the patient.


Is an online consultation available before traveling to Israel?

Yes. You can send your medical documents for preliminary review, receive an online consultation, and get a personalized treatment plan for your visit to Israel.


How can I schedule a consultation or treatment in Israel?

Appointments can be made via the online form on the clinic’s website or by phone. The team will assist in organizing your visit to Israel, conducting diagnostics, and selecting the optimal surgical approach.