Materiały źródłowe

• #1 Posterior vaginal prolapse (rectocele) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/rectocele/symptoms-causes/syc-20353414

  Posterior vaginal prolapse results from pressure on the pelvic floor or trauma. Causes of increased pelvic floor pressure include: […] To help keep posterior vaginal prolapse from getting worse, you might try to: […] Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. […] Avoid heavy lifting and lift correctly. Use your legs instead of your waist or back to lift. […] Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. […] Avoid weight gain. Ask your health care provider to help you determine the best weight for you. Ask for advice on how to lose weight, if needed.

• #1 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. […] The main cause is excess pressure on the pelvic floor muscles. The extra pressure can be a result of the following factors: […] The doctor may recommend the following remedies to help ease the symptoms of posterior vaginal prolapse (rectocele): Pelvic floor exercises like Kegel exercises, to strengthen the pelvic muscles. […] In case of obesity, the doctor may advise that you lose some weight to help keep the unnecessary pressure off of the pelvic muscles. […] 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.

• #1

  https://link.springer.com/article/10.1007/s00192-012-1753-8

  Rectocoele is a common condition, which often leads to the need for surgical repair. […] Risk factors for rectocoele include high parity (especially large birth weights delivered vaginally), chronic raised intra-abdominal pressure (chronic cough, persistent heavy lifting, constipation), age and increased body mass index (BMI). […] It has been suggested that women presenting with POP should be examined and assessed for evidence of rectal disorders (and vice versa), as it is likely that the number of women with concurrent genital and rectal prolapse is higher than reported. […] Should both defects be apparent preoperatively, then the risk to patients may be decreased if gynaecological and colorectal procedures are undertaken at the same time, as many of these patients are elderly with multiple medical comorbidities, which increases their surgical risk.

• #1 Rectocele Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/268546-treatment

  Prophylactic measures for preventing rectocele include diagnosis and treatment of chronic respiratory and metabolic disorders, correction of constipation, and intra-abdominal disorders that may cause chronic increases in intra-abdominal pressure. […] Counsel patients about the preventive effects of weight control, proper nutrition, smoking cessation, and avoidance of strenuous occupational and recreational stresses that could damage the pelvic support system. Teach and encourage women to perform pelvic muscle exercises as a method of strengthening their pelvic diaphragm and as prophylaxis against the development of rectocele. […] Failure to recognize and treat significant support defects at the time of concomitant gynecologic surgery can lead to progression of rectocele. […] For mild degrees of relaxation, especially in younger women immediately following childbirth, levator muscle exercises, sometimes called Kegel exercises, are helpful in restoring the tone of the muscles of the pelvic floor. Instruct patients how to appropriately contract the puborectalis muscles. Patients should repeat this exercise approximately 75 times during the day. […] Although levator ani plication has been championed in the past, this procedure should not be routinely used during posterior colporrhaphy secondary to the significant increased risk of dyspareunia in sexually active women.

• #1 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment

  https://my.clevelandclinic.org/health/diseases/17415-rectocele

  You can’t prevent a rectocele or pelvic organ prolapse. Still, you can put good practices into place that can strengthen your pelvic floor. Many of the same strategies used to manage mild cases of rectocele can be used to reduce your risk of prolapse. […] Perform Kegel exercises regularly. Kegel’s can strengthen your pelvic floor muscles, which is especially important after childbirth. Ask your healthcare provider about when it’s safe to perform Kegel’s after you’ve had your baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. Aim for 25 to 35 grams of fiber daily and eight glasses of water. Use stool softeners if you need them. […] Avoid heavy lifting and lift correctly. When lifting, use your legs instead of your waist or back. Get help when lifting heavier objects. […] Manage a cough. Get treatment for a chronic cough or bronchitis and don’t smoke. […] Maintain a healthy weight. Talk with your doctor to determine your ideal weight and get advice on weight-loss strategies if you need them.

