(Rectocele or Enterocele)
This type of prolapse occurs when the support tissue or fascia between the vagina and rectum stretches or detaches from its attachment to the pelvic bones. This loss of support allows the rectum or intestines to prolapse or fall down into the vagina.
Normal Vaginal Support
Rectocele
Symptoms:
• Vaginal pressure / discomfort
• Protrusion coming from the posterior vaginal wall
• Difficulty evacuating rectum
• Dyspareunia (painful intercourse)
• Repositioning of body during bowel movements
A common complaint is that women have to put their finger in or around the vagina or rectum to help empty their bowels. This is as with other areas of vaginal defects known as splinting.
Rectoceles are often found in conjuction with other pelvic floor disorders.
Causes
- Childbirth
- Chronic Constipation
- Chronic Straining / Cough / Heavy Lifting
- Obesity
- Aging
- Previous Hysterectomy
Prevention
Non-surgical Management
Surgical Management
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