Tyłopochylenie pochwy (rektokela)
Charakterystyka, pielęgnacja i opieka

Tyłopochylenie pochwy (rektokela) to osłabienie lub naderwanie przegrody odbytniczo-pochwowej, prowadzące do uwypuklenia odbytnicy do światła pochwy. Objawy obejmują uczucie nacisku, trudności z defekacją, konieczność „splintingu” (podpierania ściany pochwy palcami), dyskomfort podczas stosunku oraz zaparcia. Diagnostyka opiera się na badaniu ginekologicznym i ocenie mięśni dna miednicy, często z udziałem uroginekologa. Leczenie zależy od nasilenia objawów: w łagodnych przypadkach stosuje się ćwiczenia Kegla, pesaria, terapię biofeedback oraz miejscowe estrogeny, natomiast w cięższych przypadkach wskazana jest operacja naprawcza (kolporrafia tylna), polegająca na usunięciu nadmiaru tkanki i wzmocnieniu ściany pochwy. Wskaźnik powodzenia operacji sięga 80%, a około 10% pacjentek wymaga reoperacji.

Tyłopochylenie pochwy (rektokela) – definicja i podstawowe informacje

Tyłopochylenie pochwy, znane również jako rektokela (REK-toe-seel), to stan, w którym ściana oddzielająca odbytnicę od pochwy ulega osłabieniu lub naderwaniu. W wyniku tego tkanki znajdujące się za ścianą pochwy – w tym przypadku odbytnica – uwypuklają się do światła pochwy.12 Rektokela to rodzaj wypadania narządów miednicy, w którym tkanka odbytnicza przepuklina się przez ubytek w przegrodzie odbytniczo-pochwowej do światła pochwy.3

W większych przypadkach wypadania możesz zauważyć uwypuklenie tkanki, które wychodzi przez otwór pochwy. Aby oddać stolec, może być konieczne podparcie ściany pochwy palcami. Ta technika nazywana jest „splintingiem”. Uwypuklenie może być niewygodne, ale rzadko bywa bolesne.45

Tyłopochylenie pochwy często współwystępuje z innymi rodzajami wypadania narządów miednicy, takimi jak wypadanie pęcherza moczowego czy macicy. U kobiet z rektocele często występują też inne typy wypadania narządów miednicy.67

Objawy tyłopochylenia pochwy

Niewielkie tyłopochylenie pochwy może nie powodować żadnych objawów.89 Jednakże umiarkowane lub ciężkie przypadki mogą powodować dyskomfort i następujące objawy:

  • Uczucie uwypuklenia lub nacisku w pochwie10
  • Trudności z wypróżnianiem11
  • Uczucie niepełnego opróżnienia odbytnicy po wypróżnieniu12
  • Konieczność podparcia ściany pochwy palcami podczas defekacji (splinting)13
  • Dyskomfort lub ból podczas stosunku płciowego14
  • Zaparcia15

Jeśli objawy tyłopochylenia pochwy wpływają na twoje codzienne życie, należy skonsultować się z lekarzem.1617

Diagnoza tyłopochylenia pochwy

Diagnoza tyłopochylenia pochwy często następuje podczas badania miednicy obejmującego pochwę i odbytnicę.1819 W trakcie badania ginekologicznego lekarz ocenia siłę mięśni dna miednicy i sprawdza objawy wypadania w kanale pochwowym.20

Często rektokela rozpoznawana jest podczas rutynowego badania ginekologicznego. Jeśli masz objawy rektokele, możesz potrzebować konsultacji u lekarza specjalizującego się w zaburzeniach dna miednicy u kobiet. Ten typ lekarza nazywany jest uroginekologiem.2122

Pytania do lekarza

W przypadku tyłopochylenia pochwy, warto zadać lekarzowi następujące pytania:

  • Co mogę zrobić w domu, aby złagodzić objawy?23
  • Jakie podejście do leczenia zaleca Pan/Pani?24
  • Czy ćwiczenia Kegla mogą pomóc w moim przypadku?25

Lekarz prawdopodobnie zada ci również szereg pytań, w tym:26

  • Czy napinasz się podczas wypróżniania?
  • Czy ktokolwiek w twojej rodzinie miał kiedykolwiek tyłopochylenie pochwy lub inne problemy z miednicą?

Leczenie tyłopochylenia pochwy (rektokele)

Leczenie zależy od stopnia nasilenia wypadania. W przypadku niewielkiego tyłopochylenia pochwy, które powoduje niewiele objawów lub nie powoduje ich wcale, proste środki samoopieki, takie jak wykonywanie ćwiczeń Kegla w celu wzmocnienia mięśni miednicy, mogą przynieść ulgę.2728

Jeśli środki samoopieki i inne opcje nieoperacyjne często są skuteczne. W przypadku ciężkiego tyłopochylenia pochwy może być konieczna operacja naprawcza.2930

Leczenie zachowawcze

Zachowawcze leczenie rektokele obejmuje:

  • Ćwiczenia dna miednicy (ćwiczenia Kegla) – wzmacniają mięśnie dna miednicy, zapewniając lepsze podparcie narządów miednicy i mogą złagodzić objawy uwypuklenia.3132
  • Pesarium pochwowe – silikonowe urządzenie, które umieszcza się w pochwie. Urządzenie pomaga podtrzymać uwypuklające się tkanki. Pesarium musi być regularnie wyjmowane do czyszczenia.3334
  • Terapia biofeedback – ćwiczenia Kegla mogą być najbardziej skuteczne, gdy są nauczane przez fizjoterapeutę lub pielęgniarkę i wzmacniane biofeedbackiem. Biofeedback wykorzystuje urządzenia monitorujące, aby poinformować cię, że napinasz właściwy zestaw mięśni we właściwy sposób.3536
  • Stosowanie estrogenów – w formie kremu lub czopków dopochwowych może poprawić objawy i wzmocnić tkanki wokół pochwy.37

Leczenie operacyjne

Operacja naprawy wypadania może być konieczna, jeśli:3839

  • Ćwiczenia wzmacniające mięśnie dna miednicy lub stosowanie pesarium nie kontrolują wystarczająco dobrze objawów wypadania
  • Inne narządy miednicy również wypadają wraz z odbytnicą, a objawy bardzo ci przeszkadzają
  • Wypadanie tyłopochylenia pochwy wystaje poza pochwę i jest szczególnie uciążliwe40

Operacja często polega na usunięciu nadmiaru rozciągniętej tkanki, która tworzy uwypuklenie pochwy. Następnie umieszczane są szwy w celu podparcia struktur miednicy.4142

Najczęstszym zabiegiem naprawczym rektokele jest naprawa tylnej ściany pochwy, zwana kolporrafią tylną. Wykonuje się nacięcie w tylnej ścianie pochwy. Odbytnica jest zmieniana pozycjonowana, a nacięcie zaszywane przy jednoczesnym wzmocnieniu ścian pochwy.43 Podczas zabiegu:

  • Chirurg usuwa uszkodzoną tkankę, która nie podtrzymuje już narządów miednicy
  • Zdrowa tkanka jest zszywana razem dla dodatkowego wsparcia44
  • Czasami naprawa obejmuje także obszar między pochwą a odbytem, czyli krocze (perineorrhaphy)45

Wskaźnik powodzenia operacji naprawy rektokele może sięgać 80%.46 Jednak około 10% kobiet będzie wymagało operacji naprawy tyłopochylenia pochwy.47

Opieka pielęgniarska w tyłopochyleniu pochwy

Pielęgniarka odgrywa kluczową rolę w opiece nad pacjentką z tyłopochyleniem pochwy, zarówno w leczeniu zachowawczym, jak i w okresie okołooperacyjnym.48

Edukacja pacjentki

Do zadań pielęgniarki należy edukacja pacjentki w zakresie:4950

  • Nauki prawidłowego wykonywania ćwiczeń Kegla
  • Właściwego stosowania i pielęgnacji pesarium – pielęgniarka może nauczyć pacjentkę, jak i kiedy wyjmować, czyścić i ponownie zakładać pesarium
  • Zapobiegania zaparciom poprzez odpowiednią dietę
  • Rozpoznawania objawów, które wymagają natychmiastowej konsultacji medycznej

Opieka przed operacją

Przed planowaną operacją naprawczą rektokele pielęgniarka powinna:51

  • Omówić z pacjentką przygotowanie do zabiegu
  • Wyjaśnić przebieg zabiegu i okres pooperacyjny
  • Zalecić współpracę z fizjoterapeutą uroginekologicznym przed operacją
  • Poinstruować o konieczności wykonania lewatywy wieczorem przed zabiegiem, jeśli jest zalecana