• #1 Rectocele | healthdirect

  https://www.healthdirect.gov.au/rectocele

  A rectocele (also known as a 'posterior vaginal prolapse’) is a type of pelvic organ prolapse. Prolapse means that something has 'fallen out of place’. […] A rectocele can also be caused by: chronic (long-term) constipation, chronic lung diseases associated with chronic cough, living with overweight or obesity, repeated heavy lifting. […] If you feel that your vaginal walls are getting weaker you may be able to help prevent a rectocele in these ways: Avoid heavy lifting (more than 10kg). Maintain a healthy weight carrying extra weight can make a rectocele worse. Have enough fibre in your diet. Drink plenty of water. Take your time on the toilet and avoid straining. Stay active and try pelvic floor exercises. […] If you have gone through menopause, your doctor may suggest hormone therapy (oestrogen). This treatment may help ease some of your symptoms.

• #1 Posterior vaginal prolapse (rectocele)

  https://www.mymlc.com/health-information/diseases-and-conditions/p/posterior-vaginal-prolapse-rectocele/?section=Lifestyle%20and%20home%20remedies

  To reduce your risk of worsening posterior vaginal prolapse, try to: […] Perform Kegel exercises regularly. These exercises can strengthen your pelvic floor muscles — especially important after you have a baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. […] Avoid heavy lifting and lift correctly. When lifting, use your legs instead of your waist or back. […] Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. […] Avoid weight gain. Talk with your doctor to determine your ideal weight and get advice on weight-loss strategies, if you need them.

• #1 Pelvic organ prolapse – a review

  https://www.racgp.org.au/afp/2015/july/pelvic-organ-prolapse-a-review

  Some aetiological factors for FPOP, such as obesity or genetic factors, are difficult or impossible to modify. […] The use of forceps, the primary risk factor for levator avulsion, is entirely avoided in some countries and institutions, demonstrating that this risk factor is eminently modifiable. […] Until recently, it seemed that forceps delivery was becoming obsolete. […] There is some evidence that replacement of forceps by vacuum, as occurred in Denmark between 1960 and 1980, may substantially reduce the lifetime risk of prolapse surgery. […] The main modifiable risk factor for pelvic floor trauma and later pelvic organ prolapse is forceps, whereas vacuum is not associated with increased risk. […] Primary prevention is feasible through modification of obstetric management. […] Informed consent for performance of obstetric interventions needs to be considered. […] Adverse events in childbirth are common. […] Box 2 lists potential preventive measures. […] Avoidance of forceps (risk reduction by about 2040%) […] Avoidance of vaginal delivery (risk reduction by 6080%).

• #1 Posterior Vaginal Prolapse | Treating & Preventing Rectocele | Elvie

  https://www.elvie.com/en-us/guides/postpartum-health/posterior-vaginal-prolapse-everything-you-need-to-know-about-rectoceles?srsltid=AfmBOoolSgFmtbS2c4TJnujQZUH-zcu7my6xbiLlmYy48vMFig0BKl8l

  Posterior vaginal prolapse (aka a rectocele) is common in women, particularly after childbirth. […] In this article, we’ll explain exactly what a rectocele is, what causes one, how to spot the signs, and how to treat and prevent vaginal prolapse. […] Though posterior vaginal prolapse is common (particularly in women who’ve given birth, and especially in those who’ve done so multiple times), there are ways to help prevent and manage the condition. According to the good folks over at the Mayo Clinic, for example, there are certain lifestyle choices that can ease the symptoms of rectoceles and even work to prevent them. […] To reduce your risk of experiencing posterior vaginal prolapse, try the following: […] Do your pelvic floor exercises regularly. Using a Kegel trainer like Elvie Trainer strengthens your pelvic floor and keeps your pelvic organs in place.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7089

  A rectocele occurs when the rectum moves from its normal position and presses against the back wall of the vagina. This is also called posterior vaginal wall prolapse. […] A rectocele can happen when the muscles and tissues that hold the rectum in place get weak or damaged. This can be caused by pregnancy and childbirth, being overweight, or frequent constipation. Or the muscles and tissues may get weaker as you age. […] A rectocele usually does not cause serious health problems. But if symptoms bother you, making lifestyle changes and doing exercises may help. […] Try pelvic floor (Kegel) exercises, which tighten and strengthen pelvic muscles. […] Ask your doctor about a vaginal pessary. It can placed in the vagina to help support the rectum. […] Avoid constipation. Include fruits, vegetables, beans, and whole grains in your diet each day. These foods are high in fibre. […] Schedule time each day for a bowel movement. Having a daily routine may help. Take your time and do not strain when having your bowel movement.

