Tyłopochylenie pochwy (rektokela)
Objawy

Tyłopochylenie pochwy (rektokela) to osłabienie lub rozdarcie ściany między odbytnicą a pochwą, prowadzące do uwypuklenia się przedniej ściany odbytnicy w tylną ścianę pochwy. Objawy zależą od stopnia zaawansowania: mała rektokela często jest bezobjawowa lub powoduje uczucie ucisku i niepełnego opróżnienia jelit, średnia wywołuje trudności z defekacją, konieczność szyntowania, zaparcia i dyspareunię, a duża może skutkować widocznym uwypukleniem, nietrzymaniem stolca oraz krwawieniem z pochwy. Typowe dolegliwości obejmują uczucie masy w pochwie, problemy z wypróżnianiem, parcie, ból odbytnicy i dyskomfort podczas stosunku. Po zabiegach naprawczych obserwuje się istotne zmniejszenie objawów, jednak u 19-37% pacjentek utrzymują się dolegliwości takie jak szyntowanie czy parcie nawet po 12 miesiącach. Często współistnieje wypadanie innych narządów miednicy, co może powodować wysiłkowe nietrzymanie moczu, częstomocz i infekcje dróg moczowych.

Objawy tyłopochylenia pochwy (rektokeli)

Tyłopochylenie pochwy (rektokela) to stan, w którym ściana oddzielająca odbytnicę od pochwy ulega osłabieniu lub rozdarciu, co prowadzi do uwypuklenia się przedniej ściany odbytnicy w tylną ścianę pochwy.12 Jest to jedna z form wypadania narządów miednicy, która może powodować różnorodne objawy, choć nie zawsze musi być objawowa.3

Objawy w zależności od stopnia zaawansowania

Nasilenie objawów tyłopochylenia pochwy zależy od stopnia zaawansowania wypadania. Mały stopień wypadania może nie powodować żadnych objawów, podczas gdy średnie lub ciężkie tyłopochylenie może znacząco wpływać na jakość życia pacjentki.45

Mała rektokela (niewielkie wypadanie):

  • Często bezobjawowa lub może dawać tylko uczucie ucisku w pochwie6
  • Pacjentka może odczuwać wrażenie niepełnego opróżnienia jelit po wypróżnieniu7
  • Może być zauważona przypadkowo podczas rutynowego badania ginekologicznego8

Średnia rektokela (umiarkowane wypadanie):

  • Wyraźne uczucie ucisku lub pełności w pochwie i odbytnicy9
  • Trudności z wypróżnianiem – kał może być kierowany do rektokeli zamiast na zewnątrz przez odbyt10
  • Konieczność wspomagania wypróżnienia poprzez ucisk na pochwę palcami (tzw. szyntowanie)11
  • Zaparcia oraz ból podczas stosunku płciowego1213
  • Ból i dyskomfort podczas wypróżniania14

Duża rektokela (znaczne wypadanie):

  • Widoczne uwypuklenie tkanki, które może wystawać przez wejście do pochwy1516
  • Znaczny dyskomfort i uczucie „wypadania czegoś” z pochwy17
  • Niemożność całkowitego opróżnienia jelit bez uciskania ściany pochwy palcami18
  • W ciężkich przypadkach może dochodzić do nietrzymania stolca19
  • Krwawienie z pochwy niezwiązane z cyklem miesiączkowym20

Główne objawy kliniczne

Najczęściej zgłaszane objawy przez pacjentki z tyłopochyleniem pochwy obejmują:2122

  • Uczucie wypuklenia lub masy w pochwie – miękkie uwypuklenie tkanki w pochwie, które może wystawać przez wejście do pochwy2324
  • Problemy z wypróżnianiem – trudności w oddawaniu stolca, uczucie niepełnego opróżnienia odbytnicy po wypróżnieniu2526
  • Uczucie nacisku lub pełności w odbytnicy – wrażenie ciężkości lub ciśnienia w okolicy miednicy2728
  • Konieczność szyntowania – używanie palców do uciskania tylnej ściany pochwy w celu ułatwienia wypróżnienia2930
  • Problemy seksualne – dyskomfort podczas stosunku, uczucie rozluźnienia tkanki pochwy, zażenowanie związane ze zmianami anatomicznymi3132

Objawy podczas wypróżniania

Rektokela ma szczególny wpływ na funkcje jelitowe, powodując charakterystyczne objawy podczas wypróżniania:3334

  • Trudności z całkowitym wypróżnieniem jelit35
  • Zatrzymywanie się stolca w uwypukleniu odbytnicy36
  • Konieczność nacisku na pochwę i/lub przestrzeń między odbytnicą a pochwą w celu wypróżnienia37
  • Nadmierne parcie podczas ruchów jelitowych38
  • Potrzeba częstych wypróżnień w ciągu dnia39
  • Zaparcia40
  • Ból odbytnicy41

Badania wykazują, że u kobiet po zabiegu naprawczym rektokeli następuje znaczne zmniejszenie częstości objawów jelitowych (z 56% do 23% przypadków szyntowania, z 74% do 37% przypadków parcia, z 85% do 19% niepełnego opróżniania, z 66% do 14% zaburzeń defekacji).42 Jednak około 23% pacjentek nadal zgłasza konieczność szyntowania, 37% utrzymujące się parcie, a 19% uczucie niepełnego opróżnienia jelit nawet po 12 miesiącach od operacji.43

Objawy pociągające za sobą problemy z układem moczowym

Wiele kobiet z tyłopochyleniem pochwy doświadcza jednocześnie wypadania innych narządów miednicy, co może prowadzić do objawów związanych z układem moczowym:4445

Objawy związane z życiem seksualnym

Rektokela może znacząco wpływać na życie seksualne kobiety:5152

  • Ból podczas stosunku płciowego (dyspareunia)5354
  • Uczucie rozluźnienia lub utraty napięcia mięśni pochwy5556
  • Zażenowanie związane ze zmianami anatomicznymi57
  • Obawy przed nietrzymaniem moczu lub stolca podczas aktywności seksualnej58
  • Trudności w osiąganiu orgazmu59

Zmiany objawów w zależności od aktywności i pory dnia

Objawy tyłopochylenia pochwy często zmieniają się w zależności od aktywności i pory dnia:6061

  • Nasilenie objawów pod koniec dnia, zwłaszcza po długim okresie stania6263
  • Pogorszenie podczas kaszlu, kichania lub podnoszenia ciężkich przedmiotów64
  • Złagodzenie objawów w pozycji leżącej6566
  • Nasilenie podczas zwiększonej aktywności fizycznej67
  • Ból dolnego odcinka pleców, który może się nasilać w ciągu dnia6869

Progresja tyłopochylenia pochwy

Tyłopochylenie pochwy może mieć różny przebieg kliniczny, a jego progresja zależy od wielu czynników.7071 Zrozumienie naturalnego przebiegu choroby jest istotne zarówno dla lekarzy, jak i pacjentek.

Naturalny przebieg choroby

Nieleczona rektokela może z czasem ulegać progresji:7273

  • Małe, bezobjawowe rektokele mogą pozostać stabilne przez lata74
  • Stopniowe powiększanie się uwypuklenia może prowadzić do pojawienia się lub nasilenia objawów75
  • Rektokela sięgająca wejścia do pochwy lub wychodząca poza nie ma mniejsze szanse na samoistną poprawę i większą tendencję do pogorszenia, jeśli pozostanie nieleczona76
  • Zwiększona liczba porodów koreluje ze zwiększonym wskaźnikiem progresji rektokeli77

Badania wskazują, że bez odpowiedniego leczenia objawy tyłopochylenia pochwy zwykle nasilają się z czasem.78 W niektórych przypadkach progresja może być powolna i objawy mogą narastać stopniowo, co sprawia, że pacjentki mogą nieświadomie wprowadzać zmiany w swoim stylu życia, aby dostosować się do narastających dolegliwości.79

Czynniki wpływające na progresję

Na progresję tyłopochylenia pochwy mogą wpływać następujące czynniki:8081

  • Zaparcia i nadmierne parcie – chroniczne zaparcia i parcie podczas wypróżniania mogą zwiększać ciśnienie wewnątrzbrzuszne, co przyspiesza progresję wypadania8283
  • Wiek – wraz z wiekiem rośnie częstość występowania i nasilenie wypadania narządów miednicy84
  • Liczba porodów – każdy kolejny poród zwiększa ryzyko progresji rektokeli8586
  • BMI – wyższy wskaźnik masy ciała jest czynnikiem ryzyka progresji wypadania narządów miednicy87
  • Dźwiganie ciężarów – regularne podnoszenie ciężkich przedmiotów może zwiększać ciśnienie wewnątrzbrzuszne i przyspieszać progresję88

Długotrwałe występowanie objawów, zwłaszcza konieczności szyntowania, może być czynnikiem prognostycznym dla utrzymywania się objawów nawet po leczeniu chirurgicznym.89 Badania wskazują, że dłuższa historia szyntowania jest czynnikiem ryzyka dla przetrwałego szyntowania po operacji.90

Rokowanie i perspektywy leczenia

Rokowanie w przypadku tyłopochylenia pochwy jest zazwyczaj dobre, ponieważ nie jest to stan zagrażający życiu.91 Wyniki leczenia zależą od nasilenia objawów i stopnia wypadania:9293

  • Większość kobiet z łagodnymi objawami może osiągnąć poprawę poprzez zmiany stylu życia, ćwiczenia mięśni dna miednicy i modyfikację diety94
  • Około 70-80% pacjentek poddanych leczeniu chirurgicznemu doświadcza zmniejszenia objawów po zabiegu9596
  • U 10-20% pacjentek może wystąpić nawrót wypadania po leczeniu chirurgicznym97
  • Około 25-30% kobiet poddanych operacji z powodu wypadania narządów miednicy rozwinie w przyszłości inne formy wypadania98

W przypadku utrzymujących się objawów wpływających na jakość życia, leczenie chirurgiczne może być skuteczną opcją.99 Jednak nawet po operacji około 50% pacjentek z objawami takimi jak niepełne opróżnianie jelit lub zaparcia odczuje poprawę.100 Warto zauważyć, że nawet po skutecznym leczeniu chirurgicznym istnieje ryzyko nawrotu rektokeli sięgające 50% w ciągu 5 lat.101

Wskazania do konsultacji lekarskiej

Pacjentki powinny skonsultować się z lekarzem w następujących sytuacjach:102103

  • Gdy objawy tyłopochylenia pochwy wpływają na codzienne funkcjonowanie104105
  • W przypadku występowania uciążliwego uwypuklenia tkanki, które wystaje przez wejście do pochwy106
  • Gdy leczenie zaparć nie przynosi poprawy107
  • Przy trudnościach z opróżnianiem pęcherza lub jelit108
  • W przypadku bólu w obrębie miednicy, bioder lub pleców109
  • Gdy występują zaburzenia funkcji seksualnych związane z wypadaniem110

Wczesna konsultacja specjalistyczna może pomóc w ocenie stopnia wypadania i opracowaniu odpowiedniego planu leczenia, zanim dojdzie do znaczącej progresji schorzenia.111 W przypadku tyłopochylenia pochwy wskazana jest konsultacja z lekarzem specjalizującym się w schorzeniach dna miednicy u kobiet (uroginekologa).112