Opieka po operacji

Po zabiegu naprawczym rektokele pielęgniarka powinna zadbać o:5253

  • Usunięcie opatrunku z pochwy i cewnika dzień po operacji
  • Monitorowanie bólu i jego odpowiednie leczenie
  • Edukację pacjentki o krwawieniu z pochwy, które może utrzymywać się przez 4-6 tygodni po zabiegu
  • Poinformowanie o konieczności powstrzymania się od współżycia płciowego i umieszczania czegokolwiek w pochwie przez 6 tygodni po operacji
  • Zalecenie stosowania podkładów lub wkładek dla ochrony odzieży, unikając tamponów
  • Monitorowanie powikłań takich jak infekcje, krwawienie, trudności z oddawaniem moczu
  • Zalecenie unikania dźwigania ciężkich przedmiotów i wysiłku przez okres co najmniej 6 tygodni po zabiegu

Typowy pobyt w szpitalu po operacji trwa od 1 do 3 dni.5455

Obserwacja i zgłaszanie powikłań

Pielęgniarka powinna poinstruować pacjentkę, aby natychmiast zgłosiła następujące objawy:5657

  • Nowy lub nasilający się ból
  • Nowe lub nasilające się krwawienie z odbytnicy
  • Niemożność oddania stolca lub gazów
  • Trudności z oddawaniem moczu
  • Gorączka lub oznaki infekcji wokół miejsc nacięcia

Samoopieka i profilaktyka w tyłopochyleniu pochwy

Aby zmniejszyć ryzyko pogorszenia tyłopochylenia pochwy lub zapobiec nawrotom po operacji, należy stosować następujące zalecenia:5859

Ćwiczenia Kegla

Regularne wykonywanie ćwiczeń Kegla wzmacnia mięśnie dna miednicy. Jest to szczególnie ważne po urodzeniu dziecka.60 Ćwiczenia te mogą być najbardziej skuteczne, gdy są nauczane przez fizjoterapeutę lub pielęgniarkę i wzmacniane biofeedbackiem.61

Wsparcie fizjoterapeuty uroginekologicznego jest szczególnie ważne – może on kierować wykonywaniem ćwiczeń w bezpieczny i skuteczny sposób.62 Należy pamiętać, że istnieje więcej aspektów zdrowia dna miednicy niż tylko ćwiczenia Kegla.63

Zapobieganie zaparciom

Zaparcia mogą przyczyniać się do rozwoju tyłopochylenia pochwy, dlatego ważne jest ich unikanie poprzez:6465

  • Dietę bogatą w błonnik – spożywanie owoców, warzyw, roślin strączkowych i pełnoziarnistych zbóż
  • Picie dużej ilości płynów – przynajmniej 6-8 szklanek wody dziennie
  • Stosowanie środków zmiękczających stolec w razie potrzeby (nie należy stosować środków przeczyszczających)
  • Unikanie napinania się podczas wypróżniania

Inne zalecenia profilaktyczne

Dodatkowo zaleca się:6667

  • Unikanie dźwigania ciężkich przedmiotów i prawidłowe podnoszenie – używanie nóg zamiast talii lub pleców
  • Kontrolowanie kaszlu – leczenie przewlekłego kaszlu lub zapalenia oskrzeli, niepalenie tytoniu
  • Utrzymywanie prawidłowej masy ciała – należy skonsultować się z lekarzem, aby określić najlepszą dla ciebie wagę
  • Zapobieganie lub leczenie przewlekłych zaburzeń oddechowych i metabolicznych
  • Unikanie długotrwałego stania

Po operacji naprawczej rektokele należy kontynuować ćwiczenia mięśni dna miednicy przez całe życie.68

Jakość życia i wsparcie pacjentek z tyłopochyleniem pochwy

Tyłopochylenie pochwy może wpływać na ważne aspekty życia, w tym funkcje seksualne i zdolność do ćwiczeń.69 Dlatego kompleksowa opieka powinna obejmować również aspekty psychologiczne i społeczne.

Wpływ na funkcje seksualne

Niektóre kobiety mogą odczuwać ból lub dyskomfort podczas stosunku płciowego z powodu rektokele.70 Należy jednak pamiętać, że:

  • Większość kobiet przechodzących operacyjne leczenie wypadania doświadcza poprawy w zakresie funkcji seksualnych71
  • Wskaźnik wystąpienia nowych dysfunkcji seksualnych po operacji jest bardzo niski (mniej niż 10%)72
  • Niektóre kobiety stwierdzają, że stosunek płciowy jest bardziej komfortowy po naprawie wypadania73

Wsparcie psychologiczne

Pacjentki z rektokele mogą doświadczać niepokoju i obaw związanych z ich stanem. Ważne jest zapewnienie odpowiedniego wsparcia psychologicznego i edukacji.74 Należy podkreślić, że:

  • Rektokele jest częstym schorzeniem, szczególnie u kobiet, które rodziły75
  • Dostępne są skuteczne metody leczenia, zarówno zachowawcze, jak i operacyjne76
  • Wiele kobiet skutecznie radzi sobie z rektokele poprzez zmiany stylu życia77

Zespół interdyscyplinarny

Najlepsze wyniki w leczeniu rektokele osiąga się, gdy opiekę sprawuje zespół interdyscyplinarny, który może obejmować:7879

  • Uroginekologów – lekarzy specjalizujących się w zaburzeniach dna miednicy u kobiet
  • Pielęgniarki specjalizujące się w problemach z dnem miednicy
  • Fizjoterapeutów uroginekologicznych
  • Psychologów

Podejście interdyscyplinarne do opieki nad kobietami z zaburzeniami dna miednicy w jednym miejscu pozwala specjalistom z różnych dziedzin współpracować przy tworzeniu nowych metod leczenia i innowacji, które wykraczają poza podejścia specyficzne dla danej dyscypliny, by kompleksowo rozwiązywać problemy z dnem miednicy każdej kobiety.80

Podsumowując, opieka pielęgniarska nad pacjentką z tyłopochyleniem pochwy powinna być kompleksowa i skupiać się na edukacji, wsparciu w leczeniu zachowawczym, profesjonalnej opiece okołooperacyjnej oraz promowaniu zdrowego stylu życia, który minimalizuje ryzyko nawrotu schorzenia.