• #1 Practical Use of the Pessary | AAFP

  https://www.aafp.org/pubs/afp/issues/2000/0501/p2719.html

  The pessary is most commonly used in the nonsurgical management of pelvic support defects. […] Although surgical repair of certain pelvic support defects offers a more permanent solution, some patients may elect to use a pessary as a temporary management option. […] While many of these patients are poor candidates for surgery, most of them can safely use a pessary. […] In patients with rectoceles and enteroceles, the use of a Gellhorn, donut, inflatable or cube pessary is usually required to provide the necessary support. […] A pessary can also be used by women who only have stress urinary incontinence with strenuous exercise. […] A Hodge pessary with support is also effective in the prevention of exercise incontinence. […] Treatment with estrogen cream can make the vaginal mucosa more resistant to erosion and should be used before or concurrently with the fitting of the pessary in such patients. […] Pessaries should never be placed in elderly, debilitated patients without excellent follow-up.

• #1

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  There are several treatment options available for pelvic organ prolapse. […] You may not need any treatment if the prolapse is mild to moderate and not causing any pain or discomfort. […] If you do not have any symptoms or the prolapse is mild, making some lifestyle changes may help and could stop the prolapse getting worse. […] They can also help reduce your risk of getting a prolapse in the first place. […] Doing pelvic floor exercises will strengthen your pelvic floor muscles and may well relieve your symptoms. […] Vaginal pessaries allow you to get pregnant in the future. They can be used to ease the symptoms of moderate or severe prolapses and are a good option if you cannot or would prefer not to have surgery. […] If non-surgical options have not worked or the prolapse is more severe, surgery may be an option.

• #1

  https://www.vaginacoach.com/blog/preparing-for-a-rectocele-repair-prolapse-surgery

  My decision to have rectocele repair surgery was a BIG one and a lot of thought and research and care provider consults contributed to it. […] I feel a missing element of prolapse surgery is pre-hab and re-hab guidance. I hope to help change that with the aim of preventing surgery for some and improving the outcomes of those that go ahead. […] There are many conservative approaches to managing prolapse with diet and pelvic floor exercise being of utmost importance. Surgery is an option but one I recommend as a last resort. […] I believe outcomes could be improved with more intentional preparation. Working with a pelvic floor physiotherapist is one essential piece. Daily movement to help strengthen the pelvic floor (beyond just kegels) and also releasing tension in the muscles is important.

• #1 The 10 Rectocele Repair Rules for Avoiding Repeat Prolapse Surgery

  https://www.pelvicexercises.com.au/rectocele-repair/?srsltid=AfmBOorJK5ci0HcPoNV5llI2B4-ohTF5oHFMBvy5xdp2AHwiB1gMJK4n

  Rectocele is a challenging and embarrasing problem to deal with. This rectocele video and information helps you manage rectocele, reduce your risk of rectocele worsening and repeat prolapse after rectocele repair surgery. […] Unfortunately women are discharged from care after rectocele repair without clear guidelines for how to prevent repeat prolapse. […] Prolapse Exercises teaches you how to: Exercise safely after prolapse surgery, Reduce your risk or repeat prolapse, Avoid unsafe exercises, Choose pelvic floor safe exercises, Reduce your risk of prolapse worsening, Improve prolapse support, Increase your strength and fitness, Strengthen your core, Lose weight. […] It is vital to avoid returning to your pattern of preoperative straining to empty your bowels after your rectocele repair.

• #1 Posterior Vaginal Prolapse | Treating & Preventing Rectocele | Elvie

  https://www.elvie.com/en-us/guides/postpartum-health/posterior-vaginal-prolapse-everything-you-need-to-know-about-rectoceles?srsltid=AfmBOoolSgFmtbS2c4TJnujQZUH-zcu7my6xbiLlmYy48vMFig0BKl8l

  Treat and prevent constipation. A rectocele can sometimes be caused by chronic constipation or frequently straining to evacuate your bowels. […] Avoid heavy lifting and be sure to lift correctly. Repeated heavy lifting can also contribute to posterior vaginal prolapse, so avoid lifting anything too heavy and be sure to use your legs instead of your waist or back. […] Control your coughing. If you’re a smoker, you should try to kick the habit, as chronic coughing can trigger a rectocele. […] Get help from a women’s health physio. Physical therapy can offer long-term relief from prolapse symptoms by strengthening core muscles. These exercises, when used in addition to Kegels to strengthen the pelvic floor, can help to improve your rectocele symptoms.