Możliwe powikłania nieleczonej rektokeli

Nieleczona rektokela może prowadzić do następujących powikłań:113114

  • Przewlekłe zaparcia i trudności z wypróżnianiem115116
  • Stały ucisk i dyskomfort w okolicy miednicy117118
  • Wyciek treści jelitowej przez pochwę (nietrzymanie stolca)119
  • Zaburzenia funkcji seksualnych120
  • Nawracające zakażenia układu moczowego121
  • Problemy z trzymaniem moczu122

Rektokela jako defekt anatomiczny nie ulega samoistnej poprawie bez interwencji.123 Chociaż może pozostawać bezobjawowa przez lata, nieleczona rektokela może z czasem powiększać się i powodować narastające problemy.124

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  1. 13.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 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. […] A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] 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.
  • #2 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). […] A small posterior vaginal prolapse (rectocele) may cause no signs or symptoms. […] A soft bulge of tissue in your vagina that might protrude through the vaginal opening. […] Difficulty having a bowel movement. […] Sensation of rectal pressure or fullness. […] A feeling that the rectum has not completely emptied after a bowel movement. […] Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of your vaginal tissue. […] But sometimes moderate or severe posterior vaginal prolapses can be bothersome or uncomfortable. See your doctor if: […] You have a bothersome bulge of tissue that protrudes through your vaginal opening. […] Constipation treatment isnt successful at producing soft and easy-to-pass stool between three times a day to three times a week.
  • #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 symptoms include vaginal bulge, obstructive defecation, constipation, and perineal pressure. […] As the bulge becomes larger, it can become exteriorized – meaning that the bulge is outside the level of the hymen. […] The management of this condition largely depends on the extent of the prolapse and the severity of the symptoms. […] The most common findings of rectocele when symptomatic are a vaginal bulge from the herniation of tissue, pelvic pressure, and changes in defecation. […] Rectoceles have a broad range of symptoms. Some patients may present as asymptomatic while others may demonstrate a significant impact on the quality of life, including the following symptoms: pelvic pain/pressure, posterior vaginal bulge, obstructive defecation, incomplete defecation, constipation, dyspareunia, erosions and bleeding of mucosa if there is tissue exposure to the outside environment. […] Rectoceles and other types of pelvic organ prolapse have a good prognosis as they are not life-threatening conditions. […] Increased parity correlates with increased progression rates for rectoceles.
  • #4 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. […] 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.
  • #5 Posterior vaginal prolapse (rectocele) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/posterior-vaginal-prolapse-rectocele
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] 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.
  • #6 Rectocele: Types, symptoms, causes, and diagnosis
    https://www.medicalnewstoday.com/articles/189696
    A rectocele can lead to constipation and discomfort, but if it is small, there may be no symptoms. […] In mild cases of rectocele, the individual may notice pressure within the vagina, or they may feel that their bowels are not completely empty after using the bathroom. […] In moderate cases, an attempt to evacuate can push the stool into the rectocele rather than out through the anus. […] There may be pain and discomfort during evacuation. There is a higher chance of having constipation, and there may be pain during sexual intercourse. […] In severe cases, there may be fecal incontinence, and sometimes the bulge may prolapse through the mouth (opening) of the vagina, or through the anus.
  • #7 Rectocele: Types, symptoms, causes, and diagnosis
    https://www.medicalnewstoday.com/articles/189696
    A rectocele can lead to constipation and discomfort, but if it is small, there may be no symptoms. […] In mild cases of rectocele, the individual may notice pressure within the vagina, or they may feel that their bowels are not completely empty after using the bathroom. […] In moderate cases, an attempt to evacuate can push the stool into the rectocele rather than out through the anus. […] There may be pain and discomfort during evacuation. There is a higher chance of having constipation, and there may be pain during sexual intercourse. […] In severe cases, there may be fecal incontinence, and sometimes the bulge may prolapse through the mouth (opening) of the vagina, or through the anus.
  • #8 Rectocele Symptoms | Comprehensive Guide at Restore Your Core
    https://restoreyourcore.com/learn/prolapse/rectocele-symptoms/
    In moderate to severe cases, women with a rectocele may have an increased sensation of pain and discomfort in their vagina, rectum, or abdomen while pooping. This can be a result of the feces being pushed into the rectocele during a bowel movement. Women with moderate rectocele run a higher risk of constipation, painful intercourse, and lower abdominal and lower back pain. In severe cases, the rectocele can prolapse causing the tissue to protrude out of the vaginal opening. […] Rectocele is a common condition many women may face without ever knowing it. Most often it is associated with postpartum issues, but it can affect women who have never been pregnant as well. […] If you are experiencing severe issues such as: tissue bulging through your vaginal opening or constant struggles with constipation, it may be time to consult your doctor for a proper diagnosis. Generally a Urogyn is the best bet for diagnosis.
  • #9 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    A rectocele can cause your rectum to bulge against your vaginal wall, causing feelings of pressure or fullness in your vagina. […] Rectoceles don’t always cause symptoms. When they do, they’re usually more unpleasant or uncomfortable than painful. […] Signs of a rectocele include: A sensation of pressure or fullness in your rectum or vagina. A soft bulge of tissue that may or may not poke through your vagina. Feeling that your rectum hasn’t completely emptied after pooping. Having the urge to poop several times a day. Experiencing discomfort during intercourse (dyspareunia). Sensing a feeling of looseness or loss of muscle tone in your vagina. Having to press your fingers on the bulge in your vagina to push out a stool during a bowel movement („splinting”). […] If you have a rectocele along with another form of prolapse where your bladder sags, you may also experience urinary incontinence. You may feel the urge to pee frequently, or you may dribble.
  • #10 Rectocele: Types, symptoms, causes, and diagnosis
    https://www.medicalnewstoday.com/articles/189696
    A rectocele can lead to constipation and discomfort, but if it is small, there may be no symptoms. […] In mild cases of rectocele, the individual may notice pressure within the vagina, or they may feel that their bowels are not completely empty after using the bathroom. […] In moderate cases, an attempt to evacuate can push the stool into the rectocele rather than out through the anus. […] There may be pain and discomfort during evacuation. There is a higher chance of having constipation, and there may be pain during sexual intercourse. […] In severe cases, there may be fecal incontinence, and sometimes the bulge may prolapse through the mouth (opening) of the vagina, or through the anus.
  • #11 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. […] 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.
  • #12 Rectocele Symptoms | Comprehensive Guide at Restore Your Core
    https://restoreyourcore.com/learn/prolapse/rectocele-symptoms/
    In moderate to severe cases, women with a rectocele may have an increased sensation of pain and discomfort in their vagina, rectum, or abdomen while pooping. This can be a result of the feces being pushed into the rectocele during a bowel movement. Women with moderate rectocele run a higher risk of constipation, painful intercourse, and lower abdominal and lower back pain. In severe cases, the rectocele can prolapse causing the tissue to protrude out of the vaginal opening. […] Rectocele is a common condition many women may face without ever knowing it. Most often it is associated with postpartum issues, but it can affect women who have never been pregnant as well. […] If you are experiencing severe issues such as: tissue bulging through your vaginal opening or constant struggles with constipation, it may be time to consult your doctor for a proper diagnosis. Generally a Urogyn is the best bet for diagnosis.
  • #13 Rectocele: Types, symptoms, causes, and diagnosis
    https://www.medicalnewstoday.com/articles/189696
    A rectocele can lead to constipation and discomfort, but if it is small, there may be no symptoms. […] In mild cases of rectocele, the individual may notice pressure within the vagina, or they may feel that their bowels are not completely empty after using the bathroom. […] In moderate cases, an attempt to evacuate can push the stool into the rectocele rather than out through the anus. […] There may be pain and discomfort during evacuation. There is a higher chance of having constipation, and there may be pain during sexual intercourse. […] In severe cases, there may be fecal incontinence, and sometimes the bulge may prolapse through the mouth (opening) of the vagina, or through the anus.
  • #14 Rectocele: Types, symptoms, causes, and diagnosis
    https://www.medicalnewstoday.com/articles/189696
    A rectocele can lead to constipation and discomfort, but if it is small, there may be no symptoms. […] In mild cases of rectocele, the individual may notice pressure within the vagina, or they may feel that their bowels are not completely empty after using the bathroom. […] In moderate cases, an attempt to evacuate can push the stool into the rectocele rather than out through the anus. […] There may be pain and discomfort during evacuation. There is a higher chance of having constipation, and there may be pain during sexual intercourse. […] In severe cases, there may be fecal incontinence, and sometimes the bulge may prolapse through the mouth (opening) of the vagina, or through the anus.
  • #15 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. […] 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.
  • #16 Posterior vaginal prolapse (rectocele) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/posterior-vaginal-prolapse-rectocele
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] 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.
  • #17 Posterior vaginal prolapse (rectocele) – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/posterior-vaginal-prolapse-rectocele/
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] 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.
  • #18 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. […] 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.
  • #19 Rectocele: Types, symptoms, causes, and diagnosis
    https://www.medicalnewstoday.com/articles/189696
    A rectocele can lead to constipation and discomfort, but if it is small, there may be no symptoms. […] In mild cases of rectocele, the individual may notice pressure within the vagina, or they may feel that their bowels are not completely empty after using the bathroom. […] In moderate cases, an attempt to evacuate can push the stool into the rectocele rather than out through the anus. […] There may be pain and discomfort during evacuation. There is a higher chance of having constipation, and there may be pain during sexual intercourse. […] In severe cases, there may be fecal incontinence, and sometimes the bulge may prolapse through the mouth (opening) of the vagina, or through the anus.
  • #20 Rectocele | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/rectocele
    A rectocele occurs when the rectum pushes the back wall of the vagina forward, causing a prominent bulge into the vagina. […] The symptoms of rectocele may be vaginal, rectal or both, and can include: A sensation of pressure within the pelvis, The feeling that something is falling down or falling out within the pelvis, Symptoms worsened by standing up and eased by lying down, Lower-abdominal pain, Lower-back pain, A bulging mass felt inside the vagina, Vaginal bleeding that’s not related to the menstrual cycle, Painful or impossible vaginal intercourse, Constipation, Problems with passing a bowel motion, since the stool becomes caught in the rectocele, The feeling that the bowel isn’t completely empty after passing a motion, Faecal incontinence (sometimes). […] Surgery may be needed if the rectocele doesn’t respond to other treatments and is causing symptoms.