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of tissue that separates the rectum from the vagina weakens or tears. When this happens, tissues or structures just behind the vaginal wall in this case, the rectum can bulge into the vagina. […] A posterior vaginal prolapse is a bulge of tissue into the vagina. It happens when the tissue between the rectum and the vagina weakens or tears. This causes the rectum to push into the vaginal wall. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] With a large prolapse, you might notice a bulge of tissue that pushes through the opening of the vagina. To pass stool, you might need to support the vaginal wall with your fingers. This is called splinting. The bulge can be uncomfortable, but it’s rarely painful.
  • #2 Posterior vaginal prolapse (rectocele) | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/posterior-vaginal-prolapse-rectocele?content_id=CON-20314570
    A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of tissue that separates the rectum from the vagina weakens or tears. When this happens, tissues or structures just behind the vaginal wall in this case, the rectum can bulge into the vagina. […] A posterior vaginal prolapse is a bulge of tissue into the vagina. It happens when the tissue between the rectum and the vagina weakens or tears. This causes the rectum to push into the vaginal wall. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] With a large prolapse, you might notice a bulge of tissue that pushes through the opening of the vagina. To pass stool, you might need to support the vaginal wall with your fingers. This is called splinting. The bulge can be uncomfortable, but it’s rarely painful.
  • #3 Rectocele – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK546689/
    Rectoceles are a type of pelvic organ prolapse where the rectal tissue herniates through a defect in the rectovaginal septum into the vaginal lumen. […] The management of this condition largely depends on the extent of the prolapse and the severity of the symptoms. Management options include lifestyle changes, medications, pessaries, and surgery. […] The severity of the patient’s symptomatology dictates the management approach to rectocele. […] Conservative medical management of rectoceles begins with behavioral modifications. A high fiber diet and increased water intake to reduce constipation/defecatory symptoms may be enough to improve the patients quality of life. […] When the conservative treatment is unsuccessful, the next step is the use of a vaginal pessary. […] Surgical management is reserved for those with obstructive defecatory symptoms and bothersome symptoms who have failed other forms of treatment.
  • #4 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of tissue that separates the rectum from the vagina weakens or tears. When this happens, tissues or structures just behind the vaginal wall in this case, the rectum can bulge into the vagina. […] A posterior vaginal prolapse is a bulge of tissue into the vagina. It happens when the tissue between the rectum and the vagina weakens or tears. This causes the rectum to push into the vaginal wall. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] With a large prolapse, you might notice a bulge of tissue that pushes through the opening of the vagina. To pass stool, you might need to support the vaginal wall with your fingers. This is called splinting. The bulge can be uncomfortable, but it’s rarely painful.
  • #5 Posterior vaginal prolapse (rectocele) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/posterior-vaginal-prolapse-rectocele
    A posterior vaginal prolapse is a bulge of tissue into the vagina. It happens when the tissue between the rectum and the vagina weakens or tears. This causes the rectum to push into the vaginal wall. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] With a large prolapse, you might notice a bulge of tissue that pushes through the opening of the vagina. To pass stool, you might need to support the vaginal wall with your fingers. This is called splinting. The bulge can be uncomfortable, but it’s rarely painful. […] If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] A diagnosis of posterior vaginal prolapse often happens during a pelvic exam of the vagina and rectum.
  • #6 Posterior vaginal prolapse (rectocele) | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/posterior-vaginal-prolapse-rectocele?content_id=CON-20314570
    If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. A surgeon can evaluate the prolapse and talk about options for surgery to fix it. […] Sometimes, posterior vaginal prolapse doesn’t cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] Treatment depends on how severe your prolapse is. Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief.
  • #7
    https://www.kuh.ku.edu.tr/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/posterior-vaginal-prolapse-rectocele
    Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. A surgeon can evaluate the prolapse and talk about options for surgery to fix it. […] Sometimes, posterior vaginal prolapse doesn’t cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] Treatment depends on how severe your prolapse is. Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning.
  • #8 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of tissue that separates the rectum from the vagina weakens or tears. When this happens, tissues or structures just behind the vaginal wall in this case, the rectum can bulge into the vagina. […] A posterior vaginal prolapse is a bulge of tissue into the vagina. It happens when the tissue between the rectum and the vagina weakens or tears. This causes the rectum to push into the vaginal wall. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] With a large prolapse, you might notice a bulge of tissue that pushes through the opening of the vagina. To pass stool, you might need to support the vaginal wall with your fingers. This is called splinting. The bulge can be uncomfortable, but it’s rarely painful.
  • #9 Posterior vaginal prolapse (rectocele) | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/posterior-vaginal-prolapse-rectocele
    A posterior vaginal prolapse is a bulge of tissue into the vagina. It happens when the tissue between the rectum and the vagina weakens or tears. This causes the rectum to push into the vaginal wall. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] With a large prolapse, you might notice a bulge of tissue that pushes through the opening of the vagina. To pass stool, you might need to support the vaginal wall with your fingers. This is called splinting. The bulge can be uncomfortable, but it’s rarely painful. […] If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. A surgeon can evaluate the prolapse and talk about options for surgery to fix it.
  • #10 Posterior Vaginal Wall & Perineal Body Repair – Your Pelvic Floor
    https://www.yourpelvicfloor.org/conditions/posterior-vaginal-wall-perineal-body-repair/
    About 1 in 10 women require surgery for vaginal prolapse. A prolapse of the back (posterior) wall of the vagina is usually due to a weakness in the strong tissue layer (fascia) that divides the vagina from the lower part of the bowel (rectum). This weakness may cause difficulty when passing a bowel movement, a feeling of fullness or dragging in the vagina or an uncomfortable bulge that may extend beyond the vaginal opening. Other names for the weakness of the back wall of the vagina include rectocele and enterocele. […] The aim of surgery is to relieve the symptoms of vaginal bulge and/or laxity and to improve or maintain bowel function without interfering with sexual function. […] The following complications are more specifically related to posterior vaginal wall repair: Constipation is a common post-operative problem and your doctor may prescribe laxatives for this. Try to maintain a high fiber diet, drink plenty of fluids and use a stool softener. Remember constipation also contributes to forming a posterior wall prolapse and it is therefore important to avoid getting constipated. […] Some women develop pain or discomfort with intercourse. While every effort is made to prevent this from happening, it is sometimes unavoidable. Some women also find intercourse is more comfortable after their prolapse is repaired.
  • #11 Rectocele – Newport Beach, CA & Irvine, CA: OBGYN CARE: OB/GYN
    https://www.obgyn-care.net/services/rectocele
    A rectocele can be uncomfortable and affect your daily life. […] A rectocele is also called a posterior vaginal prolapse. […] If you have a rectocele, you might experience: Difficulty with bowel movements, Sensation of rectal fullness or pressure, Feeling like your rectum hasn’t completely emptied following a bowel movement, Sexual concerns, such as loss of elasticity. […] To treat rectocele, Dr. Marinescu or Dr. Baker might suggest: Specific exercises, such as kegel exercises and yoga, Drinking plenty of fluids and eating more fiber from healthy foods like fruits and vegetables, Avoiding heavy lifting, Controlling coughing, Maintaining a healthy weight, Medications, such as anti-inflammatories. […] Your provider might suggest a pessary a rubber or plastic ring gently inserted into your vagina to support bulging tissues.
  • #12 Rectocele – Newport Beach, CA & Irvine, CA: OBGYN CARE: OB/GYN
    https://www.obgyn-care.net/services/rectocele
    A rectocele can be uncomfortable and affect your daily life. […] A rectocele is also called a posterior vaginal prolapse. […] If you have a rectocele, you might experience: Difficulty with bowel movements, Sensation of rectal fullness or pressure, Feeling like your rectum hasn’t completely emptied following a bowel movement, Sexual concerns, such as loss of elasticity. […] To treat rectocele, Dr. Marinescu or Dr. Baker might suggest: Specific exercises, such as kegel exercises and yoga, Drinking plenty of fluids and eating more fiber from healthy foods like fruits and vegetables, Avoiding heavy lifting, Controlling coughing, Maintaining a healthy weight, Medications, such as anti-inflammatories. […] Your provider might suggest a pessary a rubber or plastic ring gently inserted into your vagina to support bulging tissues.
  • #13 Anterior and Posterior Vaginal Wall Prolapse – Gynecology and Obstetrics – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gynecology-and-obstetrics/pelvic-organ-prolapse-pop/anterior-and-posterior-vaginal-wall-prolapse
    Posterior vaginal wall prolapse is commonly referred to as rectocele (rectum). […] Rectoceles may cause constipation and incomplete defecation; patients may have to insert fingers into the vagina and apply pressure to the posterior vaginal wall (called splinting) and thus change the angle of the rectum so that they can defecate. […] Treatment of anterior or posterior vaginal wall prolapse is individualized, based on a patient’s symptoms, with the goal of improving quality of life. […] First-line conservative treatment options include pelvic floor physical therapy (for less severe pelvic organ prolapse) and pessaries, with surgical options available based on patient preference and clinical pelvic organ prolapse severity.
