Rectocele (Posterior Prolapse)

Prolapse Problems

Overview

A rectocele occurs when the tissue wall separating the rectum from the vagina weakens, allowing the rectum to bulge into the back wall of the vagina. This can cause difficulties with bowel movements and pelvic discomfort.

Common Symptoms

Difficulty having bowel movements

Feeling of incomplete bowel emptying

Need to press on vagina to complete bowel movement

Sensation of bulge in vagina

Rectal pressure or fullness

Discomfort during intercourse

Common Causes

Vaginal childbirth, especially multiple deliveries

Chronic constipation

Chronic coughing

Repeated heavy lifting

Obesity

Aging and weakening tissues

Treatment Options

1Dietary and Bowel Management

High-fiber diet and proper toileting techniques to reduce straining and symptoms.

2Pelvic Floor Rehabilitation

Physical therapy to strengthen pelvic muscles and improve bowel function.

3Pessary Support

Vaginal device to provide support and reduce symptoms without surgery.

4Posterior Colporrhaphy

Surgical repair to strengthen the tissue between the vagina and rectum.

Benefits of Treatment

Improved bowel function

Relief from pelvic pressure

Better quality of life

Conservative options available first

Long-lasting surgical results

Frequently Asked Questions

While not life-threatening, rectocele can significantly impact quality of life. Many women find relief with conservative treatments, while others may benefit from surgery.

Yes, a high-fiber diet with adequate fluids can soften stool and reduce straining, which may improve symptoms and prevent worsening.

Most women return to normal activities within 4-6 weeks after rectocele repair. Full healing may take up to 3 months.