• #1

  https://link.springer.com/article/10.1007/s00192-012-1753-8

  It is likely that concomitant POP and rectal prolapse are more common than reported due to similarities in the risk factors for both. […] However, in both our case and that of South and Amundsen the patients had normal colorectal examinations and still developed rectal prolapse as a postoperative complication of pelvic organ repair. […] At present, it seems best to continue to assess patients through routine history and examination, and if any rectal abnormalities are indicated, then discussion at a formal multidisciplinary team meeting is appropriate. […] Urogynaecologists should be aware of the association of concomitant rectal and vaginal prolapse and that both can be treated surgically at the same time. […] Patients should be carefully asked about previous rectal symptoms and warned that there will be a small chance of unmasking or creating rectal prolapse with posterior vaginal repair surgery. […] Therefore, regarding the consent process for rectocoele repair, perhaps we now need to add unmasking or development of new rectal prolapse as a complication of posterior compartment vaginal surgery.

• #1

  https://www.kuh.ku.edu.tr/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/posterior-vaginal-prolapse-rectocele

  Posterior vaginal prolapse (rectocele) Last Updated on July 25, 2024 Overview A posterior vaginal prolapse is a bulge of tissue into the vagina. It happens when the tissue between the rectum and the vagina weakens or tears. This causes the rectum to push into the vaginal wall. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] Prevention To help keep posterior vaginal prolapse from getting worse, you might try to: Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. Avoid heavy lifting and lift correctly. Use your legs instead of your waist or back to lift. Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. Avoid weight gain. Ask your health care provider to help you determine the best weight for you. Ask for advice on how to lose weight, if needed. […] 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.

• #2 Posterior Vaginal Prolapse | Treating & Preventing Rectocele | Elvie

  https://www.elvie.com/en-us/guides/postpartum-health/posterior-vaginal-prolapse-everything-you-need-to-know-about-rectoceles?srsltid=AfmBOoolSgFmtbS2c4TJnujQZUH-zcu7my6xbiLlmYy48vMFig0BKl8l

  Posterior vaginal prolapse (aka a rectocele) is common in women, particularly after childbirth. […] In this article, we’ll explain exactly what a rectocele is, what causes one, how to spot the signs, and how to treat and prevent vaginal prolapse. […] Though posterior vaginal prolapse is common (particularly in women who’ve given birth, and especially in those who’ve done so multiple times), there are ways to help prevent and manage the condition. According to the good folks over at the Mayo Clinic, for example, there are certain lifestyle choices that can ease the symptoms of rectoceles and even work to prevent them. […] To reduce your risk of experiencing posterior vaginal prolapse, try the following: […] Do your pelvic floor exercises regularly. Using a Kegel trainer like Elvie Trainer strengthens your pelvic floor and keeps your pelvic organs in place.

• #2 What is a Rectocele (Posterior Vaginal Wall Prolapse)?

  https://www.greaterbostonurology.com/blog/what-is-a-rectocele

  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. […] A posterior vaginal wall prolapse has multiple risk factors, including vaginal childbirth, advancing age, chronic constipation and straining, weight gain, heavy lifting, chronic cough, and connective tissue disorders. […] Yes, it is to a certain degree, by avoiding constipation, straining, and heavy lifting.

• #2 Rectocele: Causes, Symptoms, Diagnosis, Stages & Treatment

  https://my.clevelandclinic.org/health/diseases/17415-rectocele

  You can’t prevent a rectocele or pelvic organ prolapse. Still, you can put good practices into place that can strengthen your pelvic floor. Many of the same strategies used to manage mild cases of rectocele can be used to reduce your risk of prolapse. […] Perform Kegel exercises regularly. Kegel’s can strengthen your pelvic floor muscles, which is especially important after childbirth. Ask your healthcare provider about when it’s safe to perform Kegel’s after you’ve had your baby. […] Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. Aim for 25 to 35 grams of fiber daily and eight glasses of water. Use stool softeners if you need them. […] Avoid heavy lifting and lift correctly. When lifting, use your legs instead of your waist or back. Get help when lifting heavier objects. […] Manage a cough. Get treatment for a chronic cough or bronchitis and don’t smoke. […] Maintain a healthy weight. Talk with your doctor to determine your ideal weight and get advice on weight-loss strategies if you need them.