  • #14 Rectocele – Newport Beach, CA & Irvine, CA: OBGYN CARE: OB/GYN
    https://www.obgyn-care.net/services/rectocele
    A rectocele can be uncomfortable and affect your daily life. […] A rectocele is also called a posterior vaginal prolapse. […] If you have a rectocele, you might experience: Difficulty with bowel movements, Sensation of rectal fullness or pressure, Feeling like your rectum hasn’t completely emptied following a bowel movement, Sexual concerns, such as loss of elasticity. […] To treat rectocele, Dr. Marinescu or Dr. Baker might suggest: Specific exercises, such as kegel exercises and yoga, Drinking plenty of fluids and eating more fiber from healthy foods like fruits and vegetables, Avoiding heavy lifting, Controlling coughing, Maintaining a healthy weight, Medications, such as anti-inflammatories. […] Your provider might suggest a pessary a rubber or plastic ring gently inserted into your vagina to support bulging tissues.
  • #15 Posterior Vaginal Wall & Perineal Body Repair – Your Pelvic Floor
    https://www.yourpelvicfloor.org/conditions/posterior-vaginal-wall-perineal-body-repair/
    About 1 in 10 women require surgery for vaginal prolapse. A prolapse of the back (posterior) wall of the vagina is usually due to a weakness in the strong tissue layer (fascia) that divides the vagina from the lower part of the bowel (rectum). This weakness may cause difficulty when passing a bowel movement, a feeling of fullness or dragging in the vagina or an uncomfortable bulge that may extend beyond the vaginal opening. Other names for the weakness of the back wall of the vagina include rectocele and enterocele. […] The aim of surgery is to relieve the symptoms of vaginal bulge and/or laxity and to improve or maintain bowel function without interfering with sexual function. […] The following complications are more specifically related to posterior vaginal wall repair: Constipation is a common post-operative problem and your doctor may prescribe laxatives for this. Try to maintain a high fiber diet, drink plenty of fluids and use a stool softener. Remember constipation also contributes to forming a posterior wall prolapse and it is therefore important to avoid getting constipated. […] Some women develop pain or discomfort with intercourse. While every effort is made to prevent this from happening, it is sometimes unavoidable. Some women also find intercourse is more comfortable after their prolapse is repaired.
  • #16 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] Sometimes, posterior vaginal prolapse doesn’t cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] To help keep posterior vaginal prolapse from getting worse, you might try to: Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. […] Avoid heavy lifting and lift correctly. Use your legs instead of your waist or back to lift. […] Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. […] Avoid weight gain. Ask your health care provider to help you determine the best weight for you. Ask for advice on how to lose weight, if needed.
  • #17 Posterior vaginal prolapse (rectocele) – Hancock Health
    https://www.hancockhealth.org/mayo-health-library/posterior-vaginal-prolapse-rectocele/
    Sometimes, posterior vaginal prolapse doesnt cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] To help keep posterior vaginal prolapse from getting worse, you might try to: Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. […] Treatment depends on how severe your prolapse is. Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] Surgery to fix the prolapse might be needed if: Pelvic floor strengthening exercises or using a pessary doesnt control your prolapse symptoms well enough.
  • #18 Posterior vaginal prolapse (rectocele) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/diagnosis-treatment/drc-20353419
    A diagnosis of posterior vaginal prolapse often happens during a pelvic exam of the vagina and rectum. […] Our caring team of Mayo Clinic experts can help you with your posterior vaginal prolapse (rectocele)-related health concerns Start Here. […] Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause.
  • #19 Posterior vaginal prolapse (rectocele) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/posterior-vaginal-prolapse-rectocele
    A posterior vaginal prolapse is a bulge of tissue into the vagina. It happens when the tissue between the rectum and the vagina weakens or tears. This causes the rectum to push into the vaginal wall. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] With a large prolapse, you might notice a bulge of tissue that pushes through the opening of the vagina. To pass stool, you might need to support the vaginal wall with your fingers. This is called splinting. The bulge can be uncomfortable, but it’s rarely painful. […] If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] A diagnosis of posterior vaginal prolapse often happens during a pelvic exam of the vagina and rectum.
  • #20 Posterior Vaginal Prolapse (Rectocele) – Giggles – Giggles
    http://giggles.co.in/departments/posterior-vaginal-prolapse-rectocele/
    Prolonged pressure on the pelvic floor results in rectocele. Rectocele risk factors could include […] […] Our Gynecologists at Giggles Hospitals can frequently identify a rectocele after a comprehensive physical examination and medical history. The diagnosis could be […] […] During a pelvic exam, your healthcare provider may evaluate the strength of your pelvic floor muscles and check for symptoms of prolapse in the vaginal canal. […] The severity of posterior vaginal prolapse will determine your course of treatment, which include […] The doctor at the Gynecologist hospital might also perform surgery if the condition requires more extensive treatment. […] Posterior vaginal prolapse is a common medical condition that might cause severe discomfort. Sometimes, the bulge may even protrude out of the vaginal opening, which can be a matter of concern. Thus, you might be able to curb the condition with proper care at Giggles Hospital. Giggles Hospital offers comprehensive care and specialized treatment options to address and manage this condition effectively.
  • #21 Posterior vaginal prolapse (rectocele) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/diagnosis-treatment/drc-20353419
    For posterior vaginal prolapse, you might need to see a doctor who specializes in female pelvic floor conditions. This type of doctor is called a urogynecologist. […] For posterior vaginal prolapse, some basic questions to ask your care provider include: What can I do at home to ease my symptoms? […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback.
  • #22 Posterior vaginal prolapse (rectocele) – Hancock Health
    https://www.hancockhealth.org/mayo-health-library/posterior-vaginal-prolapse-rectocele/
    Sometimes, self-care measures provide relief from prolapse symptoms. You could try to: Perform Kegel exercises to strengthen pelvic muscles […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause. […] For posterior vaginal prolapse, you might need to see a doctor who specializes in female pelvic floor conditions. This type of doctor is called a urogynecologist.
  • #23 Posterior vaginal prolapse (rectocele) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/diagnosis-treatment/drc-20353419
    For posterior vaginal prolapse, you might need to see a doctor who specializes in female pelvic floor conditions. This type of doctor is called a urogynecologist. […] For posterior vaginal prolapse, some basic questions to ask your care provider include: What can I do at home to ease my symptoms? […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback.
  • #24 Posterior vaginal prolapse (rectocele)
    http://ask-ahd.ahdubai.com/con-20314570
    Kegel exercises may be most successful when they’re taught by a physical therapist and reinforced with biofeedback. […] For posterior vaginal prolapse, some basic questions to ask your doctor include: […] What can I do at home to ease my symptoms? […] What treatment approach do you recommend? […] Your doctor is likely to ask you a number of questions, including: […] Do you strain during bowel movements? […] Has anyone in your family ever had posterior vaginal prolapse or any other pelvic problems?
  • #25 Posterior vaginal prolapse (rectocele) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/diagnosis-treatment/drc-20353419
    For posterior vaginal prolapse, you might need to see a doctor who specializes in female pelvic floor conditions. This type of doctor is called a urogynecologist. […] For posterior vaginal prolapse, some basic questions to ask your care provider include: What can I do at home to ease my symptoms? […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback.
  • #26 Posterior vaginal prolapse (rectocele)
    http://ask-ahd.ahdubai.com/con-20314570
    Kegel exercises may be most successful when they’re taught by a physical therapist and reinforced with biofeedback. […] For posterior vaginal prolapse, some basic questions to ask your doctor include: […] What can I do at home to ease my symptoms? […] What treatment approach do you recommend? […] Your doctor is likely to ask you a number of questions, including: […] Do you strain during bowel movements? […] Has anyone in your family ever had posterior vaginal prolapse or any other pelvic problems?
  • #27 Posterior vaginal prolapse (rectocele) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/diagnosis-treatment/drc-20353419
    A diagnosis of posterior vaginal prolapse often happens during a pelvic exam of the vagina and rectum. […] Our caring team of Mayo Clinic experts can help you with your posterior vaginal prolapse (rectocele)-related health concerns Start Here. […] Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause.
  • #28 Posterior vaginal prolapse (rectocele) | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/posterior-vaginal-prolapse-rectocele?content_id=CON-20314570
    If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. A surgeon can evaluate the prolapse and talk about options for surgery to fix it. […] Sometimes, posterior vaginal prolapse doesn’t cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] Treatment depends on how severe your prolapse is. Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief.
  • #29 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] Sometimes, posterior vaginal prolapse doesn’t cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] To help keep posterior vaginal prolapse from getting worse, you might try to: Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. […] Avoid heavy lifting and lift correctly. Use your legs instead of your waist or back to lift. […] Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. […] Avoid weight gain. Ask your health care provider to help you determine the best weight for you. Ask for advice on how to lose weight, if needed.
  • #30 Posterior vaginal prolapse (rectocele) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/posterior-vaginal-prolapse-rectocele