  • #21 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    A rectocele can cause your rectum to bulge against your vaginal wall, causing feelings of pressure or fullness in your vagina. […] Rectoceles don’t always cause symptoms. When they do, they’re usually more unpleasant or uncomfortable than painful. […] Signs of a rectocele include: A sensation of pressure or fullness in your rectum or vagina. A soft bulge of tissue that may or may not poke through your vagina. Feeling that your rectum hasn’t completely emptied after pooping. Having the urge to poop several times a day. Experiencing discomfort during intercourse (dyspareunia). Sensing a feeling of looseness or loss of muscle tone in your vagina. Having to press your fingers on the bulge in your vagina to push out a stool during a bowel movement („splinting”). […] If you have a rectocele along with another form of prolapse where your bladder sags, you may also experience urinary incontinence. You may feel the urge to pee frequently, or you may dribble.
  • #22 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. […] A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] 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.
  • #23 Posterior vaginal prolapse (rectocele) – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/posterior-vaginal-prolapse-rectocele/
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] 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.
  • #24 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). […] A small posterior vaginal prolapse (rectocele) may cause no signs or symptoms. […] A soft bulge of tissue in your vagina that might protrude through the vaginal opening. […] Difficulty having a bowel movement. […] Sensation of rectal pressure or fullness. […] A feeling that the rectum has not completely emptied after a bowel movement. […] Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of your vaginal tissue. […] But sometimes moderate or severe posterior vaginal prolapses can be bothersome or uncomfortable. See your doctor if: […] You have a bothersome bulge of tissue that protrudes through your vaginal opening. […] Constipation treatment isnt successful at producing soft and easy-to-pass stool between three times a day to three times a week.
  • #25 Posterior vaginal prolapse (rectocele) – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/posterior-vaginal-prolapse-rectocele/
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] 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.
  • #26 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    A rectocele can cause your rectum to bulge against your vaginal wall, causing feelings of pressure or fullness in your vagina. […] Rectoceles don’t always cause symptoms. When they do, they’re usually more unpleasant or uncomfortable than painful. […] Signs of a rectocele include: A sensation of pressure or fullness in your rectum or vagina. A soft bulge of tissue that may or may not poke through your vagina. Feeling that your rectum hasn’t completely emptied after pooping. Having the urge to poop several times a day. Experiencing discomfort during intercourse (dyspareunia). Sensing a feeling of looseness or loss of muscle tone in your vagina. Having to press your fingers on the bulge in your vagina to push out a stool during a bowel movement („splinting”). […] If you have a rectocele along with another form of prolapse where your bladder sags, you may also experience urinary incontinence. You may feel the urge to pee frequently, or you may dribble.
  • #27 Posterior vaginal prolapse (rectocele) – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/posterior-vaginal-prolapse-rectocele/
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] 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.
  • #28 Posterior Vaginal Prolapse (Rectocele) – Types, Symptoms and Treatment | Apollo Hospitals
    https://www.apollohospitals.com/diseases-and-conditions/posterior-vaginal-prolapse-rectocele-types-symptoms-and-treatment
    Posterior vaginal prolapse (rectocele) is a medical condition that occurs when the muscles and ligaments in your pelvic region become weak. […] You may notice a bulge that may protrude out like a hernia into the back of your vagina during straining, such as during bowel movements. If the bulge is slight, it may not cause any symptoms. However, with large bulges, you may experience pain, discomfort, or constipation. […] Signs and symptoms of posterior vaginal prolapse (rectocele) may vary from person to person. The common symptoms commonly include: A slight bulge of tissue protruding through the vaginal opening, Feeling a sensation of fullness or rectal pressure, Difficulty during bowel movements, Feeling that your bowels have not been completely emptied, A sense of looseness in the vaginal tissues during sexual intercourse.
  • #29 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. […] 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.
  • #30 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. […] You might fill out a questionnaire to assess your condition. Your answers can tell your health care provider about how far the bulge extends into the vagina and how much it affects your quality of life. This information helps guide treatment decisions. […] 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. […] 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.
  • #31 Posterior vaginal prolapse (rectocele) – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/posterior-vaginal-prolapse-rectocele/
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] 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.
  • #32 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
    Symptoms include pelvic or vaginal fullness or pressure, urinary incontinence, urinary retention, and/or difficulty passing stool. […] Pelvic or vaginal fullness, pressure, and a sensation of organs falling out are common. Organs may bulge into the vaginal canal or through the vaginal opening (introitus), particularly during straining or coughing. […] Mild prolapse may be asymptomatic. […] 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. […] Patients may also experience sexual dysfunction, sometimes due to embarrassment about changes in anatomy or possible urinary or anal incontinence during sexual activity.
  • #33
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele
    A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina that may interfere with emptying of stool from the rectum. […] Most people with a small rectocele do not have symptoms. When the rectocele is large, there is usually a noticeable bulge into the vagina. […] Difficulty having a complete bowel movement […] Stool getting stuck in the bulge of the rectum […] The need to press against the vagina and/or space between the rectum and the vagina to have a bowel movement […] Straining with bowel movements […] The urge to have multiple bowel movements throughout the day […] Constipation […] Rectal pain. […] Pain with sexual intercourse (dyspareunia) […] Vaginal bleeding […] A sense of fullness in the vagina. […] Rectocele treatment is needed only when they cause symptoms that interfere with daily living.
  • #34
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele-expanded-information
    A rectocele is a herniation (bulge) of the front wall of the rectum into the back wall of the vagina. […] When symptoms are present, they may be categorized as either rectal or vaginal. Rectal symptoms may include: difficulty with evacuation during a bowel movement and the need to press against the back wall of the vagina and/or space between the rectum and the vagina (perineal body) in order to have a bowel movement. Vaginal symptoms can include the sensation of a bulge or fullness in the vagina, tissue protruding out of the vagina, discomfort with sexual intercourse, and vaginal bleeding. […] Symptomatic rectoceles can lead to excessive straining with bowel movements, the urge to have multiple bowel movements throughout the day, and rectal discomfort. Fecal incontinence or smearing may occur as small pieces of stool can be retained in a rectocele (stool trapping), only to later seep out of the anus. Significant stool trapping can also result in an increase in the sense of needing to have a bowel movement, as the stool stuck in the rectocele returns to the low rectum when the patient stands, thereby giving the patient the urge to defecate again.
  • #35
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele
    A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina that may interfere with emptying of stool from the rectum. […] Most people with a small rectocele do not have symptoms. When the rectocele is large, there is usually a noticeable bulge into the vagina. […] Difficulty having a complete bowel movement […] Stool getting stuck in the bulge of the rectum […] The need to press against the vagina and/or space between the rectum and the vagina to have a bowel movement […] Straining with bowel movements […] The urge to have multiple bowel movements throughout the day […] Constipation […] Rectal pain. […] Pain with sexual intercourse (dyspareunia) […] Vaginal bleeding […] A sense of fullness in the vagina. […] Rectocele treatment is needed only when they cause symptoms that interfere with daily living.
  • #36
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele
    A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina that may interfere with emptying of stool from the rectum. […] Most people with a small rectocele do not have symptoms. When the rectocele is large, there is usually a noticeable bulge into the vagina. […] Difficulty having a complete bowel movement […] Stool getting stuck in the bulge of the rectum […] The need to press against the vagina and/or space between the rectum and the vagina to have a bowel movement […] Straining with bowel movements […] The urge to have multiple bowel movements throughout the day […] Constipation […] Rectal pain. […] Pain with sexual intercourse (dyspareunia) […] Vaginal bleeding […] A sense of fullness in the vagina. […] Rectocele treatment is needed only when they cause symptoms that interfere with daily living.
  • #37
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele
    A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina that may interfere with emptying of stool from the rectum. […] Most people with a small rectocele do not have symptoms. When the rectocele is large, there is usually a noticeable bulge into the vagina. […] Difficulty having a complete bowel movement […] Stool getting stuck in the bulge of the rectum […] The need to press against the vagina and/or space between the rectum and the vagina to have a bowel movement […] Straining with bowel movements […] The urge to have multiple bowel movements throughout the day […] Constipation […] Rectal pain. […] Pain with sexual intercourse (dyspareunia) […] Vaginal bleeding […] A sense of fullness in the vagina. […] Rectocele treatment is needed only when they cause symptoms that interfere with daily living.
  • #38
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele
    A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina that may interfere with emptying of stool from the rectum. […] Most people with a small rectocele do not have symptoms. When the rectocele is large, there is usually a noticeable bulge into the vagina. […] Difficulty having a complete bowel movement […] Stool getting stuck in the bulge of the rectum […] The need to press against the vagina and/or space between the rectum and the vagina to have a bowel movement […] Straining with bowel movements […] The urge to have multiple bowel movements throughout the day […] Constipation […] Rectal pain. […] Pain with sexual intercourse (dyspareunia) […] Vaginal bleeding […] A sense of fullness in the vagina. […] Rectocele treatment is needed only when they cause symptoms that interfere with daily living.
  • #39
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele
    A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina that may interfere with emptying of stool from the rectum. […] Most people with a small rectocele do not have symptoms. When the rectocele is large, there is usually a noticeable bulge into the vagina. […] Difficulty having a complete bowel movement […] Stool getting stuck in the bulge of the rectum […] The need to press against the vagina and/or space between the rectum and the vagina to have a bowel movement […] Straining with bowel movements […] The urge to have multiple bowel movements throughout the day […] Constipation […] Rectal pain. […] Pain with sexual intercourse (dyspareunia) […] Vaginal bleeding […] A sense of fullness in the vagina. […] Rectocele treatment is needed only when they cause symptoms that interfere with daily living.
  • #40
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele
    A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina that may interfere with emptying of stool from the rectum. […] Most people with a small rectocele do not have symptoms. When the rectocele is large, there is usually a noticeable bulge into the vagina. […] Difficulty having a complete bowel movement […] Stool getting stuck in the bulge of the rectum […] The need to press against the vagina and/or space between the rectum and the vagina to have a bowel movement […] Straining with bowel movements […] The urge to have multiple bowel movements throughout the day […] Constipation […] Rectal pain. […] Pain with sexual intercourse (dyspareunia) […] Vaginal bleeding […] A sense of fullness in the vagina. […] Rectocele treatment is needed only when they cause symptoms that interfere with daily living.
  • #41
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele
    A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina that may interfere with emptying of stool from the rectum. […] Most people with a small rectocele do not have symptoms. When the rectocele is large, there is usually a noticeable bulge into the vagina. […] Difficulty having a complete bowel movement […] Stool getting stuck in the bulge of the rectum […] The need to press against the vagina and/or space between the rectum and the vagina to have a bowel movement […] Straining with bowel movements […] The urge to have multiple bowel movements throughout the day […] Constipation […] Rectal pain. […] Pain with sexual intercourse (dyspareunia) […] Vaginal bleeding […] A sense of fullness in the vagina. […] Rectocele treatment is needed only when they cause symptoms that interfere with daily living.
  • #42 Changes in bowel symptoms 1 year after rectocele repair
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3484201/
    Bowel symptoms may improve after rectocele repair but almost half of women will have persistent symptoms. […] The prevalence of bowel symptoms decreased after rectocele repair (56% vs. 23% splinting, 74% vs. 37% straining, 85% vs. 19% incomplete evacuation, 66% vs. 14% obstructive defecation, P.001 for all). […] At 12 months postoperative, the prevalence of all bowel symptoms significantly decreased; however, 23% reported persistent splinting, 37% persistent straining, and 19% persistent incomplete evacuation (P.001 for all). […] On multiple logistic regression, a longer history of splinting was a risk factor for persistent postoperative splinting (AOR 2.25, 95% CI 1.024.93).
  • #43 Changes in bowel symptoms 1 year after rectocele repair
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3484201/
    Bowel symptoms may improve after rectocele repair but almost half of women will have persistent symptoms. […] The prevalence of bowel symptoms decreased after rectocele repair (56% vs. 23% splinting, 74% vs. 37% straining, 85% vs. 19% incomplete evacuation, 66% vs. 14% obstructive defecation, P.001 for all). […] At 12 months postoperative, the prevalence of all bowel symptoms significantly decreased; however, 23% reported persistent splinting, 37% persistent straining, and 19% persistent incomplete evacuation (P.001 for all). […] On multiple logistic regression, a longer history of splinting was a risk factor for persistent postoperative splinting (AOR 2.25, 95% CI 1.024.93).
  • #44 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. […] 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.
  • #45
    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. […] 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.
  • #46 Pelvic Organ Prolapse: Types, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse
    Weakened pelvic floor muscles between your vagina and rectum can cause your rectum to bulge onto the back wall of your vagina. […] The most common symptom is feeling a bulge in your vagina, as if something were falling out of it. Other symptoms include: Fullness or pressure in your vagina, Fullness, pressure or aching in your pelvis, Pressure or pain during intercourse (dyspareunia), Changes to how you pee or poop. […] Many people dont tell their provider about their symptoms until they experience trouble peeing and pooping, or until sex becomes painful. These side effects often occur with POP. Symptoms include: Leaking pee when you cough, laugh or exercise (stress incontinence). A constant urge to pee or feeling like your bladder is full. Constipation or being unable to control when you poop.
  • #47 Pelvic Organ Prolapse: Types, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse
    Weakened pelvic floor muscles between your vagina and rectum can cause your rectum to bulge onto the back wall of your vagina. […] The most common symptom is feeling a bulge in your vagina, as if something were falling out of it. Other symptoms include: Fullness or pressure in your vagina, Fullness, pressure or aching in your pelvis, Pressure or pain during intercourse (dyspareunia), Changes to how you pee or poop. […] Many people dont tell their provider about their symptoms until they experience trouble peeing and pooping, or until sex becomes painful. These side effects often occur with POP. Symptoms include: Leaking pee when you cough, laugh or exercise (stress incontinence). A constant urge to pee or feeling like your bladder is full. Constipation or being unable to control when you poop.
  • #48 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    A rectocele can cause your rectum to bulge against your vaginal wall, causing feelings of pressure or fullness in your vagina. […] Rectoceles don’t always cause symptoms. When they do, they’re usually more unpleasant or uncomfortable than painful. […] Signs of a rectocele include: A sensation of pressure or fullness in your rectum or vagina. A soft bulge of tissue that may or may not poke through your vagina. Feeling that your rectum hasn’t completely emptied after pooping. Having the urge to poop several times a day. Experiencing discomfort during intercourse (dyspareunia). Sensing a feeling of looseness or loss of muscle tone in your vagina. Having to press your fingers on the bulge in your vagina to push out a stool during a bowel movement („splinting”). […] If you have a rectocele along with another form of prolapse where your bladder sags, you may also experience urinary incontinence. You may feel the urge to pee frequently, or you may dribble.
  • #49 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    A rectocele can cause your rectum to bulge against your vaginal wall, causing feelings of pressure or fullness in your vagina. […] Rectoceles don’t always cause symptoms. When they do, they’re usually more unpleasant or uncomfortable than painful. […] Signs of a rectocele include: A sensation of pressure or fullness in your rectum or vagina. A soft bulge of tissue that may or may not poke through your vagina. Feeling that your rectum hasn’t completely emptied after pooping. Having the urge to poop several times a day. Experiencing discomfort during intercourse (dyspareunia). Sensing a feeling of looseness or loss of muscle tone in your vagina. Having to press your fingers on the bulge in your vagina to push out a stool during a bowel movement („splinting”). […] If you have a rectocele along with another form of prolapse where your bladder sags, you may also experience urinary incontinence. You may feel the urge to pee frequently, or you may dribble.
  • #50 Advanced Gynecology – Vaginal Prolapse
    https://www.advancedgynecology.com/urogynecology-conditions/vaginal-prolapse
    If the prolapse has moved significantly, symptoms may include: A feeling of fullness or discomfort in the vagina which is relieved when lying down. A heavy or dragging feeling in the vagina which may be more noticeable during sneezing or coughing, prolonged standing, and/or atypical physical exertion. A visible lump in, or outside, the vagina. Achiness or pain in the pelvic region or low back. Urinary or bowel incontinence, frequent urination, incomplete bladder evacuation, or accidental bladder leaks. Recurring urinary tract infections. Discomfort or decreased sensation during sexual intercourse.
  • #51 Posterior vaginal prolapse (rectocele) – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/posterior-vaginal-prolapse-rectocele/
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] 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.
  • #52 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
    Symptoms include pelvic or vaginal fullness or pressure, urinary incontinence, urinary retention, and/or difficulty passing stool. […] Pelvic or vaginal fullness, pressure, and a sensation of organs falling out are common. Organs may bulge into the vaginal canal or through the vaginal opening (introitus), particularly during straining or coughing. […] Mild prolapse may be asymptomatic. […] 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. […] Patients may also experience sexual dysfunction, sometimes due to embarrassment about changes in anatomy or possible urinary or anal incontinence during sexual activity.
  • #53
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele
    A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina that may interfere with emptying of stool from the rectum. […] Most people with a small rectocele do not have symptoms. When the rectocele is large, there is usually a noticeable bulge into the vagina. […] Difficulty having a complete bowel movement […] Stool getting stuck in the bulge of the rectum […] The need to press against the vagina and/or space between the rectum and the vagina to have a bowel movement […] Straining with bowel movements […] The urge to have multiple bowel movements throughout the day […] Constipation […] Rectal pain. […] Pain with sexual intercourse (dyspareunia) […] Vaginal bleeding […] A sense of fullness in the vagina. […] Rectocele treatment is needed only when they cause symptoms that interfere with daily living.
  • #54 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    A rectocele can cause your rectum to bulge against your vaginal wall, causing feelings of pressure or fullness in your vagina. […] Rectoceles don’t always cause symptoms. When they do, they’re usually more unpleasant or uncomfortable than painful. […] Signs of a rectocele include: A sensation of pressure or fullness in your rectum or vagina. A soft bulge of tissue that may or may not poke through your vagina. Feeling that your rectum hasn’t completely emptied after pooping. Having the urge to poop several times a day. Experiencing discomfort during intercourse (dyspareunia). Sensing a feeling of looseness or loss of muscle tone in your vagina. Having to press your fingers on the bulge in your vagina to push out a stool during a bowel movement („splinting”). […] If you have a rectocele along with another form of prolapse where your bladder sags, you may also experience urinary incontinence. You may feel the urge to pee frequently, or you may dribble.
  • #55 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    A rectocele can cause your rectum to bulge against your vaginal wall, causing feelings of pressure or fullness in your vagina. […] Rectoceles don’t always cause symptoms. When they do, they’re usually more unpleasant or uncomfortable than painful. […] Signs of a rectocele include: A sensation of pressure or fullness in your rectum or vagina. A soft bulge of tissue that may or may not poke through your vagina. Feeling that your rectum hasn’t completely emptied after pooping. Having the urge to poop several times a day. Experiencing discomfort during intercourse (dyspareunia). Sensing a feeling of looseness or loss of muscle tone in your vagina. Having to press your fingers on the bulge in your vagina to push out a stool during a bowel movement („splinting”). […] If you have a rectocele along with another form of prolapse where your bladder sags, you may also experience urinary incontinence. You may feel the urge to pee frequently, or you may dribble.
  • #56 Posterior vaginal prolapse (rectocele) – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/posterior-vaginal-prolapse-rectocele/
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] 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.
  • #57 Posterior vaginal prolapse (rectocele) – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/posterior-vaginal-prolapse-rectocele/
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] 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.
  • #58 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
    Symptoms include pelvic or vaginal fullness or pressure, urinary incontinence, urinary retention, and/or difficulty passing stool. […] Pelvic or vaginal fullness, pressure, and a sensation of organs falling out are common. Organs may bulge into the vaginal canal or through the vaginal opening (introitus), particularly during straining or coughing. […] Mild prolapse may be asymptomatic. […] 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. […] Patients may also experience sexual dysfunction, sometimes due to embarrassment about changes in anatomy or possible urinary or anal incontinence during sexual activity.
  • #59 5 Things I Wish All Women Knew About Pelvic Organ Prolapse | ACOG
    https://www.acog.org/womens-health/experts-and-stories/the-latest/5-things-i-wish-all-women-knew-about-pelvic-organ-prolapse
    Pelvic organ prolapse (POP) happens when one or more pelvic organs (the vagina, uterus, bladder, urethra, small intestine, and rectum) drop from their normal position. […] When a pelvic organ drops, it may bulge into another organ. In some cases, the organ may bulge out of the vagina. Women may accidentally leak urine or bowel contents (stool), or their vagina may make noises during exercise or sex. These symptoms and others can be isolating. Some women dont seek treatment until they start having serious problems with bladder, bowel, or sexual function. […] There are many symptoms of POP, which usually develop over time. […] More often, POP starts with symptoms such as leaking urine or not being able to empty the bladder completely. You may have back pressure or pain. Sex may hurt. You may have a feeling of laxity (looseness) within the vagina, or you may have more difficulty reaching orgasm. […] POP can worsen or lead to constipation. If a womans rectum has bulged into her vagina, she may have other bowel problems. For example, she may need to insert her fingers into her vagina and push against the walls of the vagina to move stool out through the anus.