• #2

  https://www.kuh.ku.edu.tr/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/posterior-vaginal-prolapse-rectocele

  Posterior vaginal prolapse (rectocele) Last Updated on July 25, 2024 Overview A posterior vaginal prolapse is a bulge of tissue into the vagina. It happens when the tissue between the rectum and the vagina weakens or tears. This causes the rectum to push into the vaginal wall. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). […] Prevention To help keep posterior vaginal prolapse from getting worse, you might try to: Perform Kegel exercises regularly. These exercises can strengthen pelvic floor muscles. This is especially important after having a baby. Treat and prevent constipation. Drink plenty of fluids and eat high-fiber foods, such as fruits, vegetables, beans and whole-grain cereals. Avoid heavy lifting and lift correctly. Use your legs instead of your waist or back to lift. Control coughing. Get treatment for a chronic cough or bronchitis, and don’t smoke. Avoid weight gain. Ask your health care provider to help you determine the best weight for you. Ask for advice on how to lose weight, if needed. […] 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.

• #2

  https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele

  Rectocele treatment is needed only when they cause symptoms that interfere with daily living. […] The goal is to have good daily bowel habits and softer stools. Avoiding constipation and straining with bowel movements will reduce the risk of a bulge associated with a rectocele. […] Preventive and Medical Tips: Eating a high-fiber diet and taking over-the-counter fiber supplements (25-35 grams of fiber/day), Drinking more water (typically 6-8 glasses daily), Avoiding excessive straining with bowel movements, Applying pressure to the back of the vagina during bowel movements, Pelvic floor exercises such as Kegel, Biofeedback, a special form of pelvic floor physical therapy aimed at improving rectal sensation and pelvic floor muscle contraction, Stool softeners, Hormone replacement therapy.

• #2 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Many causes of POP are out of your control. But you can put healthy habits into place to reduce your risk. […] Do pelvic floor exercises daily. Having muscle control in your pelvic floor provides stronger support for your organs. […] Maintain a healthy weight. Talk to your provider about what a healthy weight means for you. […] Prevent constipation. Chronic constipation can strain your pelvic floor muscles. Choosing high-fiber foods and drinking plenty of fluids can help prevent constipation. […] Don’t smoke. Smoking can lead to chronic coughing, which can put undue pressure on your abdominal cavity and strain your pelvic floor muscles. […] Protect your pelvic floor when you lift. Get help lifting heavy objects. When lifting alone, bend your hips and knees to squat while keeping your back as straight as possible. Don’t twist your torso while you’re lifting. Correctly positioning your body prevents injury to your lower back and protects your pelvic floor, too.

• #2 Rectocele: Types, symptoms, causes, and diagnosis

  https://www.medicalnewstoday.com/articles/189696

  A number of actions can reduce the chance of developing a rectocele or making it worse. […] Anyone who has recently given birth should do the recommended Kegel exercises regularly. […] Anyone with a persistent cough, chest infections, and other lung problems should seek medical attention. Smoking tobacco makes lung conditions more likely and should be avoided. […] Maintaining a healthy body weight can reduce the risk. A healthy diet and drinking plenty of water can help to avoid constipation. In the case of constipation, individuals should avoid prolonged straining when trying to empty the bowels. […] Anyone who already has a prolapse should avoid activities such as heavy lifting, as they can make it worse.

• #2 Vaginal Prolapse – Symptoms, Treatment Options, and ICD 10 Codes

  https://www.outsourcestrategies.com/resources/documenting-and-coding-vaginal-prolapse-symptoms-and-treatment-options/

  Posterior vaginal prolapse (rectocele) – occurs when the wall separating the rectum from the vagina weakens, which causes the rectum to bulge into the vagina. […] Women at risk for vaginal prolapse (including those who have had corrective surgery) should try to avoid heavy lifting or any other activity that increases pressure within the abdominal cavity. As obesity can put extra stress on the muscles and ligaments within the pelvis and vagina, it is important to reduce body weight to prevent this condition from developing or recurring.