    A posterior vaginal prolapse is a bulge of tissue into the vagina. It happens when the tissue between the rectum and the vagina weakens or tears. This causes the rectum to push into the vaginal wall. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] With a large prolapse, you might notice a bulge of tissue that pushes through the opening of the vagina. To pass stool, you might need to support the vaginal wall with your fingers. This is called splinting. The bulge can be uncomfortable, but it’s rarely painful. […] If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] A diagnosis of posterior vaginal prolapse often happens during a pelvic exam of the vagina and rectum.
  • #31 Posterior vaginal prolapse (rectocele) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/posterior-vaginal-prolapse-rectocele
    Treatment depends on how severe your prolapse is. Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning. […] Surgery to fix the prolapse might be needed if: Pelvic floor strengthening exercises or using a pessary doesn’t control your prolapse symptoms well enough. […] Sometimes, self-care measures provide relief from prolapse symptoms. You could try to: Perform Kegel exercises to strengthen pelvic muscles. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause. […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback. Biofeedback uses monitoring devices to let you know that you’re tightening the right set of muscles in the right way.
  • #32 Posterior vaginal prolapse (rectocele) – Hancock Health
    https://www.hancockhealth.org/mayo-health-library/posterior-vaginal-prolapse-rectocele/
    Sometimes, self-care measures provide relief from prolapse symptoms. You could try to: Perform Kegel exercises to strengthen pelvic muscles […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause. […] For posterior vaginal prolapse, you might need to see a doctor who specializes in female pelvic floor conditions. This type of doctor is called a urogynecologist.
  • #33 Posterior vaginal prolapse (rectocele) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/diagnosis-treatment/drc-20353419
    A diagnosis of posterior vaginal prolapse often happens during a pelvic exam of the vagina and rectum. […] Our caring team of Mayo Clinic experts can help you with your posterior vaginal prolapse (rectocele)-related health concerns Start Here. […] Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause.
  • #34 Posterior vaginal prolapse (rectocele) | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/posterior-vaginal-prolapse-rectocele?content_id=CON-20314570
    A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning. […] Surgery to fix the prolapse might be needed if: Pelvic floor strengthening exercises or using a pessary doesn’t control your prolapse symptoms well enough. […] Sometimes, self-care measures provide relief from prolapse symptoms. You could try to: Perform Kegel exercises to strengthen pelvic muscles. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause. […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback. Biofeedback uses monitoring devices to let you know that you’re tightening the right set of muscles in the right way.
  • #35 Posterior vaginal prolapse (rectocele) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/posterior-vaginal-prolapse-rectocele
    Treatment depends on how severe your prolapse is. Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning. […] Surgery to fix the prolapse might be needed if: Pelvic floor strengthening exercises or using a pessary doesn’t control your prolapse symptoms well enough. […] Sometimes, self-care measures provide relief from prolapse symptoms. You could try to: Perform Kegel exercises to strengthen pelvic muscles. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause. […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback. Biofeedback uses monitoring devices to let you know that you’re tightening the right set of muscles in the right way.
  • #36 Posterior vaginal prolapse (rectocele) | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/posterior-vaginal-prolapse-rectocele?content_id=CON-20314570
    A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning. […] Surgery to fix the prolapse might be needed if: Pelvic floor strengthening exercises or using a pessary doesn’t control your prolapse symptoms well enough. […] Sometimes, self-care measures provide relief from prolapse symptoms. You could try to: Perform Kegel exercises to strengthen pelvic muscles. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause. […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback. Biofeedback uses monitoring devices to let you know that you’re tightening the right set of muscles in the right way.
  • #37 Rectocele | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/rectocele
    Some of the causes of a rectocele include vaginal childbirth, hysterectomy, pelvic surgery and chronic constipation. […] A rectocele may occur by itself or present alongside other pelvic abnormalities, such as a prolapsed bladder (cystocele). […] Surgery may be needed if the rectocele doesnt respond to simpler treatments. […] Milder cases can be treated by measures such as management of constipation, Kegel exercises to strengthen the pelvic floor and the insertion of a vaginal pessary to prop up the pelvic organs. Surgery may be needed in severe cases. […] Treatment options may include: High-fibre diet, Fibre supplements, At least six to eight glasses of water per day, Stool softeners (dont use laxatives), Instruction on how to help yourself to pass a bowel motion; for example, you may be advised to gently press a finger against the rear wall of the vagina while toileting, Dont strain on the toilet, Hormone replacement therapy for postmenopausal women, Pelvic floor (Kegel) exercises, Insertion of a pessary a ring-like device worn high in the vagina that helps to support the pelvic organs.
  • #38 Posterior vaginal prolapse (rectocele) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/posterior-vaginal-prolapse-rectocele
    Treatment depends on how severe your prolapse is. Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning. […] Surgery to fix the prolapse might be needed if: Pelvic floor strengthening exercises or using a pessary doesn’t control your prolapse symptoms well enough. […] Sometimes, self-care measures provide relief from prolapse symptoms. You could try to: Perform Kegel exercises to strengthen pelvic muscles. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause. […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback. Biofeedback uses monitoring devices to let you know that you’re tightening the right set of muscles in the right way.
  • #39 Posterior vaginal prolapse (rectocele) | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/posterior-vaginal-prolapse-rectocele
    Treatment depends on how severe your prolapse is. Treatment might involve: […] If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning. […] Surgery to fix the prolapse might be needed if: […] Surgery often involves removing extra, stretched tissue that forms the vaginal bulge. Then stitches are placed to support pelvic structures. When the uterus is also prolapsed, the uterus might need to be removed (hysterectomy). More than one type of prolapse can be repaired during the same surgery. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause. […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback. Biofeedback uses monitoring devices to let you know that you’re tightening the right set of muscles in the right way.
  • #40 Rectocele (Posterior Prolapse) – Alaska Urology
    https://www.alaskaurology.com/womens-health/rectocele-posterior-prolapse/
    A posterior vaginal wall prolapse occurs when the thin wall of tissue that separates the rectum from the vagina weakens, allowing the vaginal wall to bulge. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] If needed, self-care measures and other nonsurgical options are often effective. Severe posterior vaginal prolapse might require surgical repair. […] A small posterior vaginal prolapse (rectocele) may cause no signs or symptoms. […] Posterior vaginal prolapse results from pressure on the pelvic floor. […] To reduce your risk of worsening posterior vaginal prolapse, try to: Perform Kegel exercises regularly. These exercises can strengthen your pelvic floor muscles especially important after you have a baby. […] Treatment depends on the severity of the posterior vaginal prolapse. Your doctor might recommend: Observation. If your posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen your pelvic muscles may provide relief. […] Surgical repair might be needed if: The posterior vaginal prolapse protrudes outside your vagina and is especially bothersome.
  • #41 Posterior vaginal prolapse (rectocele) | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/posterior-vaginal-prolapse-rectocele
    Treatment depends on how severe your prolapse is. Treatment might involve: […] If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] A vaginal pessary is a silicone device that you put into the vagina. The device helps support bulging tissues. A pessary must be removed regularly for cleaning. […] Surgery to fix the prolapse might be needed if: […] Surgery often involves removing extra, stretched tissue that forms the vaginal bulge. Then stitches are placed to support pelvic structures. When the uterus is also prolapsed, the uterus might need to be removed (hysterectomy). More than one type of prolapse can be repaired during the same surgery. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause. […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback. Biofeedback uses monitoring devices to let you know that you’re tightening the right set of muscles in the right way.
  • #42 Mayo Clinic Health Library – Posterior vaginal prolapse (rectocele) | Swiss Medical Network
    https://www.swissmedical.net/en/healtcare-library/con-20314570
    Surgery to fix the prolapse might be needed if: […] Surgery often involves removing extra, stretched tissue that forms the vaginal bulge. Then stitches are placed to support pelvic structures. […] Kegel exercises strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. It also might relieve bulge symptoms that posterior vaginal prolapse can cause. […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback. Biofeedback uses monitoring devices to let you know that you’re tightening the right set of muscles in the right way.
  • #43
    https://www.vaginacoach.com/blog/preparing-for-a-rectocele-repair-prolapse-surgery
    My decision to have rectocele repair surgery was a BIG one and a lot of thought and research and care provider consults contributed to it. […] I hope to help change that with the aim of preventing surgery for some and improving the outcomes of those that go ahead. […] The most common rectocele repair is a repair of the posterior vaginal wall and is called a Posterior Colporrhaphy. An incision is made in the back wall of the vagina. The rectum is repositioned and the incision is sewn up while also reinforcing the walls of the vagina. […] There are many conservative approaches to managing prolapse with diet and pelvic floor exercise being of utmost importance. […] When a decision is made to have surgery, it is essential to consider pre-hab, working with a pelvic floor physical therapist and choosing the right surgeon.
