What is Rectocele Repair (Posterior Colporrhaphy)?
Rectocele repair, also known as posterior colporrhaphy, is a specialized surgical procedure designed to correct prolapsed rectocele, a condition where the rectum bulges into the vaginal wall due to weakened pelvic floor muscles and connective tissues. This condition, often caused by childbirth, aging, chronic constipation, heavy lifting, or hormonal changes, can lead to pelvic pressure, difficulty with bowel movements, incomplete evacuation, and discomfort during intimacy.
By reinforcing and repositioning the rectovaginal tissue, rectocele repair restores proper support to the vaginal wall and rectum, significantly improving comfort, bowel function, and overall pelvic health.
At Estetik International, our expert surgeons use minimally invasive, tissue-strengthening techniques to provide long-lasting relief and enhanced quality of life.
What are the Advantages of Rectocele Repair?
✔ Restores Vaginal & Rectal Support – Strengthens the posterior vaginal wall, preventing rectal bulging. ✔ Improves Bowel Function – Eases difficulty with bowel movements, straining, and incomplete emptying. ✔ Reduces Pelvic Pressure & Discomfort – Relieves heaviness, vaginal bulging, and rectal fullness. ✔ Enhances Intimate Wellness – Corrects vaginal laxity, improving sensation and confidence during sexual activity. ✔ Prevents Further Prolapse – Strengthens pelvic floor tissues, reducing the risk of recurrent rectocele or related prolapses. ✔ Minimally Invasive with Quick Recovery – Uses advanced surgical techniques for faster healing, minimal scarring, and long-term success.
Who is a Suitable Candidate for Rectocele Repair?
You may be an ideal candidate for rectocele repair if you:
Experience difficulty emptying the bowels, straining, or needing manual assistance during bowel movements.
Feel pressure, bulging, or discomfort in the vaginal or rectal area.
Experience pelvic floor weakness due to childbirth, menopause, or chronic constipation.
Have pain or discomfort during intimacy due to vaginal laxity or rectal bulging.
Have tried pelvic floor exercises (Kegels) but have not seen improvement.
Pre-Procedure Preparation
Personalized Consultation – Your concerns, medical history, and symptoms will be discussed with our expert surgeons.
Pelvic Examination – The severity of the rectocele will be assessed to determine the best treatment approach.
Customized Surgical Plan – Depending on your condition, natural tissue repair or surgical mesh reinforcement may be recommended.
Pre-Operative Guidelines – You will receive detailed instructions on medications, bowel preparation, and pre-surgery dietary adjustments.
Day of the Procedure
Anesthesia Options – The procedure is performed under general anesthesia or regional (spinal) anesthesia to ensure comfort and a pain-free experience.
Surgical Technique – A small incision is made inside the vaginal wall, allowing access to the weakened rectovaginal tissues.
Tissue Tightening & Reinforcement – The weakened muscles and connective tissues are tightened and repositioned to restore vaginal and rectal stability.
Use of Mesh (if necessary) – In some cases, a biocompatible mesh is placed to enhance the durability of the repair and prevent recurrence.
Suture Closure – The vaginal wall is closed with dissolvable sutures, ensuring aesthetic healing with minimal scarring.
Recovery & Aftercare
Mild Swelling & Discomfort – Some temporary swelling, pelvic soreness, and mild discomfort may occur but gradually subside within 1-2 weeks.
Minimal Pain & Downtime – Most patients experience mild discomfort, which can be managed with prescribed medications.
Bowel Function Improvement – Symptoms such as straining and incomplete emptying gradually improve.
Resuming Activities – Patients can return to normal daily activities within 1-2 weeks, while heavy lifting, straining, and sexual activity should be avoided for 6-8 weeks.
Final Results – The full benefits of the procedure become noticeable within 2-3 months, as healing is completed.
Pre-procedure Tips for Rectocele Repair - Posterior Colporrhaphy
Careful preparation helps ensure a smooth surgery and a comfortable recovery. Before your rectocele repair, our team will guide you through the following steps.
Attend a personalized consultation and pelvic examination so your surgeon can assess the severity of the rectocele and plan the right technique for you.
Share your full medical history, including any prior pelvic surgeries or chronic constipation, so a customized surgical plan can be prepared.
Follow any bowel preparation and dietary adjustments recommended by your surgeon in the days leading up to the procedure.