• #2 Posterior Vaginal Prolapse | Treating & Preventing Rectocele | Elvie

  https://www.elvie.com/en-us/guides/postpartum-health/posterior-vaginal-prolapse-everything-you-need-to-know-about-rectoceles?srsltid=AfmBOoolSgFmtbS2c4TJnujQZUH-zcu7my6xbiLlmYy48vMFig0BKl8l

  Treat and prevent constipation. A rectocele can sometimes be caused by chronic constipation or frequently straining to evacuate your bowels. […] Avoid heavy lifting and be sure to lift correctly. Repeated heavy lifting can also contribute to posterior vaginal prolapse, so avoid lifting anything too heavy and be sure to use your legs instead of your waist or back. […] Control your coughing. If you’re a smoker, you should try to kick the habit, as chronic coughing can trigger a rectocele. […] Get help from a women’s health physio. Physical therapy can offer long-term relief from prolapse symptoms by strengthening core muscles. These exercises, when used in addition to Kegels to strengthen the pelvic floor, can help to improve your rectocele symptoms.

• #2

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  There are several treatment options available for pelvic organ prolapse. […] You may not need any treatment if the prolapse is mild to moderate and not causing any pain or discomfort. […] If you do not have any symptoms or the prolapse is mild, making some lifestyle changes may help and could stop the prolapse getting worse. […] They can also help reduce your risk of getting a prolapse in the first place. […] Doing pelvic floor exercises will strengthen your pelvic floor muscles and may well relieve your symptoms. […] Vaginal pessaries allow you to get pregnant in the future. They can be used to ease the symptoms of moderate or severe prolapses and are a good option if you cannot or would prefer not to have surgery. […] If non-surgical options have not worked or the prolapse is more severe, surgery may be an option.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7089

  A rectocele occurs when the rectum moves from its normal position and presses against the back wall of the vagina. This is also called posterior vaginal wall prolapse. […] A rectocele can happen when the muscles and tissues that hold the rectum in place get weak or damaged. This can be caused by pregnancy and childbirth, being overweight, or frequent constipation. Or the muscles and tissues may get weaker as you age. […] A rectocele usually does not cause serious health problems. But if symptoms bother you, making lifestyle changes and doing exercises may help. […] Try pelvic floor (Kegel) exercises, which tighten and strengthen pelvic muscles. […] Ask your doctor about a vaginal pessary. It can placed in the vagina to help support the rectum. […] Avoid constipation. Include fruits, vegetables, beans, and whole grains in your diet each day. These foods are high in fibre. […] Schedule time each day for a bowel movement. Having a daily routine may help. Take your time and do not strain when having your bowel movement.

• #2

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Your doctor will discuss the benefits and risks of different treatments, and you’ll decide together which is best for you. […] If you’d like to have children in the future, your doctors may suggest delaying surgery because pregnancy can cause the prolapse to happen again. […] This treatment is only offered to women who have advanced prolapse, when other treatments have not worked and they’re sure they do not want to have sex again in the future. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] You should be offered a check-up 6 months after surgery that includes a vaginal examination.

• #2 The 10 Rectocele Repair Rules for Avoiding Repeat Prolapse Surgery

  https://www.pelvicexercises.com.au/rectocele-repair/?srsltid=AfmBOorJK5ci0HcPoNV5llI2B4-ohTF5oHFMBvy5xdp2AHwiB1gMJK4n

  Rectocele is a challenging and embarrasing problem to deal with. This rectocele video and information helps you manage rectocele, reduce your risk of rectocele worsening and repeat prolapse after rectocele repair surgery. […] Unfortunately women are discharged from care after rectocele repair without clear guidelines for how to prevent repeat prolapse. […] Prolapse Exercises teaches you how to: Exercise safely after prolapse surgery, Reduce your risk or repeat prolapse, Avoid unsafe exercises, Choose pelvic floor safe exercises, Reduce your risk of prolapse worsening, Improve prolapse support, Increase your strength and fitness, Strengthen your core, Lose weight. […] It is vital to avoid returning to your pattern of preoperative straining to empty your bowels after your rectocele repair.

