59 y/o female with bulging perineum. Weight Increased in past 3 years by 40 lbs, now weigh 190, 5’4″. Defacography done two weeks ago shows a cystocele, rectocele, entereocele and complete rectal prolapse, extending approx 1″ past anus during elimination only.

HX of:
4 vaginal births
1st delivery posterior presentation w/excessive pushing, forcep delivery, 14 1/2″ head
Vaginal Hystorectomy with BSO at age 40 with cystocele repair and Breast Reduction
Rectocele Repair via transperineal approach at age 48
Fibromyalgia DX x 15 years
Great Saphenous Veins removed via Thermal technique 1-2 years ago.
Gluten allergy (swelling of Upper and lower extremities and face)

I take the following meds and supplements:
fexofenadine for allergies
Spironolactone for mineares (sp?)
Nature-throid for hypothyroidism
Turkey Rhubabrb to prevent constipation, no problems x 10 years
Krill Oil
Omega fish Oil
Melatonin
PRN Meds:
Valacyclovir for sores on mouth
Esgic for head aches and pain

A Dr. Has recommended all four surgeries be done at the same time. Is this too much for me to go through? How long would it take for all four of my surgeries? The Cystocele will be done by a Urologist and the rest by a colon rectal specialist. (The same Dr. Who did my Rectocele Repair 11 years ago.)

Also, I wasn’t given any other option for repairing the rectal prolapse than a laparoscopic anterior low resection. Is this my only option?