  • #60 Rectocele | healthdirect
    https://www.healthdirect.gov.au/rectocele
    A rectocele is when your rectum bulges into your vaginal wall due to weakness in the muscles and tissues. […] It can affect your toilet habits, both passing urine and bowel movements, as well as your sexual function. […] Untreated, the condition can progress, and your symptoms may get worse. […] Some people have small rectocele without noticing any symptoms. For others, symptoms have a big impact on their quality of life. […] Since it affects the rectal and vaginal walls, a rectocele can cause symptoms in both the rectal and vaginal areas. […] If the prolapse is severe, you may be able to see a bulge (the prolapsed rectum) coming out of your vagina. […] You might find that your symptoms are worse after long periods of standing. […] Treatment will depend on the severity of the rectocele. It may get worse over time if not treated.
  • #61 Rectocele
    https://www.drpoonamarora.com.au/rectocele.html
    If your prolapse is bad, you may have a bulge coming out from your vagina. […] Your symptoms may change if you are more active. Or they may get worse after a long day standing. Lower back ache can also be a symptom of rectocele. […] Your treatment will depend on the severity of your rectocele. It may get worse overtime if not treated. […] Surgery might be recommended if your symptoms cant be managed by pelvic floor exercise and diet.
  • #62 Rectocele | healthdirect
    https://www.healthdirect.gov.au/rectocele
    A rectocele is when your rectum bulges into your vaginal wall due to weakness in the muscles and tissues. […] It can affect your toilet habits, both passing urine and bowel movements, as well as your sexual function. […] Untreated, the condition can progress, and your symptoms may get worse. […] Some people have small rectocele without noticing any symptoms. For others, symptoms have a big impact on their quality of life. […] Since it affects the rectal and vaginal walls, a rectocele can cause symptoms in both the rectal and vaginal areas. […] If the prolapse is severe, you may be able to see a bulge (the prolapsed rectum) coming out of your vagina. […] You might find that your symptoms are worse after long periods of standing. […] Treatment will depend on the severity of the rectocele. It may get worse over time if not treated.
  • #63 Rectocele
    https://www.drpoonamarora.com.au/rectocele.html
    If your prolapse is bad, you may have a bulge coming out from your vagina. […] Your symptoms may change if you are more active. Or they may get worse after a long day standing. Lower back ache can also be a symptom of rectocele. […] Your treatment will depend on the severity of your rectocele. It may get worse overtime if not treated. […] Surgery might be recommended if your symptoms cant be managed by pelvic floor exercise and diet.
  • #64 Pelvic Organ Prolapse – Urogynecology & Pelvic Health | UCLA Health
    https://www.uclahealth.org/medical-services/womens-pelvic-health/conditions-treated/pelvic-organ-prolapse
    Many women with Pelvic Organ Prolapse have no symptoms at all, however some women may experience one or more of the following: […] Symptoms often progress very gradually. And you may make changes in physical or social activities that go unnoticed by others until they become extreme. More rarely symptoms of prolapse can present suddenly. […] As POP worsens, you may notice: A bulging, pressure or heavy sensation in the vagina that worsens by the end of the day or during bowel movements. […] This type of prolapse occurs when the support tissue or fascia between the vagina and rectum stretches or detaches from its attachment to the pelvic bones. With this loss of support, the rectum or intestines fall (prolapse) into the vagina causing it to bulge or protrude outward. Symptoms typically include: A bulge sensation, Problems having a bowel movement such as straining more with bowel movements and the feeling of not completely emptying the bowels, The need to put your finger in or around the vagina or rectum to help empty bowels.
  • #65 Advanced Gynecology – Vaginal Prolapse
    https://www.advancedgynecology.com/urogynecology-conditions/vaginal-prolapse
    If the prolapse has moved significantly, symptoms may include: A feeling of fullness or discomfort in the vagina which is relieved when lying down. A heavy or dragging feeling in the vagina which may be more noticeable during sneezing or coughing, prolonged standing, and/or atypical physical exertion. A visible lump in, or outside, the vagina. Achiness or pain in the pelvic region or low back. Urinary or bowel incontinence, frequent urination, incomplete bladder evacuation, or accidental bladder leaks. Recurring urinary tract infections. Discomfort or decreased sensation during sexual intercourse.
  • #66 Rectocele | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/rectocele
    A rectocele occurs when the rectum pushes the back wall of the vagina forward, causing a prominent bulge into the vagina. […] The symptoms of rectocele may be vaginal, rectal or both, and can include: A sensation of pressure within the pelvis, The feeling that something is falling down or falling out within the pelvis, Symptoms worsened by standing up and eased by lying down, Lower-abdominal pain, Lower-back pain, A bulging mass felt inside the vagina, Vaginal bleeding that’s not related to the menstrual cycle, Painful or impossible vaginal intercourse, Constipation, Problems with passing a bowel motion, since the stool becomes caught in the rectocele, The feeling that the bowel isn’t completely empty after passing a motion, Faecal incontinence (sometimes). […] Surgery may be needed if the rectocele doesn’t respond to other treatments and is causing symptoms.
  • #67 Rectocele
    https://www.drpoonamarora.com.au/rectocele.html
    If your prolapse is bad, you may have a bulge coming out from your vagina. […] Your symptoms may change if you are more active. Or they may get worse after a long day standing. Lower back ache can also be a symptom of rectocele. […] Your treatment will depend on the severity of your rectocele. It may get worse overtime if not treated. […] Surgery might be recommended if your symptoms cant be managed by pelvic floor exercise and diet.
  • #68 Rectocele | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/rectocele
    A rectocele occurs when the rectum pushes the back wall of the vagina forward, causing a prominent bulge into the vagina. […] The symptoms of rectocele may be vaginal, rectal or both, and can include: A sensation of pressure within the pelvis, The feeling that something is falling down or falling out within the pelvis, Symptoms worsened by standing up and eased by lying down, Lower-abdominal pain, Lower-back pain, A bulging mass felt inside the vagina, Vaginal bleeding that’s not related to the menstrual cycle, Painful or impossible vaginal intercourse, Constipation, Problems with passing a bowel motion, since the stool becomes caught in the rectocele, The feeling that the bowel isn’t completely empty after passing a motion, Faecal incontinence (sometimes). […] Surgery may be needed if the rectocele doesn’t respond to other treatments and is causing symptoms.
  • #69 Rectocele
    https://www.drpoonamarora.com.au/rectocele.html
    If your prolapse is bad, you may have a bulge coming out from your vagina. […] Your symptoms may change if you are more active. Or they may get worse after a long day standing. Lower back ache can also be a symptom of rectocele. […] Your treatment will depend on the severity of your rectocele. It may get worse overtime if not treated. […] Surgery might be recommended if your symptoms cant be managed by pelvic floor exercise and diet.
  • #70 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    Your outlook depends on your symptoms and how severe your prolapse is. Most people who receive surgery for rectocele experience symptom relief after their procedure. […] Rectocele can worsen without treatment. Not every rectocele requires surgery. Still, depending on the severity of your rectocele, you may need to increase your fiber intake, perform daily Kegel’s, use a pessary, etc. Follow the treatment plan that you and your provider decide works best.
  • #71 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 symptoms include vaginal bulge, obstructive defecation, constipation, and perineal pressure. […] As the bulge becomes larger, it can become exteriorized – meaning that the bulge is outside the level of the hymen. […] The management of this condition largely depends on the extent of the prolapse and the severity of the symptoms. […] The most common findings of rectocele when symptomatic are a vaginal bulge from the herniation of tissue, pelvic pressure, and changes in defecation. […] Rectoceles have a broad range of symptoms. Some patients may present as asymptomatic while others may demonstrate a significant impact on the quality of life, including the following symptoms: pelvic pain/pressure, posterior vaginal bulge, obstructive defecation, incomplete defecation, constipation, dyspareunia, erosions and bleeding of mucosa if there is tissue exposure to the outside environment. […] Rectoceles and other types of pelvic organ prolapse have a good prognosis as they are not life-threatening conditions. […] Increased parity correlates with increased progression rates for rectoceles.
  • #72 Rectocele | healthdirect
    https://www.healthdirect.gov.au/rectocele
    A rectocele is when your rectum bulges into your vaginal wall due to weakness in the muscles and tissues. […] It can affect your toilet habits, both passing urine and bowel movements, as well as your sexual function. […] Untreated, the condition can progress, and your symptoms may get worse. […] Some people have small rectocele without noticing any symptoms. For others, symptoms have a big impact on their quality of life. […] Since it affects the rectal and vaginal walls, a rectocele can cause symptoms in both the rectal and vaginal areas. […] If the prolapse is severe, you may be able to see a bulge (the prolapsed rectum) coming out of your vagina. […] You might find that your symptoms are worse after long periods of standing. […] Treatment will depend on the severity of the rectocele. It may get worse over time if not treated.
  • #73 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    Your outlook depends on your symptoms and how severe your prolapse is. Most people who receive surgery for rectocele experience symptom relief after their procedure. […] Rectocele can worsen without treatment. Not every rectocele requires surgery. Still, depending on the severity of your rectocele, you may need to increase your fiber intake, perform daily Kegel’s, use a pessary, etc. Follow the treatment plan that you and your provider decide works best.
  • #74 Rectocele Symptoms | Comprehensive Guide at Restore Your Core
    https://restoreyourcore.com/learn/prolapse/rectocele-symptoms/
    Rectocele is usually not a very serious condition and may go unnoticed for years. However, if someone is experiencing symptomatic rectocele and leaves it untreated, they might suffer a host of painful symptoms. A few risk factors of untreated, symptomatic rectocele include: chronic constipation, vaginal bleeding unassociated with menstrual cycles, prolapse the rectal wall into the back wall of the vagina, and rectocele repair surgery. It is important to consult your doctor if you are experiencing any of the symptoms listed above. […] Unfortunately, it is not thought that a rectocele will heal on its own. Although it can go asymptomatic for years, it will still remain there unless treated in some way. If ignored, a rectocele can become larger and present more problems over time. During a regular health exam, your doctor may notice the presence of a rectocele. If so, there are many ways you can pursue treatment without the need of surgery.
  • #75 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    Your outlook depends on your symptoms and how severe your prolapse is. Most people who receive surgery for rectocele experience symptom relief after their procedure. […] Rectocele can worsen without treatment. Not every rectocele requires surgery. Still, depending on the severity of your rectocele, you may need to increase your fiber intake, perform daily Kegel’s, use a pessary, etc. Follow the treatment plan that you and your provider decide works best.
  • #76 What is a Rectocele (Posterior Vaginal Wall Prolapse)?
    https://www.greaterbostonurology.com/blog/what-is-a-rectocele
    DR. EZZEDINE: Rectoceles are very common. They can manifest in women at any time during their adult life, especially after childbirth or after a long-standing history of straining with constipation. […] DR. EZZEDINE: Most rectoceles are in fact asymptomatic. However, many women may experience pelvic pressure sensation, constipation, incomplete bowel emptying, splinting (applying manual pressure on vagina or perineum to assist in bowel emptying), fecal incontinence, or defecatory dysfunction. […] DR. EZZEDINE: A rectocele reaching the vaginal opening or beyond is less likely to regress and more likely to worsen if left untreated, especially in a symptomatic woman.