• #2 The 10 Rectocele Repair Rules for Avoiding Repeat Prolapse Surgery

  https://www.pelvicexercises.com.au/rectocele-repair/?srsltid=AfmBOorJK5ci0HcPoNV5llI2B4-ohTF5oHFMBvy5xdp2AHwiB1gMJK4n

  After rectocoele repair women often need to retrain and correct their sitting posture on the toilet to empty well and avoid straining. […] This Brace and Bulge bowel emptying technique is taught in clinical practice to help women empty their bowels and avoid straining. […] The ideal stool consistency after rectocoele repair is a soft well formed stool that passes easily. […] Some general exercises can overload and strain your pelvic floor after rectocoele repair. […] Take appropriate action to manage these lifestyle factors with pelvic floor safe weight loss exercise and safe lifting techniques to protect by your prolapse repair long-term. […] Avoid straining this can cause repeat prolapse. […] Strengthening your pelvic floor after your rectocoele repair has two main benefits: Providing internal support for your repair so that it doesnt return, Ensuring your best possibility to empty your bowels without straining. […] Managing your bowels well is vital for successful recovery and rectocele repair. […] Following these key points long-term key points will help you to ensure your best possible outcomes after your rectocele repair.

• #2

  https://www.vaginacoach.com/blog/preparing-for-a-rectocele-repair-prolapse-surgery

  I also recommend optimizing your diet ahead of time. Eat a low inflammatory diet and ensure constipation is not an issue prior to the surgery. […] I recommend working with a pelvic floor physical therapist […] to address faulty or non-optimal movement patterns so they are not an ongoing issue after. […] I recommend perineal herbs to add to your sitz baths. […] Pre-book a post-op assessment with your physiotherapist for around 8 weeks after your surgery. […] Work with a pelvic floor physical therapist […] Keep your diet and elimination optimized […] There is more to pelvic floor wellness than kegels.

• #2

  https://link.springer.com/article/10.1007/s00192-012-1753-8

  It is likely that concomitant POP and rectal prolapse are more common than reported due to similarities in the risk factors for both. […] However, in both our case and that of South and Amundsen the patients had normal colorectal examinations and still developed rectal prolapse as a postoperative complication of pelvic organ repair. […] At present, it seems best to continue to assess patients through routine history and examination, and if any rectal abnormalities are indicated, then discussion at a formal multidisciplinary team meeting is appropriate. […] Urogynaecologists should be aware of the association of concomitant rectal and vaginal prolapse and that both can be treated surgically at the same time. […] Patients should be carefully asked about previous rectal symptoms and warned that there will be a small chance of unmasking or creating rectal prolapse with posterior vaginal repair surgery. […] Therefore, regarding the consent process for rectocoele repair, perhaps we now need to add unmasking or development of new rectal prolapse as a complication of posterior compartment vaginal surgery.

• #2 Practical Use of the Pessary | AAFP

  https://www.aafp.org/pubs/afp/issues/2000/0501/p2719.html

  The pessary is most commonly used in the nonsurgical management of pelvic support defects. […] Although surgical repair of certain pelvic support defects offers a more permanent solution, some patients may elect to use a pessary as a temporary management option. […] While many of these patients are poor candidates for surgery, most of them can safely use a pessary. […] In patients with rectoceles and enteroceles, the use of a Gellhorn, donut, inflatable or cube pessary is usually required to provide the necessary support. […] A pessary can also be used by women who only have stress urinary incontinence with strenuous exercise. […] A Hodge pessary with support is also effective in the prevention of exercise incontinence. […] Treatment with estrogen cream can make the vaginal mucosa more resistant to erosion and should be used before or concurrently with the fitting of the pessary in such patients. […] Pessaries should never be placed in elderly, debilitated patients without excellent follow-up.

