Posted 16 August 2009 - 08:00 PM
Stilicho,I did not realize you were male- I have heard that while rare, rectoceles can occur in men. I would be interested to hear what they have to say about your defecography test.As Kathleen said, and as one of my physical therapists mentioned, there can sometimes be a sense of incomplete emptying even if that is not really the case. I can usually tell though because I often will use aloe/vitamin E suppositories along with a cream to reduce irritation after a movement- needless to say, I can tell, when doing this, if I indeed I have anything left by how well the suppository goes in. Even though you are male, the issue of pelvic floor dysfunction still applies. The doctor who wrote the foreward to Amy Stein's book mentioned that he was taught very little about it in med school, and that he was never taught anything at all about pelvic floor disorders in men.Amy also has a section in her book called 'For Men Only'- however, most of the book and the exercises apply to both men and women. Men can also have either too tight or not tight enough pelvic floor muscles. There are also tests that can check for this, like biofeedback or some kind of EMG (same things maybe?) where they put a sensor in the rectum. In my case, I have known ever since this started after the repetitive job thing that triggered it that I have tightness issues pretty much through my whole abdomen and pelvis- both muscular and adhesions that can form with the tightness condition. The causes are numerous- many of them I had never heard of before I read this book. There can even be a genetic predisposition to it.The main gist of the book, however, is about people who have tightness issues- which, based on what you've said, you probably don't have. The only part of the book that would apply to you then would be the strengthening exercises- which you might get advice about from your doctor if that is what they think you may need.Yes- I have had a defecography which showed the rectocele. Also an anal manometry. It had been previously diagnosed by a gynecologist not too long before, although I believe I have had it for over 2 decades yet nobody ever diagnosed it until much later. As I mentioned in the Amy Stein 20/20 thread, I recently went to a new gastro for evaluation. He recommends the exercises in the book, along with possible additional pelvic floor evaluation at a pelvic floor clinic that is connected to a local colon & rectal practice. I'm amenable to this, although after the previous testing at a different location, they had recommended a two-week physical therapy course that was coded as biofeedback which my insurance wouldn't cover- I couldn't afford the out-of-pocket cost of $6,000.00- $7,000.00. So hopefully this clinic would have alternatives that I could afford or maybe they would try to convince my insurance company to cover it if they recommend something similar.