  • #77 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 symptoms include vaginal bulge, obstructive defecation, constipation, and perineal pressure. […] As the bulge becomes larger, it can become exteriorized – meaning that the bulge is outside the level of the hymen. […] The management of this condition largely depends on the extent of the prolapse and the severity of the symptoms. […] The most common findings of rectocele when symptomatic are a vaginal bulge from the herniation of tissue, pelvic pressure, and changes in defecation. […] Rectoceles have a broad range of symptoms. Some patients may present as asymptomatic while others may demonstrate a significant impact on the quality of life, including the following symptoms: pelvic pain/pressure, posterior vaginal bulge, obstructive defecation, incomplete defecation, constipation, dyspareunia, erosions and bleeding of mucosa if there is tissue exposure to the outside environment. […] Rectoceles and other types of pelvic organ prolapse have a good prognosis as they are not life-threatening conditions. […] Increased parity correlates with increased progression rates for rectoceles.
  • #78 Pelvic organ prolapse | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/bladder-prolapse
    Bladder prolapse (cystocele) is when the bladder bulges into the front wall of the vagina. […] Bowel prolapse (rectocele) is when the rectum bulges into the back of the vaginal wall. […] The symptoms of a prolapse depend on the severity of the prolapse and your general health. […] Symptoms can include: inability to completely empty your bladder or bowel when going to the toilet, straining to wee or poo, a slow flow of wee that may stop and start, a feeling of fullness or pressure inside the vagina, a sensation of vaginal 'dragging’ or 'heaviness’. […] In severe cases, the vaginal wall or cervix may protrude outside the vaginal entrance. […] Without intervention, symptoms of prolapse will usually get worse over time.
  • #79 Advanced Gynecology – Vaginal Prolapse
    https://www.advancedgynecology.com/urogynecology-conditions/vaginal-prolapse
    Vaginal prolapse is a condition in which the muscles supporting the muscles in the pelvis weaken and stretch, allowing the bladder, uterus and or bowel to protrude into the vagina. The condition rarely involves the vagina alone. This protrusion can cause complications such as abdominal pain, problems with bowel movements, issues with urinary function and even difficult sexual intercourse. […] Many women experience symptoms like constipation and difficulty with full bowel or bladder elimination. Some women describe feeling the sensation of a lump in the vagina. Other common complaints include difficulty with tampon use (or the inability to use a tampon altogether), vaginal dryness or irritation and pain with intercourse. […] Symptoms often progress very slowly, with sufferers making gradual and potentially detrimental lifestyle and social changes to accommodate these symptoms which may go unnoticed until they become extreme. Many women with prolapse are asymptomatic (do not experience symptoms) until an organ has moved further into the vagina.
  • #80 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 symptoms include vaginal bulge, obstructive defecation, constipation, and perineal pressure. […] As the bulge becomes larger, it can become exteriorized – meaning that the bulge is outside the level of the hymen. […] The management of this condition largely depends on the extent of the prolapse and the severity of the symptoms. […] The most common findings of rectocele when symptomatic are a vaginal bulge from the herniation of tissue, pelvic pressure, and changes in defecation. […] Rectoceles have a broad range of symptoms. Some patients may present as asymptomatic while others may demonstrate a significant impact on the quality of life, including the following symptoms: pelvic pain/pressure, posterior vaginal bulge, obstructive defecation, incomplete defecation, constipation, dyspareunia, erosions and bleeding of mucosa if there is tissue exposure to the outside environment. […] Rectoceles and other types of pelvic organ prolapse have a good prognosis as they are not life-threatening conditions. […] Increased parity correlates with increased progression rates for rectoceles.
  • #81 Rectocele (prolapsed rectum) – Pelvic organ prolapse – Stage 0 to 4
    https://theflowerempowered.com/knowledge-portal/pelvic-organ-prolapse/rectocele/
    A rectocele (also known as a posterior prolapse) is a hernia on the back wall of the vagina resulting in the rectum bulging into the vaginal passage. […] Because a rectocele causes the rectum to be pushed/pulled into the vagina, bowel function is often impacted. You may experience constipation like symptoms and often feel like the bowel has not completely emptied. […] Straining from constipation can increase the stage of pelvic organ prolapse due to the increase in intraabdominal pressure. […] Rectocele symptoms can also have negative impact on sexual function. […] If you are suffering from a rectocele, it is critical to keep avoid constipation, maintaining soft stools and avoiding the need to strain. […] When practiced consistently over time, these exercises can help to reduce your symptoms of pelvic organ prolapse. […] Surgical options are generally only advised when the rectocele is severe (grade 3 or 4).
  • #82 Rectocele (prolapsed rectum) – Pelvic organ prolapse – Stage 0 to 4
    https://theflowerempowered.com/knowledge-portal/pelvic-organ-prolapse/rectocele/
    A rectocele (also known as a posterior prolapse) is a hernia on the back wall of the vagina resulting in the rectum bulging into the vaginal passage. […] Because a rectocele causes the rectum to be pushed/pulled into the vagina, bowel function is often impacted. You may experience constipation like symptoms and often feel like the bowel has not completely emptied. […] Straining from constipation can increase the stage of pelvic organ prolapse due to the increase in intraabdominal pressure. […] Rectocele symptoms can also have negative impact on sexual function. […] If you are suffering from a rectocele, it is critical to keep avoid constipation, maintaining soft stools and avoiding the need to strain. […] When practiced consistently over time, these exercises can help to reduce your symptoms of pelvic organ prolapse. […] Surgical options are generally only advised when the rectocele is severe (grade 3 or 4).
  • #83 Rectocele Symptoms | Comprehensive Guide at Restore Your Core
    https://restoreyourcore.com/learn/prolapse/rectocele-symptoms/
    Rectocele is usually not a very serious condition and may go unnoticed for years. However, if someone is experiencing symptomatic rectocele and leaves it untreated, they might suffer a host of painful symptoms. A few risk factors of untreated, symptomatic rectocele include: chronic constipation, vaginal bleeding unassociated with menstrual cycles, prolapse the rectal wall into the back wall of the vagina, and rectocele repair surgery. It is important to consult your doctor if you are experiencing any of the symptoms listed above. […] Unfortunately, it is not thought that a rectocele will heal on its own. Although it can go asymptomatic for years, it will still remain there unless treated in some way. If ignored, a rectocele can become larger and present more problems over time. During a regular health exam, your doctor may notice the presence of a rectocele. If so, there are many ways you can pursue treatment without the need of surgery.
  • #84 Rectocele: Practice Essentials, History of the Procedure, Epidemiology
    https://emedicine.medscape.com/article/268546-overview
    Rectocele is defined as herniation or bulging of the posterior vaginal wall, with the anterior wall of the rectum in direct apposition to the vaginal epithelium. It is a form of pelvic organ prolapse (POP). […] Pelvic pressure, vaginal protrusion, the need to splint the perineum to defecate, impaired sexual relations, difficult defecation, and fecal incontinence are some of the symptoms that have been described in patients with rectoceles. Whether prolapse is the cause or result of these symptoms is uncertain. […] Patients with rectocele often present with feelings of pelvic pressure, a sensation of „bearing-down,” or a perception that something is „falling out.” Symptoms are often accentuated by standing and lifting and relieved by lying down. Symptoms directly related to the prolapse may include the sensation of a mass or bulge in the vagina, pelvic pressure and pain, low back pain, and difficulty with intravaginal intercourse. Symptoms directly related to rectocele include defecatory dysfunction, inability to completely evacuate the distal rectum without straining, constipation, and dyspareunia. […] The incidence of POP and rectocele increases with age, parity, and BMI. However, even nulliparous women may present with a clinically significant rectocele, albeit relatively uncommon.
  • #85 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 symptoms include vaginal bulge, obstructive defecation, constipation, and perineal pressure. […] As the bulge becomes larger, it can become exteriorized – meaning that the bulge is outside the level of the hymen. […] The management of this condition largely depends on the extent of the prolapse and the severity of the symptoms. […] The most common findings of rectocele when symptomatic are a vaginal bulge from the herniation of tissue, pelvic pressure, and changes in defecation. […] Rectoceles have a broad range of symptoms. Some patients may present as asymptomatic while others may demonstrate a significant impact on the quality of life, including the following symptoms: pelvic pain/pressure, posterior vaginal bulge, obstructive defecation, incomplete defecation, constipation, dyspareunia, erosions and bleeding of mucosa if there is tissue exposure to the outside environment. […] Rectoceles and other types of pelvic organ prolapse have a good prognosis as they are not life-threatening conditions. […] Increased parity correlates with increased progression rates for rectoceles.
  • #86 Rectocele: Practice Essentials, History of the Procedure, Epidemiology
    https://emedicine.medscape.com/article/268546-overview
    Rectocele is defined as herniation or bulging of the posterior vaginal wall, with the anterior wall of the rectum in direct apposition to the vaginal epithelium. It is a form of pelvic organ prolapse (POP). […] Pelvic pressure, vaginal protrusion, the need to splint the perineum to defecate, impaired sexual relations, difficult defecation, and fecal incontinence are some of the symptoms that have been described in patients with rectoceles. Whether prolapse is the cause or result of these symptoms is uncertain. […] Patients with rectocele often present with feelings of pelvic pressure, a sensation of „bearing-down,” or a perception that something is „falling out.” Symptoms are often accentuated by standing and lifting and relieved by lying down. Symptoms directly related to the prolapse may include the sensation of a mass or bulge in the vagina, pelvic pressure and pain, low back pain, and difficulty with intravaginal intercourse. Symptoms directly related to rectocele include defecatory dysfunction, inability to completely evacuate the distal rectum without straining, constipation, and dyspareunia. […] The incidence of POP and rectocele increases with age, parity, and BMI. However, even nulliparous women may present with a clinically significant rectocele, albeit relatively uncommon.
  • #87 Rectocele: Practice Essentials, History of the Procedure, Epidemiology
    https://emedicine.medscape.com/article/268546-overview
    Rectocele is defined as herniation or bulging of the posterior vaginal wall, with the anterior wall of the rectum in direct apposition to the vaginal epithelium. It is a form of pelvic organ prolapse (POP). […] Pelvic pressure, vaginal protrusion, the need to splint the perineum to defecate, impaired sexual relations, difficult defecation, and fecal incontinence are some of the symptoms that have been described in patients with rectoceles. Whether prolapse is the cause or result of these symptoms is uncertain. […] Patients with rectocele often present with feelings of pelvic pressure, a sensation of „bearing-down,” or a perception that something is „falling out.” Symptoms are often accentuated by standing and lifting and relieved by lying down. Symptoms directly related to the prolapse may include the sensation of a mass or bulge in the vagina, pelvic pressure and pain, low back pain, and difficulty with intravaginal intercourse. Symptoms directly related to rectocele include defecatory dysfunction, inability to completely evacuate the distal rectum without straining, constipation, and dyspareunia. […] The incidence of POP and rectocele increases with age, parity, and BMI. However, even nulliparous women may present with a clinically significant rectocele, albeit relatively uncommon.
  • #88 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. […] 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.
  • #89 Changes in bowel symptoms 1 year after rectocele repair
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3484201/
    Bowel symptoms may improve after rectocele repair but almost half of women will have persistent symptoms. […] The prevalence of bowel symptoms decreased after rectocele repair (56% vs. 23% splinting, 74% vs. 37% straining, 85% vs. 19% incomplete evacuation, 66% vs. 14% obstructive defecation, P.001 for all). […] At 12 months postoperative, the prevalence of all bowel symptoms significantly decreased; however, 23% reported persistent splinting, 37% persistent straining, and 19% persistent incomplete evacuation (P.001 for all). […] On multiple logistic regression, a longer history of splinting was a risk factor for persistent postoperative splinting (AOR 2.25, 95% CI 1.024.93).