• #3 Rectocele | healthdirect

  https://www.healthdirect.gov.au/rectocele

  A rectocele (also known as a 'posterior vaginal prolapse’) is a type of pelvic organ prolapse. Prolapse means that something has 'fallen out of place’. […] A rectocele can also be caused by: chronic (long-term) constipation, chronic lung diseases associated with chronic cough, living with overweight or obesity, repeated heavy lifting. […] If you feel that your vaginal walls are getting weaker you may be able to help prevent a rectocele in these ways: Avoid heavy lifting (more than 10kg). Maintain a healthy weight carrying extra weight can make a rectocele worse. Have enough fibre in your diet. Drink plenty of water. Take your time on the toilet and avoid straining. Stay active and try pelvic floor exercises. […] If you have gone through menopause, your doctor may suggest hormone therapy (oestrogen). This treatment may help ease some of your symptoms.

• #3

  https://fascrs.org/patients/diseases-and-conditions/a-z/rectocele

  Rectocele treatment is needed only when they cause symptoms that interfere with daily living. […] The goal is to have good daily bowel habits and softer stools. Avoiding constipation and straining with bowel movements will reduce the risk of a bulge associated with a rectocele. […] Preventive and Medical Tips: Eating a high-fiber diet and taking over-the-counter fiber supplements (25-35 grams of fiber/day), Drinking more water (typically 6-8 glasses daily), Avoiding excessive straining with bowel movements, Applying pressure to the back of the vagina during bowel movements, Pelvic floor exercises such as Kegel, Biofeedback, a special form of pelvic floor physical therapy aimed at improving rectal sensation and pelvic floor muscle contraction, Stool softeners, Hormone replacement therapy.

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7089

  A rectocele occurs when the rectum moves from its normal position and presses against the back wall of the vagina. This is also called posterior vaginal wall prolapse. […] A rectocele can happen when the muscles and tissues that hold the rectum in place get weak or damaged. This can be caused by pregnancy and childbirth, being overweight, or frequent constipation. Or the muscles and tissues may get weaker as you age. […] A rectocele usually does not cause serious health problems. But if symptoms bother you, making lifestyle changes and doing exercises may help. […] Try pelvic floor (Kegel) exercises, which tighten and strengthen pelvic muscles. […] Ask your doctor about a vaginal pessary. It can placed in the vagina to help support the rectum. […] Avoid constipation. Include fruits, vegetables, beans, and whole grains in your diet each day. These foods are high in fibre. […] Schedule time each day for a bowel movement. Having a daily routine may help. Take your time and do not strain when having your bowel movement.

• #3 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Many causes of POP are out of your control. But you can put healthy habits into place to reduce your risk. […] Do pelvic floor exercises daily. Having muscle control in your pelvic floor provides stronger support for your organs. […] Maintain a healthy weight. Talk to your provider about what a healthy weight means for you. […] Prevent constipation. Chronic constipation can strain your pelvic floor muscles. Choosing high-fiber foods and drinking plenty of fluids can help prevent constipation. […] Don’t smoke. Smoking can lead to chronic coughing, which can put undue pressure on your abdominal cavity and strain your pelvic floor muscles. […] Protect your pelvic floor when you lift. Get help lifting heavy objects. When lifting alone, bend your hips and knees to squat while keeping your back as straight as possible. Don’t twist your torso while you’re lifting. Correctly positioning your body prevents injury to your lower back and protects your pelvic floor, too.

• #3 Rectocele Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Details

  https://emedicine.medscape.com/article/268546-treatment

  Prophylactic measures for preventing rectocele include diagnosis and treatment of chronic respiratory and metabolic disorders, correction of constipation, and intra-abdominal disorders that may cause chronic increases in intra-abdominal pressure. […] Counsel patients about the preventive effects of weight control, proper nutrition, smoking cessation, and avoidance of strenuous occupational and recreational stresses that could damage the pelvic support system. Teach and encourage women to perform pelvic muscle exercises as a method of strengthening their pelvic diaphragm and as prophylaxis against the development of rectocele. […] Failure to recognize and treat significant support defects at the time of concomitant gynecologic surgery can lead to progression of rectocele. […] For mild degrees of relaxation, especially in younger women immediately following childbirth, levator muscle exercises, sometimes called Kegel exercises, are helpful in restoring the tone of the muscles of the pelvic floor. Instruct patients how to appropriately contract the puborectalis muscles. Patients should repeat this exercise approximately 75 times during the day. […] Although levator ani plication has been championed in the past, this procedure should not be routinely used during posterior colporrhaphy secondary to the significant increased risk of dyspareunia in sexually active women.

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