  • #44 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    A rectocele is a condition where weakened tissues in your pelvis cause your rectum to sag onto your vaginal wall. Its a form of pelvic organ prolapse. If the bulge (prolapse) is small, you may not notice symptoms. With a more significant prolapse, your rectum may protrude out of your vagina. In severe cases, you may need surgery to repair the rectocele. […] Rectocele is also called posterior vaginal wall prolapse. […] Mild rectoceles may be managed with pelvic floor exercises to strengthen your pelvic floor muscles. Your healthcare provider may also recommend a pessary. A vaginal pessary is a removable device inserted into your vagina to support prolapsed organs. […] With moderate to more severe prolapse, your healthcare provider may recommend surgery to repair the rectocele. […] A surgical procedure called posterior colporrhaphy is commonly used to repair rectoceles. During the procedure, your provider removes damaged tissue that’s no longer supporting your pelvic organs and sutures the healthy tissue together for added support.
  • #45 Pelvic floor repair (anterior and posterior) without the use of mesh – Buckinghamshire Healthcare NHS Trust
    https://www.buckshealthcare.nhs.uk/pifs/pelvic-floor-repair-anterior-and-posterior-without-the-use-of-mesh/
    A posterior vaginal wall prolapse (also called a rectocele or a rectoenterocele) is a prolapse of the back wall of the vagina. The rectum (bowel) bulges through the vagina. […] A large rectocele may make it very hard to have a bowel movement especially if you have constipation. Some women have to push the bulge back into the vagina with their fingers, support the perineum or insert a finger in the back passage in order to complete a bowel movement. Some women find that the bulge causes a dragging or aching sensation. […] A posterior vaginal repair (colporrhaphy) is an operation performed within the vagina to treat a posterior (back) vaginal wall prolapse also called a rectocele. […] Posterior repair is often combined with a repair of the area between the vagina and the back passage, the perineum (perineorrhaphy).
  • #46 What is a Rectocele (Posterior Vaginal Wall Prolapse)?
    https://www.greaterbostonurology.com/blog/what-is-a-rectocele
    DR. EZZEDINE: Rectoceles, like all types of prolapse, can be treated surgically or with non-surgical options, such as a pessary. A pessary is a device placed in the vagina that pushes the prolapse inside of a woman’s body providing symptom relief. However, It is important for women to understand that a pessary does not eradicate the prolapse. When a woman stops wearing the pessary, the prolapse will return. Surgical repairs may involve addressing an isolated rectocele with a vaginal rectocele repair procedure or doing a combined procedure that corrects multiple prolapse compartments depending on the individual patient prolapse presentation. […] DR. EZZEDINE: The success rate of a vaginal rectocele repair can reach up to 80%. […] DR. EZZEDINE: Rectocele repairs are typically known to improve bowel function as most symptoms of rectocele are related to bowel dysfunction. However, some women may not experience bowel-symptom relief, especially when their symptoms were not to begin with due to their rectoceles (such as women with long standing chronic constipation). It is very important to undergo a thorough and detailed assessment of symptoms by a specialized provider, such as a urogynecologist, to determine which patient will benefit from a surgical repair of a rectocele versus someone who would benefit from different therapies. Most women undergoing surgical management of prolapse will experience improvement in their sexual function. The reported rate of a new onset sexual dysfunction after surgery is very low (less than 10%).
  • #47 Colporrhaphy (Vaginal Wall Repair)
    https://www.materprivate.ie/our-services/womens-health/Colporrhaphy-Vaginal-Wall-Repair
    Posterior vaginal wall prolapse is when there is a bulge or a sensation of something coming down from back wall of the vagina. This is also known as rectocele. About 10% of people will require surgery, such as colporrhaphy, for posterior vaginal wall prolapse. […] Posterior colporrhaphy (posterior vaginal wall repair) is a procedure to treat prolapse of the back wall of the vagina (rectocele). It reinforces the tissue between the rectum and the vagina. […] 80-90 % of patients having surgery for posterior vaginal wall prolapse find it successful, with approximately 50% of patients who experienced incomplete bowel emptying or constipation reporting an improvement after surgery. […] With posterior colporrhaphy, the perineal body is also repaired, as required, by placing stitches into the perineal muscles to help build up and support the perineal body.
  • #48 Rectocele – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK546689/
    Rectoceles may be benign but have enormous morbidity. The disorder is underdiagnosed and undertreated. For this reason, management is best when performed by an interprofessional team. […] A wound care nurse should educate the patient on the management of the prolapsed rectocele and what complications may occur; these need to be shared with the treating physician and the rest of the team.
  • #49 Rectocele – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK546689/
    Rectoceles may be benign but have enormous morbidity. The disorder is underdiagnosed and undertreated. For this reason, management is best when performed by an interprofessional team. […] A wound care nurse should educate the patient on the management of the prolapsed rectocele and what complications may occur; these need to be shared with the treating physician and the rest of the team.
  • #50
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7089
    A rectocele occurs when the rectum moves from its normal position and presses against the back wall of the vagina. This is also called posterior vaginal wall prolapse. […] A rectocele may not cause symptoms. Or, you may notice tissue pushing into your vagina when you strain or bear down during a bowel movement. You may feel pressure, have pain during sex, or have trouble passing stool. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Try pelvic floor (Kegel) exercises, which tighten and strengthen pelvic muscles. […] Ask your doctor about a vaginal pessary. It can placed in the vagina to help support the rectum. Your doctor can teach you how and when to remove, clean, and reinsert it.
  • #51
    https://www.vaginacoach.com/blog/preparing-for-a-rectocele-repair-prolapse-surgery
    Your doctor will have a preparation list such as the medication needed, an enema the night before but I believe outcomes could be improved with more intentional preparation. Working with a pelvic floor physiotherapist is one essential piece. […] Typical recovery is 4-6 weeks with heavy lifting off-limits for at least 6 weeks. […] I recommend working with a pelvic floor physio ahead of time to address faulty or non-optimal movement patterns so they are not an ongoing issue after. […] Recovering from pelvic floor surgery is in many ways like postpartum recovery. […] Pre-book a post-op assessment with your physiotherapist for around 8 weeks after your surgery. […] There needs to be a gradual, progressive return to these activities to ensure optimal movement patterns and load management. […] Work with a pelvic floor physical therapist […] There is more to pelvic floor wellness than kegels. […] It is THAT important.
  • #52 Rectocele | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/rectocele
    Surgery may be needed if the rectocele doesnt respond to other treatments and is causing symptoms. […] Be guided by your doctor, but general suggestions include: Rest as much as you can, Avoid heavy lifting or straining for a few weeks, Dont strain on the toilet, Take measures to prevent constipation, such as eating high-fibre foods and drinking plenty of water, After rectocele surgery, expect bloody vaginal discharge for about four weeks, Contact your doctor if you experience any unusual symptoms, such as difficulties with urination, heavy bleeding, fever, or signs of infection around the wound sites, You can expect to return to work around six weeks after surgery, Attend follow-up appointments with your surgeon.
  • #53 About Your Enterocele or Rectocele Repair | Memorial Sloan Kettering Cancer Center
    https://www.mskcc.org/cancer-care/patient-education/enterocele-rectocele-repair
    You will also have a catheter to drain urine from your bladder. Your nurse will take out the gauze and catheter the day after your surgery. […] You may have bleeding from your vagina for about 4 to 6 weeks after surgery. You can wear a pad or panty liner to protect your clothes. Do not use tampons. […] Do not have sex or put anything in your vagina for 6 weeks after your surgery. This includes tampons. […] You will need to schedule a follow-up appointment 2 weeks after your surgery.
  • #54 Rectocoele/Posterior Repair Information | Continence Matters
    https://continencematters.com/surgery-and-procedures/surgery-for-prolapse/rectocoele-posterior-repair-information/
    The usual hospital stay is 2 to 3 days. […] It is usual following surgery to have some spotting, bleeding or discharge from the vagina. […] You should avoid strenuous activity during this time and increase your activity level gradually. […] After surgery it is important to avoid smoking, maintain a healthy weight for your height, avoid constipation, and avoid activities that put strain on the lower pelvic muscles (such as heavy lifting or long periods of standing). […] You should continue with your pelvic floor exercises for life.
  • #55 Prolapse procedures
    https://www.nationalwomenshealth.adhb.govt.nz/our-services/gynaecology/urogynaecology/prolapse-procedures/
    Prolapse happens when the muscles and tissues that support the vagina become weak. This allows the pelvic organs (such as the bladder, uterus, or rectum) to press against the vaginal wall, creating a bulge. Your healthcare provider may recommend a surgical or non-surgical treatment. […] A posterior wall prolapse happens when the rectum pushes against the back of the vagina, also called a rectocele or enterocele. […] The surgeon: […] Makes a small cut in the back wall of the vagina. […] Uses dissolvable stitches to reinforce the tissue between the rectum and vagina. […] Coses the incision. […] Sometimes, the perineum (the area between the vagina and anus) is also repaired to provide better support. […] You will need to stay in hospital for 1 to 2 days.
  • #56
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7089
    Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse pain. You have new or worse bleeding from the rectum. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You cannot pass stools or gas. You do not get better as expected.