Stop smoking and avoid alcohol for several weeks before surgery, as both can slow tissue healing.
Adjust or pause certain medications and supplements, particularly blood thinners, as advised by your medical team.
Operation Day: Step by Step for Rectocele Repair - Posterior Colporrhaphy
On the day of your rectocele repair, our surgical team follows a structured process designed for your safety and comfort.
You will be given general or regional (spinal) anesthesia to ensure a pain-free experience throughout the procedure.
A small incision is made inside the vaginal wall to access the weakened rectovaginal tissue.
The surgeon tightens and repositions the muscles and connective tissue to restore vaginal and rectal support.
If needed, a biocompatible surgical mesh is placed to reinforce the repair and reduce the risk of recurrence.
The vaginal wall is closed with dissolvable sutures, and you are moved to a recovery area for monitoring before discharge guidance is provided.
Post-procedure Tips for Rectocele Repair - Posterior Colporrhaphy
Following your surgeon's aftercare instructions closely will support proper healing and long-lasting results.
Expect mild swelling, pelvic soreness, and discomfort for 1-2 weeks; take prescribed medication as directed to stay comfortable.
Rest and avoid strenuous activity during the first days, sleeping on your back or in a position recommended by your surgeon to reduce pelvic strain.
Avoid heavy lifting, straining, and sexual activity for 6-8 weeks to give the repaired tissue time to heal securely.
Prevent constipation by staying hydrated and following any dietary guidance, since straining can affect the repair.
Do not smoke and limit sun exposure to the surgical area during the initial healing period.
Patient stories
Breast Implants & Tummy Tuck · DKFrom Beautiful to Gorgeous!As a fitness model, Mia needed to keep her body in the best shape. She contacted Estetik International to give her the right touch to her gorgeous body. Check out her journey.Watch on YouTube 
Secondary Rhinoplasty · FRA Moving Story!After an unfortunate accident that broke her nose and altered her facial features, and after being rejected by many doctors in France due to her complicated case, she chose Estetik International and came to Turkey to have her nose fixed by our amazing surgeon Prof. Dr. Cenk Şen. She finally got her beauty and happy life back. Check out her full story here.Watch on YouTube 
Organic Hair Transplant · DEGorgeous Hair Loading!As a young man, baldness can make you look older. Our dear patient Andreas, decided to say “stop” to baldness and chose Estetik International to get his organic hair transplant done by our experts. Check his story and see how he decided to come with his friend to Istanbul to get their new hair.Watch on YouTube Frequently asked questions
Rectocele repair, or posterior colporrhaphy, is a surgical procedure that corrects a rectocele, a condition in which the rectum bulges into the back wall of the vagina due to weakened pelvic floor tissue. It is recommended for women who struggle with difficulty emptying the bowels, pelvic pressure, vaginal bulging, or discomfort during intimacy, especially when symptoms are linked to childbirth, aging, chronic constipation, or menopause and have not improved with pelvic floor exercises.
The procedure is performed under general or regional (spinal) anesthesia to ensure a pain-free experience. A small incision is made inside the vaginal wall to access the weakened rectovaginal tissue, which is then tightened and repositioned to restore support. In some cases, a biocompatible mesh is used to reinforce the repair. The vaginal wall is then closed with dissolvable sutures, keeping scarring virtually invisible.
Most patients experience mild swelling, pelvic soreness, and discomfort that gradually subsides within 1-2 weeks, and can typically be managed with prescribed medication. Normal daily activities can usually be resumed within 1-2 weeks, while heavy lifting, straining, and sexual activity should be avoided for 6-8 weeks to allow the repaired tissue to heal fully and securely.
Rectocele repair is designed to provide long-lasting relief by reinforcing the weakened rectovaginal tissue and restoring proper pelvic support. The full benefits, including improved bowel function and reduced pelvic pressure, become noticeable within 2-3 months as healing completes. While results are intended to be durable, maintaining a healthy weight, avoiding excessive straining, and practicing pelvic floor exercises can help preserve outcomes over time.
Because the incision is made inside the vaginal wall, external scarring is not visible. As with any surgery, temporary risks such as swelling, discomfort, or infection are possible but are minimized through careful technique and aftercare guidance. Cost in Turkey depends on the severity of the rectocele, the surgical technique used, and whether mesh reinforcement is needed. Contact our team at Estetik International for a personalized cost estimate.
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