  • #90 Changes in bowel symptoms 1 year after rectocele repair
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3484201/
    Bowel symptoms may improve after rectocele repair but almost half of women will have persistent symptoms. […] The prevalence of bowel symptoms decreased after rectocele repair (56% vs. 23% splinting, 74% vs. 37% straining, 85% vs. 19% incomplete evacuation, 66% vs. 14% obstructive defecation, P.001 for all). […] At 12 months postoperative, the prevalence of all bowel symptoms significantly decreased; however, 23% reported persistent splinting, 37% persistent straining, and 19% persistent incomplete evacuation (P.001 for all). […] On multiple logistic regression, a longer history of splinting was a risk factor for persistent postoperative splinting (AOR 2.25, 95% CI 1.024.93).
  • #91 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 symptoms include vaginal bulge, obstructive defecation, constipation, and perineal pressure. […] As the bulge becomes larger, it can become exteriorized – meaning that the bulge is outside the level of the hymen. […] The management of this condition largely depends on the extent of the prolapse and the severity of the symptoms. […] The most common findings of rectocele when symptomatic are a vaginal bulge from the herniation of tissue, pelvic pressure, and changes in defecation. […] Rectoceles have a broad range of symptoms. Some patients may present as asymptomatic while others may demonstrate a significant impact on the quality of life, including the following symptoms: pelvic pain/pressure, posterior vaginal bulge, obstructive defecation, incomplete defecation, constipation, dyspareunia, erosions and bleeding of mucosa if there is tissue exposure to the outside environment. […] Rectoceles and other types of pelvic organ prolapse have a good prognosis as they are not life-threatening conditions. […] Increased parity correlates with increased progression rates for rectoceles.
  • #92 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    Your outlook depends on your symptoms and how severe your prolapse is. Most people who receive surgery for rectocele experience symptom relief after their procedure. […] Rectocele can worsen without treatment. Not every rectocele requires surgery. Still, depending on the severity of your rectocele, you may need to increase your fiber intake, perform daily Kegel’s, use a pessary, etc. Follow the treatment plan that you and your provider decide works best.
  • #93 Pelvic Organ Prolapse: Types, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse
    Your treatment plan will depend on how severe the prolapse is, where it is and how much your symptoms affect you. There are surgical and nonsurgical treatment options. […] Yes, with treatment, it can go away. With mild POP, you can strengthen your muscles so that they hold the organs in their correct locations. Reconstructive surgeries strengthen the weaknesses in your pelvic walls so that your organs return to their original locations.
  • #94 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. […] You might fill out a questionnaire to assess your condition. Your answers can tell your health care provider about how far the bulge extends into the vagina and how much it affects your quality of life. This information helps guide treatment decisions. […] 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. […] 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.
  • #95 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment
    https://my.clevelandclinic.org/health/diseases/17415-rectocele
    Your outlook depends on your symptoms and how severe your prolapse is. Most people who receive surgery for rectocele experience symptom relief after their procedure. […] Rectocele can worsen without treatment. Not every rectocele requires surgery. Still, depending on the severity of your rectocele, you may need to increase your fiber intake, perform daily Kegel’s, use a pessary, etc. Follow the treatment plan that you and your provider decide works best.
  • #96 Rectocele Repair: Background, Indications and Contraindications, Anatomy
    https://emedicine.medscape.com/article/1848562-overview
    As women age, the prevalence of pelvic floor dysfunction increases, including pelvic organ prolapse. A womans lifetime risk of having surgery for pelvic organ prolapse is 13%. […] Rectoceles are one type of posterior compartment prolapse that consists of the rectum protruding into the vagina. Other conditions that impact the posterior wall include enteroceles, sigmoidoceles, intussusception, and rectal prolapse. Posterior vaginal wall prolapse can manifest as an asymptomatic bulge or with bothersome symptoms such as constipation, pelvic pressure, and defecatory dysfunction, including obstructed defecation. The gynecologist must keep in mind that surgical treatment should be reserved for symptomatic patients only. […] In a study of patients with both rectoceles and obstructed defecation, 70% of patients improved.
  • #97 Rectocele Repair | Melbourne Bladder Clinic
    https://bladderclinic.com.au/procedures/female-pelvic-medicine/rectocele-repair
    Women may describe a dragging sensation or pressure in the vagina. Some can feel a lump protruding out of the vagina. Rarely, large lumps can rub against the underwear and ulcerate. Some describe painful intercourse. Some women describe trapping of stools and difficulty opening the bowels. […] Very rarely, a rectocele may be large enough to cause upward compression and difficulty passing urine. […] Recurrence of prolapse (10% to 20%). […] Persistent difficulty with opening bowels.
  • #98 Pelvic organ prolapse | RCOG
    https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/
    Posterior vaginal wall prolapse: when the rectum (lower part of the large bowel) bulges into the back wall of the vagina, also called a rectocele. […] You may feel a bulge or a dragging sensation in the vagina. […] You may notice constipation or incomplete bowel emptying. You may sometimes need to press on the bulge with your fingers to help open your bowels. […] Approximately 25-30 in 100 women having surgery for prolapse will develop another prolapse in the future.
  • #99
    https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele
    Most symptoms associated with a rectocele can be resolved with nonsurgical treatment, however, this depends on the severity of symptoms. […] The surgical management of rectoceles should only be considered when nonsurgical methods have not resolved or improved symptoms and the condition interferes with daily living. […] The success rate of surgery depends on the specific symptoms and their duration. Risks of surgical correction include bleeding, infection and pain during intercourse (dyspareunia). There is also the chance of the rectocele recurring or worsening as well as a formation of a rectovaginal fistula (communication between the rectum and the vagina).
  • #100 Rectocele Repair – The Center for Specialized Women’s Health – Denville, NJ
    https://specializedwomenshealth.com/services/rectocele-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. […] Quoted success rates for posterior vaginal wall repair are 80- 90%. There is a chance that the prolapse might come back in the future, or another part of the vagina may prolapse. About 50% of women who have symptoms such as incomplete bowel emptying or constipation will have improvement in their symptoms following surgery.
  • #101 Rectocoele/Posterior Repair Information | Continence Matters
    https://continencematters.com/surgery-and-procedures/surgery-for-prolapse/rectocoele-posterior-repair-information/
    Surgical correction is usually put off until a woman has completed her family. Surgical repair can help improve symptoms of splinting, a feeling of a vaginal mass or incomplete evacuation. […] Early results are reasonably good with about 70-80% success but your rectal prolapse may recur. The risk of this can be quite high, up to 50% recurring within 5 years.
  • #102 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. […] 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.
  • #103 Posterior vaginal prolapse (rectocele) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/posterior-vaginal-prolapse-rectocele
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] 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.
  • #104 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina, Trouble having a bowel movement, Feeling pressure or fullness in the rectum, A feeling that the rectum has not completely emptied after a bowel movement, Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of the vaginal tissue. […] Many women with posterior vaginal prolapse also have prolapse of other pelvic organs, such as the bladder or uterus. […] 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.
  • #105 Posterior vaginal prolapse (rectocele) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/posterior-vaginal-prolapse-rectocele
    A small posterior vaginal prolapse (rectocele) might cause no symptoms. […] 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. […] 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.
  • #106 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). […] A small posterior vaginal prolapse (rectocele) may cause no signs or symptoms. […] A soft bulge of tissue in your vagina that might protrude through the vaginal opening. […] Difficulty having a bowel movement. […] Sensation of rectal pressure or fullness. […] A feeling that the rectum has not completely emptied after a bowel movement. […] Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of your vaginal tissue. […] But sometimes moderate or severe posterior vaginal prolapses can be bothersome or uncomfortable. See your doctor if: […] You have a bothersome bulge of tissue that protrudes through your vaginal opening. […] Constipation treatment isnt successful at producing soft and easy-to-pass stool between three times a day to three times a week.
  • #107 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). […] A small posterior vaginal prolapse (rectocele) may cause no signs or symptoms. […] A soft bulge of tissue in your vagina that might protrude through the vaginal opening. […] Difficulty having a bowel movement. […] Sensation of rectal pressure or fullness. […] A feeling that the rectum has not completely emptied after a bowel movement. […] Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of your vaginal tissue. […] But sometimes moderate or severe posterior vaginal prolapses can be bothersome or uncomfortable. See your doctor if: […] You have a bothersome bulge of tissue that protrudes through your vaginal opening. […] Constipation treatment isnt successful at producing soft and easy-to-pass stool between three times a day to three times a week.
  • #108 Posterior Vaginal Prolapse and Other Urogynaecological Issues | GAURI – Urogynecology Clinic
    https://urogynecology.in/posterior-vaginal-prolapse-and-other-urogynaecological-issues/
    A posterior vaginal prolapse is a condition in which there is a bulge of tissue into the vagina. This tissue lies between the rectum and the vagina and if it weakens or tears then the rectum may push into the vaginal wall. This bulge of the rectum into the vagina is called by two names: A posterior vaginal prolapse or a rectocele. […] A small posterior vaginal prolapse might not cause any symptoms. But a large one might: A soft bulge of tissue that comes through the opening of the vagina, Difficult bowel movements, Looseness in the vaginal tissues. […] If the symptoms are moderate or severe than treatment from a healthcare professional is needed. If you are in great discomfort, if you are unable to have proper bowel movements, if you feel pain in your hips, it is important for you to visit a doctor, specifically a urogynaecologist.
  • #109 Posterior Vaginal Prolapse and Other Urogynaecological Issues | GAURI – Urogynecology Clinic
    https://urogynecology.in/posterior-vaginal-prolapse-and-other-urogynaecological-issues/
    A posterior vaginal prolapse is a condition in which there is a bulge of tissue into the vagina. This tissue lies between the rectum and the vagina and if it weakens or tears then the rectum may push into the vaginal wall. This bulge of the rectum into the vagina is called by two names: A posterior vaginal prolapse or a rectocele. […] A small posterior vaginal prolapse might not cause any symptoms. But a large one might: A soft bulge of tissue that comes through the opening of the vagina, Difficult bowel movements, Looseness in the vaginal tissues. […] If the symptoms are moderate or severe than treatment from a healthcare professional is needed. If you are in great discomfort, if you are unable to have proper bowel movements, if you feel pain in your hips, it is important for you to visit a doctor, specifically a urogynaecologist.
  • #110 Pelvic Organ Prolapse | UVA Health
    https://uvahealth.com/services/pelvic-floor-disorders/pelvic-organ-prolapse