  • #57 Rectocele | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/rectocele
    Surgery may be needed if the rectocele doesnt respond to other treatments and is causing symptoms. […] Be guided by your doctor, but general suggestions include: Rest as much as you can, Avoid heavy lifting or straining for a few weeks, Dont strain on the toilet, Take measures to prevent constipation, such as eating high-fibre foods and drinking plenty of water, After rectocele surgery, expect bloody vaginal discharge for about four weeks, Contact your doctor if you experience any unusual symptoms, such as difficulties with urination, heavy bleeding, fever, or signs of infection around the wound sites, You can expect to return to work around six weeks after surgery, Attend follow-up appointments with your surgeon.
  • #58 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] Sometimes, posterior vaginal prolapse doesn’t cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] To help keep posterior vaginal prolapse from getting worse, you might try to: Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. […] Avoid heavy lifting and lift correctly. Use your legs instead of your waist or back to lift. […] Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. […] Avoid weight gain. Ask your health care provider to help you determine the best weight for you. Ask for advice on how to lose weight, if needed.
  • #59 Posterior vaginal prolapse (rectocele) – Hancock Health
    https://www.hancockhealth.org/mayo-health-library/posterior-vaginal-prolapse-rectocele/
    Sometimes, posterior vaginal prolapse doesnt cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] To help keep posterior vaginal prolapse from getting worse, you might try to: Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. […] Treatment depends on how severe your prolapse is. Treatment might involve: Observation. If the posterior vaginal prolapse causes few or no symptoms, simple self-care measures such as performing Kegel exercises to strengthen pelvic muscles might give relief. […] Surgery to fix the prolapse might be needed if: Pelvic floor strengthening exercises or using a pessary doesnt control your prolapse symptoms well enough.
  • #60 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] Sometimes, posterior vaginal prolapse doesn’t cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] To help keep posterior vaginal prolapse from getting worse, you might try to: Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. […] Avoid heavy lifting and lift correctly. Use your legs instead of your waist or back to lift. […] Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. […] Avoid weight gain. Ask your health care provider to help you determine the best weight for you. Ask for advice on how to lose weight, if needed.
  • #61 Posterior vaginal prolapse (rectocele) – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/diagnosis-treatment/drc-20353419
    For posterior vaginal prolapse, you might need to see a doctor who specializes in female pelvic floor conditions. This type of doctor is called a urogynecologist. […] For posterior vaginal prolapse, some basic questions to ask your care provider include: What can I do at home to ease my symptoms? […] Kegel exercises may be most successful when they’re taught by a physical therapist or nurse practitioner and reinforced with biofeedback.
  • #62 Rectocele | healthdirect
    https://www.healthdirect.gov.au/rectocele
    A rectocele (also known as a 'posterior vaginal prolapse’) is a type of pelvic organ prolapse. Prolapse means that something has 'fallen out of place’. […] A rectocele occurs when the wall between the rectum (where faeces are stored) and the vagina becomes weak. This allows part of the rectum to bulge into the vaginal area. […] If your symptoms are mild, you may be referred to a physiotherapist or nurse specialising in pelvic floor problems. They can assess you and suggest pelvic floor exercises that might help. […] If you have a rectocele or other pelvic organ prolapse, a pelvic floor physiotherapist can guide you in exercising safely and effectively. […] Having a rectocele can impact important aspects of your life including sexual function and your ability to exercise. […] If your symptoms can’t be managed by pelvic floor exercise and diet, your doctor may recommend surgery to strengthen your vaginal wall.
  • #63
    https://www.vaginacoach.com/blog/preparing-for-a-rectocele-repair-prolapse-surgery
    Your doctor will have a preparation list such as the medication needed, an enema the night before but I believe outcomes could be improved with more intentional preparation. Working with a pelvic floor physiotherapist is one essential piece. […] Typical recovery is 4-6 weeks with heavy lifting off-limits for at least 6 weeks. […] I recommend working with a pelvic floor physio ahead of time to address faulty or non-optimal movement patterns so they are not an ongoing issue after. […] Recovering from pelvic floor surgery is in many ways like postpartum recovery. […] Pre-book a post-op assessment with your physiotherapist for around 8 weeks after your surgery. […] There needs to be a gradual, progressive return to these activities to ensure optimal movement patterns and load management. […] Work with a pelvic floor physical therapist […] There is more to pelvic floor wellness than kegels. […] It is THAT important.
  • #64 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] Sometimes, posterior vaginal prolapse doesn’t cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] To help keep posterior vaginal prolapse from getting worse, you might try to: Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. […] Avoid heavy lifting and lift correctly. Use your legs instead of your waist or back to lift. […] Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. […] Avoid weight gain. Ask your health care provider to help you determine the best weight for you. Ask for advice on how to lose weight, if needed.
  • #65 Rectocele | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/rectocele
    Some of the causes of a rectocele include vaginal childbirth, hysterectomy, pelvic surgery and chronic constipation. […] A rectocele may occur by itself or present alongside other pelvic abnormalities, such as a prolapsed bladder (cystocele). […] Surgery may be needed if the rectocele doesnt respond to simpler treatments. […] Milder cases can be treated by measures such as management of constipation, Kegel exercises to strengthen the pelvic floor and the insertion of a vaginal pessary to prop up the pelvic organs. Surgery may be needed in severe cases. […] Treatment options may include: High-fibre diet, Fibre supplements, At least six to eight glasses of water per day, Stool softeners (dont use laxatives), Instruction on how to help yourself to pass a bowel motion; for example, you may be advised to gently press a finger against the rear wall of the vagina while toileting, Dont strain on the toilet, Hormone replacement therapy for postmenopausal women, Pelvic floor (Kegel) exercises, Insertion of a pessary a ring-like device worn high in the vagina that helps to support the pelvic organs.
  • #66 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    If needed, self-care measures and other nonsurgical options are often effective. For severe posterior vaginal prolapse, you might need surgery to fix it. […] Sometimes, posterior vaginal prolapse doesn’t cause problems. But moderate or severe posterior vaginal prolapses might be uncomfortable. See a health care provider if your symptoms affect your day-to-day life. […] To help keep posterior vaginal prolapse from getting worse, you might try to: Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. […] Avoid heavy lifting and lift correctly. Use your legs instead of your waist or back to lift. […] Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. […] Avoid weight gain. Ask your health care provider to help you determine the best weight for you. Ask for advice on how to lose weight, if needed.
  • #67 Rectocele Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details
    https://emedicine.medscape.com/article/268546-treatment
    Prophylactic measures for preventing rectocele include diagnosis and treatment of chronic respiratory and metabolic disorders, correction of constipation, and intra-abdominal disorders that may cause chronic increases in intra-abdominal pressure. […] Counsel patients about the preventive effects of weight control, proper nutrition, smoking cessation, and avoidance of strenuous occupational and recreational stresses that could damage the pelvic support system. Teach and encourage women to perform pelvic muscle exercises as a method of strengthening their pelvic diaphragm and as prophylaxis against the development of rectocele. […] Failure to recognize and treat significant support defects at the time of concomitant gynecologic surgery can lead to progression of rectocele. Similarly, opening up the genital hiatus by performing a retropubic urethropexy (eg, Burch procedure) can predispose a patient to enterocele and rectocele.
  • #68 Rectocoele/Posterior Repair Information | Continence Matters
    https://continencematters.com/surgery-and-procedures/surgery-for-prolapse/rectocoele-posterior-repair-information/
    The usual hospital stay is 2 to 3 days. […] It is usual following surgery to have some spotting, bleeding or discharge from the vagina. […] You should avoid strenuous activity during this time and increase your activity level gradually. […] After surgery it is important to avoid smoking, maintain a healthy weight for your height, avoid constipation, and avoid activities that put strain on the lower pelvic muscles (such as heavy lifting or long periods of standing). […] You should continue with your pelvic floor exercises for life.
  • #69 Rectocele | healthdirect
    https://www.healthdirect.gov.au/rectocele
    A rectocele (also known as a 'posterior vaginal prolapse’) is a type of pelvic organ prolapse. Prolapse means that something has 'fallen out of place’. […] A rectocele occurs when the wall between the rectum (where faeces are stored) and the vagina becomes weak. This allows part of the rectum to bulge into the vaginal area. […] If your symptoms are mild, you may be referred to a physiotherapist or nurse specialising in pelvic floor problems. They can assess you and suggest pelvic floor exercises that might help. […] If you have a rectocele or other pelvic organ prolapse, a pelvic floor physiotherapist can guide you in exercising safely and effectively. […] Having a rectocele can impact important aspects of your life including sexual function and your ability to exercise. […] If your symptoms can’t be managed by pelvic floor exercise and diet, your doctor may recommend surgery to strengthen your vaginal wall.
  • #70 Rectocele – Newport Beach, CA & Irvine, CA: OBGYN CARE: OB/GYN
    https://www.obgyn-care.net/services/rectocele