    Pelvic organ prolapse occurs when one or more of the pelvic organs (bladder, uterus, vagina and rectum) fall downward and bulge out through the opening of the vagina. This happens when the pelvic floor muscles become weak or damaged and can no longer support the pelvic organs. […] While prolapse is not considered a life-threatening condition, it may be painful and distressing. […] Rectocele (bulging rectum) occurs when the rectum falls. It may cause discomfort and difficulty having bowel movements. […] Physical symptoms can include: A bulge or lump on the outside of the vagina, Feeling as though something is bulging out of the vagina, like a tampon is about to fall out, Lower back pain or increased pelvic pressure that interferes with daily activities, Irregular vaginal spotting or bleeding, Frequent urinary incontinence, urinary tract infections, difficulty urinating, frequent urination or any of the above that interfere with a daily routine, Difficult or painful sexual intercourse, Difficult bowel movements, constipation or liquid stools.
  • #111 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. […] What can I do at home to ease my symptoms? […] What are the chances that the bulge will grow if I don’t do anything? […] What treatment approach do you think would be best for me? […] Do you strain during bowel movements?
  • #112 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. […] What can I do at home to ease my symptoms? […] What are the chances that the bulge will grow if I don’t do anything? […] What treatment approach do you think would be best for me? […] Do you strain during bowel movements?
  • #113 Posterior Vaginal Prolapse (Rectocele) – Types, Symptoms and Treatment | Apollo Hospitals
    https://www.apollohospitals.com/diseases-and-conditions/posterior-vaginal-prolapse-rectocele-types-symptoms-and-treatment
    Posterior vaginal prolapse (rectocele) is a common condition. Sometimes, women who have not given birth may also experience posterior vaginal prolapse (rectocele). […] However, in severe cases, posterior vaginal prolapse (rectocele) can cause extreme discomfort. […] Posterior vaginal prolapse (rectocele) is a common medical condition. Although mild cases may not cause any signs and symptoms, severe cases may experience extreme discomfort. Sometimes, the bulge may even protrude out of the vaginal opening, which can be bothersome. If you experience the symptoms of posterior vaginal prolapse (rectocele), immediately consult with a doctor near you to get the right treatment. […] If left untreated, posterior vaginal prolapse (rectocele) can cause the following complications: Constipation, Constant pressure and discomfort in the pelvic region, Leakage of bowel contents through the vagina, also known as faecal incontinence. […] Since posterior vaginal prolapse (rectocele) is an anatomical defect, it cannot be fixed naturally. Its treatment depends on the severity of the symptoms. A surgical approach is a definitive treatment for it.
  • #114 Posterior Vaginal Prolapse – Symptoms | Causes | Diagnosis | Treatment | Complications | Prevention
    https://www.icliniq.com/articles/womens-health/posterior-vaginal-prolapse
    Many women with posterior vaginal prolapse can also experience prolapse of other pelvic organs, such as the uterus and bladder. So, women may also have the feeling of frequent urination. […] The posterior vaginal prolapse can be embarrassing and uncomfortable and make it difficult to empty bowel movements. In mild cases, it can be prevented with Kegels exercise, controlling constipation and obesity. In severe cases, surgery is recommended. […] The following issues occur if a rectocele is left untreated: Pressure or discomfort in the pelvic area. Constipation. Leakage of bowel movements or bowel incontinence. Sexual dysfunction.
  • #115 Posterior Vaginal Prolapse (Rectocele) – Types, Symptoms and Treatment | Apollo Hospitals
    https://www.apollohospitals.com/diseases-and-conditions/posterior-vaginal-prolapse-rectocele-types-symptoms-and-treatment
    Posterior vaginal prolapse (rectocele) is a common condition. Sometimes, women who have not given birth may also experience posterior vaginal prolapse (rectocele). […] However, in severe cases, posterior vaginal prolapse (rectocele) can cause extreme discomfort. […] Posterior vaginal prolapse (rectocele) is a common medical condition. Although mild cases may not cause any signs and symptoms, severe cases may experience extreme discomfort. Sometimes, the bulge may even protrude out of the vaginal opening, which can be bothersome. If you experience the symptoms of posterior vaginal prolapse (rectocele), immediately consult with a doctor near you to get the right treatment. […] If left untreated, posterior vaginal prolapse (rectocele) can cause the following complications: Constipation, Constant pressure and discomfort in the pelvic region, Leakage of bowel contents through the vagina, also known as faecal incontinence. […] Since posterior vaginal prolapse (rectocele) is an anatomical defect, it cannot be fixed naturally. Its treatment depends on the severity of the symptoms. A surgical approach is a definitive treatment for it.
  • #116 Posterior Vaginal Prolapse – Symptoms | Causes | Diagnosis | Treatment | Complications | Prevention
    https://www.icliniq.com/articles/womens-health/posterior-vaginal-prolapse
    Many women with posterior vaginal prolapse can also experience prolapse of other pelvic organs, such as the uterus and bladder. So, women may also have the feeling of frequent urination. […] The posterior vaginal prolapse can be embarrassing and uncomfortable and make it difficult to empty bowel movements. In mild cases, it can be prevented with Kegels exercise, controlling constipation and obesity. In severe cases, surgery is recommended. […] The following issues occur if a rectocele is left untreated: Pressure or discomfort in the pelvic area. Constipation. Leakage of bowel movements or bowel incontinence. Sexual dysfunction.
  • #117 Posterior Vaginal Prolapse (Rectocele) – Types, Symptoms and Treatment | Apollo Hospitals
    https://www.apollohospitals.com/diseases-and-conditions/posterior-vaginal-prolapse-rectocele-types-symptoms-and-treatment
    Posterior vaginal prolapse (rectocele) is a common condition. Sometimes, women who have not given birth may also experience posterior vaginal prolapse (rectocele). […] However, in severe cases, posterior vaginal prolapse (rectocele) can cause extreme discomfort. […] Posterior vaginal prolapse (rectocele) is a common medical condition. Although mild cases may not cause any signs and symptoms, severe cases may experience extreme discomfort. Sometimes, the bulge may even protrude out of the vaginal opening, which can be bothersome. If you experience the symptoms of posterior vaginal prolapse (rectocele), immediately consult with a doctor near you to get the right treatment. […] If left untreated, posterior vaginal prolapse (rectocele) can cause the following complications: Constipation, Constant pressure and discomfort in the pelvic region, Leakage of bowel contents through the vagina, also known as faecal incontinence. […] Since posterior vaginal prolapse (rectocele) is an anatomical defect, it cannot be fixed naturally. Its treatment depends on the severity of the symptoms. A surgical approach is a definitive treatment for it.
  • #118 Posterior Vaginal Prolapse – Symptoms | Causes | Diagnosis | Treatment | Complications | Prevention
    https://www.icliniq.com/articles/womens-health/posterior-vaginal-prolapse
    Many women with posterior vaginal prolapse can also experience prolapse of other pelvic organs, such as the uterus and bladder. So, women may also have the feeling of frequent urination. […] The posterior vaginal prolapse can be embarrassing and uncomfortable and make it difficult to empty bowel movements. In mild cases, it can be prevented with Kegels exercise, controlling constipation and obesity. In severe cases, surgery is recommended. […] The following issues occur if a rectocele is left untreated: Pressure or discomfort in the pelvic area. Constipation. Leakage of bowel movements or bowel incontinence. Sexual dysfunction.
  • #119 Posterior Vaginal Prolapse (Rectocele) – Types, Symptoms and Treatment | Apollo Hospitals
    https://www.apollohospitals.com/diseases-and-conditions/posterior-vaginal-prolapse-rectocele-types-symptoms-and-treatment
    Posterior vaginal prolapse (rectocele) is a common condition. Sometimes, women who have not given birth may also experience posterior vaginal prolapse (rectocele). […] However, in severe cases, posterior vaginal prolapse (rectocele) can cause extreme discomfort. […] Posterior vaginal prolapse (rectocele) is a common medical condition. Although mild cases may not cause any signs and symptoms, severe cases may experience extreme discomfort. Sometimes, the bulge may even protrude out of the vaginal opening, which can be bothersome. If you experience the symptoms of posterior vaginal prolapse (rectocele), immediately consult with a doctor near you to get the right treatment. […] If left untreated, posterior vaginal prolapse (rectocele) can cause the following complications: Constipation, Constant pressure and discomfort in the pelvic region, Leakage of bowel contents through the vagina, also known as faecal incontinence. […] Since posterior vaginal prolapse (rectocele) is an anatomical defect, it cannot be fixed naturally. Its treatment depends on the severity of the symptoms. A surgical approach is a definitive treatment for it.
  • #120 Posterior Vaginal Prolapse – Symptoms | Causes | Diagnosis | Treatment | Complications | Prevention
    https://www.icliniq.com/articles/womens-health/posterior-vaginal-prolapse
    Many women with posterior vaginal prolapse can also experience prolapse of other pelvic organs, such as the uterus and bladder. So, women may also have the feeling of frequent urination. […] The posterior vaginal prolapse can be embarrassing and uncomfortable and make it difficult to empty bowel movements. In mild cases, it can be prevented with Kegels exercise, controlling constipation and obesity. In severe cases, surgery is recommended. […] The following issues occur if a rectocele is left untreated: Pressure or discomfort in the pelvic area. Constipation. Leakage of bowel movements or bowel incontinence. Sexual dysfunction.
  • #121 Rectocele | healthdirect
    https://www.healthdirect.gov.au/rectocele
    If your symptoms can’t be managed by pelvic floor exercise and diet, your doctor may recommend surgery to strengthen your vaginal wall. […] Rectocele can lead to medical complications including problems with continence and sexual function. […] Lifestyle changes, physiotherapy and medical treatment can usually manage these complications, but sometimes surgery is needed.
  • #122 Rectocele | healthdirect
    https://www.healthdirect.gov.au/rectocele
    If your symptoms can’t be managed by pelvic floor exercise and diet, your doctor may recommend surgery to strengthen your vaginal wall. […] Rectocele can lead to medical complications including problems with continence and sexual function. […] Lifestyle changes, physiotherapy and medical treatment can usually manage these complications, but sometimes surgery is needed.
  • #123 Posterior Vaginal Prolapse (Rectocele) – Types, Symptoms and Treatment | Apollo Hospitals
    https://www.apollohospitals.com/diseases-and-conditions/posterior-vaginal-prolapse-rectocele-types-symptoms-and-treatment
    Posterior vaginal prolapse (rectocele) is a common condition. Sometimes, women who have not given birth may also experience posterior vaginal prolapse (rectocele). […] However, in severe cases, posterior vaginal prolapse (rectocele) can cause extreme discomfort. […] Posterior vaginal prolapse (rectocele) is a common medical condition. Although mild cases may not cause any signs and symptoms, severe cases may experience extreme discomfort. Sometimes, the bulge may even protrude out of the vaginal opening, which can be bothersome. If you experience the symptoms of posterior vaginal prolapse (rectocele), immediately consult with a doctor near you to get the right treatment. […] If left untreated, posterior vaginal prolapse (rectocele) can cause the following complications: Constipation, Constant pressure and discomfort in the pelvic region, Leakage of bowel contents through the vagina, also known as faecal incontinence. […] Since posterior vaginal prolapse (rectocele) is an anatomical defect, it cannot be fixed naturally. Its treatment depends on the severity of the symptoms. A surgical approach is a definitive treatment for it.
  • #124 Rectocele Symptoms | Comprehensive Guide at Restore Your Core
    https://restoreyourcore.com/learn/prolapse/rectocele-symptoms/
    Rectocele is usually not a very serious condition and may go unnoticed for years. However, if someone is experiencing symptomatic rectocele and leaves it untreated, they might suffer a host of painful symptoms. A few risk factors of untreated, symptomatic rectocele include: chronic constipation, vaginal bleeding unassociated with menstrual cycles, prolapse the rectal wall into the back wall of the vagina, and rectocele repair surgery. It is important to consult your doctor if you are experiencing any of the symptoms listed above. […] Unfortunately, it is not thought that a rectocele will heal on its own. Although it can go asymptomatic for years, it will still remain there unless treated in some way. If ignored, a rectocele can become larger and present more problems over time. During a regular health exam, your doctor may notice the presence of a rectocele. If so, there are many ways you can pursue treatment without the need of surgery.