    A rectocele can be uncomfortable and affect your daily life. […] A rectocele is also called a posterior vaginal prolapse. […] If you have a rectocele, you might experience: Difficulty with bowel movements, Sensation of rectal fullness or pressure, Feeling like your rectum hasn’t completely emptied following a bowel movement, Sexual concerns, such as loss of elasticity. […] To treat rectocele, Dr. Marinescu or Dr. Baker might suggest: Specific exercises, such as kegel exercises and yoga, Drinking plenty of fluids and eating more fiber from healthy foods like fruits and vegetables, Avoiding heavy lifting, Controlling coughing, Maintaining a healthy weight, Medications, such as anti-inflammatories. […] Your provider might suggest a pessary a rubber or plastic ring gently inserted into your vagina to support bulging tissues.
  • #71 What is a Rectocele (Posterior Vaginal Wall Prolapse)?
    https://www.greaterbostonurology.com/blog/what-is-a-rectocele
    DR. EZZEDINE: Rectoceles, like all types of prolapse, can be treated surgically or with non-surgical options, such as a pessary. A pessary is a device placed in the vagina that pushes the prolapse inside of a woman’s body providing symptom relief. However, It is important for women to understand that a pessary does not eradicate the prolapse. When a woman stops wearing the pessary, the prolapse will return. Surgical repairs may involve addressing an isolated rectocele with a vaginal rectocele repair procedure or doing a combined procedure that corrects multiple prolapse compartments depending on the individual patient prolapse presentation. […] DR. EZZEDINE: The success rate of a vaginal rectocele repair can reach up to 80%. […] DR. EZZEDINE: Rectocele repairs are typically known to improve bowel function as most symptoms of rectocele are related to bowel dysfunction. However, some women may not experience bowel-symptom relief, especially when their symptoms were not to begin with due to their rectoceles (such as women with long standing chronic constipation). It is very important to undergo a thorough and detailed assessment of symptoms by a specialized provider, such as a urogynecologist, to determine which patient will benefit from a surgical repair of a rectocele versus someone who would benefit from different therapies. Most women undergoing surgical management of prolapse will experience improvement in their sexual function. The reported rate of a new onset sexual dysfunction after surgery is very low (less than 10%).
  • #72 What is a Rectocele (Posterior Vaginal Wall Prolapse)?
    https://www.greaterbostonurology.com/blog/what-is-a-rectocele
    DR. EZZEDINE: Rectoceles, like all types of prolapse, can be treated surgically or with non-surgical options, such as a pessary. A pessary is a device placed in the vagina that pushes the prolapse inside of a woman’s body providing symptom relief. However, It is important for women to understand that a pessary does not eradicate the prolapse. When a woman stops wearing the pessary, the prolapse will return. Surgical repairs may involve addressing an isolated rectocele with a vaginal rectocele repair procedure or doing a combined procedure that corrects multiple prolapse compartments depending on the individual patient prolapse presentation. […] DR. EZZEDINE: The success rate of a vaginal rectocele repair can reach up to 80%. […] DR. EZZEDINE: Rectocele repairs are typically known to improve bowel function as most symptoms of rectocele are related to bowel dysfunction. However, some women may not experience bowel-symptom relief, especially when their symptoms were not to begin with due to their rectoceles (such as women with long standing chronic constipation). It is very important to undergo a thorough and detailed assessment of symptoms by a specialized provider, such as a urogynecologist, to determine which patient will benefit from a surgical repair of a rectocele versus someone who would benefit from different therapies. Most women undergoing surgical management of prolapse will experience improvement in their sexual function. The reported rate of a new onset sexual dysfunction after surgery is very low (less than 10%).
  • #73 Posterior Vaginal Wall & Perineal Body Repair – Your Pelvic Floor
    https://www.yourpelvicfloor.org/conditions/posterior-vaginal-wall-perineal-body-repair/
    About 1 in 10 women require surgery for vaginal prolapse. A prolapse of the back (posterior) wall of the vagina is usually due to a weakness in the strong tissue layer (fascia) that divides the vagina from the lower part of the bowel (rectum). This weakness may cause difficulty when passing a bowel movement, a feeling of fullness or dragging in the vagina or an uncomfortable bulge that may extend beyond the vaginal opening. Other names for the weakness of the back wall of the vagina include rectocele and enterocele. […] The aim of surgery is to relieve the symptoms of vaginal bulge and/or laxity and to improve or maintain bowel function without interfering with sexual function. […] The following complications are more specifically related to posterior vaginal wall repair: Constipation is a common post-operative problem and your doctor may prescribe laxatives for this. Try to maintain a high fiber diet, drink plenty of fluids and use a stool softener. Remember constipation also contributes to forming a posterior wall prolapse and it is therefore important to avoid getting constipated. […] Some women develop pain or discomfort with intercourse. While every effort is made to prevent this from happening, it is sometimes unavoidable. Some women also find intercourse is more comfortable after their prolapse is repaired.
  • #74 10 days post op (posterior repair of rectocele) | Page 2 | Genitourinary Prolapse | Forums
    https://patient.info/forums/discuss/10-days-post-op-posterior-repair-of-rectocele–648281?page=1
    I have been exactly where you are now, obsessing about bowel movements every day and worrying about what/what not to do, and holding onto 'my bits’ because of the pressure feelings. Everything was uncomfortable although not particularly painful but felt 'odd’, and especially going to the loo!(I could go into details about my post op/recovery experience if you really want a mega long post!wink but my mood swung from feeling positive and 'fixed’ to panic and anxiety. […] I am day 15 and I looked at Day 4 and it all looked pushed in and I looked again last night and it actually made me cry. I am embarrassed to get so graphic but it looks like my entire insides are all about to fall out and it feels that way too. […] I am so sorry to hear this… i feel worried too but am following on here ….its good to hear the suggestions here and my sense is that its very early days for you and me both, and may be better not to look for months! I imagine when the swelling goes down things will feel easier for both of us.
  • #75 Rectocele: risk factors, symptoms and when to see a doctor | Top Doctors
    https://www.topdoctors.co.uk/medical-dictionary/rectocele
    Rectocele, also known as posterior vaginal prolapse, is a condition in which the tissue wall between the rectum and vagina weakens. This allows the vaginal wall to bulge. […] Self-care measures are often very effective but severe rectocele may require surgical repair. […] A woman may notice pressure within the vagina, or that her bowels do not feel empty after having used the bathroom. […] It could also lead to pain during sexual intercourse. […] The most common cause of rectocele is childbirth, especially if the baby is heavy, or if the birth happens quickly. […] Women who have never given birth can also develop a posterior vaginal prolapse. […] To reduce the risk of worsening rectocele, a woman can: Follow Kegel exercises on a regular basis these movements can help to strengthen pelvic floor muscles. […] Maintain a healthy weight. […] Rectocele is a common condition in both women who have had children and those who have not. It is recommended to see a specialist if suffering from chronic constipation and if there is a bulge of tissue that protrudes through the vaginal opening.
  • #76 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    When prolapse is this severe, it’s a good idea to speak to your provider about treatment options. […] Speak to your provider if you notice the symptoms of a pelvic organ slipping. Rectoceles and other forms of prolapse are common. Many people manage them through lifestyle changes. This may be an option for you, too. If the prolapse is more severe, your provider can recommend surgeries that can help.
  • #77 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    When prolapse is this severe, it’s a good idea to speak to your provider about treatment options. […] Speak to your provider if you notice the symptoms of a pelvic organ slipping. Rectoceles and other forms of prolapse are common. Many people manage them through lifestyle changes. This may be an option for you, too. If the prolapse is more severe, your provider can recommend surgeries that can help.
  • #78 Rectocele – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/sites/books/NBK546689/
    Rectoceles may be benign but have enormous morbidity. The disorder is underdiagnosed and undertreated. For this reason, management is best when performed by an interprofessional team. […] A wound care nurse should educate the patient on the management of the prolapsed rectocele and what complications may occur; these need to be shared with the treating physician and the rest of the team.
  • #79 Pelvic Organ Prolapse | Northwestern Medicine
    https://www.nm.org/conditions-and-care-areas/womens-health/obgyn/pelvic-health/pelvic-organ-prolapse
    Posterior vaginal wall prolapse (rectocele): The weakened vaginal wall and perineum causes the rectum to bulge upward into the vagina […] The urogynecologists at Northwestern Medicine Womens Integrated Pelvic Health Program (IPHP) offer comprehensive evaluations and treatment options for women with pelvic organ prolapse, and they offer both conservative and surgical options. […] The Womens IPHP is a national leader in treatment and research for women with pelvic organ prolapse, offering a transdisciplinary approach to caring for women with pelvic floor disorders in one location. Specialists from different disciplines work together to create new treatments and innovations that transcend discipline-specific approaches to address each womans pelvic floor symptoms.
  • #80 Pelvic Organ Prolapse | Northwestern Medicine
    https://www.nm.org/conditions-and-care-areas/womens-health/obgyn/pelvic-health/pelvic-organ-prolapse
    Posterior vaginal wall prolapse (rectocele): The weakened vaginal wall and perineum causes the rectum to bulge upward into the vagina […] The urogynecologists at Northwestern Medicine Womens Integrated Pelvic Health Program (IPHP) offer comprehensive evaluations and treatment options for women with pelvic organ prolapse, and they offer both conservative and surgical options. […] The Womens IPHP is a national leader in treatment and research for women with pelvic organ prolapse, offering a transdisciplinary approach to caring for women with pelvic floor disorders in one location. Specialists from different disciplines work together to create new treatments and innovations that transcend discipline-specific approaches to address each womans pelvic floor symptoms.