A rectocele is a type of pelvic organ prolapse. The happens when the supporting ligaments and muscles threaten in the pelvic floor. Other names because that a rectocele are a posterior vaginal wall surface prolapse or proctocele.

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Childbirth, age, and a range of other factors can reason the typically tough, fibrous, sheet-like divider between the rectum and vagina to weaken.

A bulge might protrude together a hernia into the earlier of the vagina throughout a time of straining, such together a bowel movement.

A rectocele deserve to lead come constipation and also discomfort, yet if it is small, there may be no symptoms.

Most human being can act a rectocele in ~ home, yet a severe case may need surgery.


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Share on PinterestA rectocele happens once the pelvic floor weakens. It deserve to lead come constipation.
A rectocele is one type of pelvic organ prolapse. In a woman, the rectum bulges right into the back wall of the vagina.

Other types of prolapse are:

anterior vaginal wall surface prolapse, or cystocele, where the urinary bladder bulges right into the front wall surface of the vaginauterine prolapse, as soon as the uterus sags down right into the vaginavault prolapse, in which the peak (vault) of the vagina bulges down after a hysterectomy

A pelvic prolapse have the right to vary in severity. Some world may suffer different species of prolapse at the same time, such as both an anterior and posterior vaginal wall surface prolapse.


Symptoms

A little rectocele may cause no symptoms.

According come the American society of Colon and also Rectal Surgeons, health professionals carrying out regimen physical examinations find a rectocele is current in approximately 40 percent that women, although they might not notification it.

In mild cases of rectocele, the individual may notification pressure within the vagina, or they may feel that their bowels room not completely empty after making use of the bathroom.

In center cases, an effort to evacuate can push the stool right into the rectocele quite than out v the anus.

There may be pain and discomfort during evacuation. There is a greater chance of having actually constipation, and also there may be pain throughout sexual intercourse.

Some say it feels as if “something is fall out” or under within the pelvis.

In severe cases, there might be fecal incontinence, and sometimes the bulge may prolapse with the mouth (opening) the the vagina, or through the anus.


Causes

A rectocele usually happens with pregnancy and also childbirth, yet the risk likewise increases through age, and also other determinants can play a role.

The underlying reason is a weakening of the pelvic assistance structures and of the rectovaginal septum, the layer of tissue that the end the vagina indigenous the rectum.

Pregnancy and also childbirth


Share top top PinterestPregnancy and delivery are significant factors in the breakthrough of a rectocele.

It is much more likely to take place as a an outcome of childbirth if the infant was huge (weighing end 9 pounds) if labor was prolonged, or if there to be a multiple birth, for example, twins.

The much more vaginal deliveries a woman has actually had, the more chance she has actually of arising a rectocele.

The threat is reduced with a cesarean delivery, yet a rectocele deserve to still happen.

Older age

By the period of 50 years around fifty percent of every women have actually some symptoms of a pelvic organ prolapse, and by the age of 80 years, end 1 in every 10 will certainly have had surgery because that prolapse.

If the rectocele is small, the human may not notice it. If that is large, lock may an alert tissue protruding v the quality opening. There might be part discomfort, pressure, and, in some cases, pain.

Other factors

Those who have never offered birth can also develop a rectocele.

The adhering to are hazard factors:

a hysterectomy or other pelvic surgerychronic constipationsexual abuse during childhoodbeing obese or overweightregularly lifting heavy objects

There may be an indirect link with hemorrhoids. If a human being with various other risk factors also has chronic constipation, because that example, a compelled bowel activity may boost intra-abdominal pressure during straining. This could cause a rectocele.

If a human being undergoes number of gynecological or rectal surgeries, this can also weaken the pelvic floor and lead come a rectocele.

In men, a rectocele can construct as the result of a prostatectomy, which is the removal of the prostate gland, together a therapy for prostate cancer.

Women are much more likely than guys to have actually a rectocele.


A doctor will typically make a diagnosis after examining the vagina and also rectum. An imaging study can then determine the size of the rectocele.

The individual’s account of how the rectocele impacts their life may assist to assess the level of prolapse.

If a doctor finds something unusual during a physics examination, they might recommend one imaging test, such as MRI or X-ray, to check for possible causes that the problem.

A defecogram is a particular kind of X-ray examine that help the doctor determine the size of the rectocele and how well the patience is evacuating.


The following tips can help prevent a rectocele indigenous developing, and — if a rectocele is already present — stop symptoms from getting worse.

Pelvic floor exercises, such as Kegel exercises, have the right to strengthen the pelvic floor muscles.Drinking lot of of fluids and also eating high-fiber foods can alleviate constipation.Avoiding any form of heavy lifting can additionally prevent a worsening of symptoms.Getting treatment for lengthy coughing deserve to reduce stress, overload on the pelvic floor muscles.

Straining because that a long time when defecating can make the difficulty worse. Avoiding constipation can aid prevent this.

Medications

The doctor might prescribe:

stool softeners to ease constipationa quality pessary — a plastic or rubber ring disk put into the vagina — to assistance the protruding tissues

Surgery

Interventions for various kinds that pelvic organ prolapse include:

sacral colpopexysacrospinous colpopexyuterosacral colpopexytransvaginal mesh

The surgeon have the right to remove the extended or damaged tissue. Occasionally they may use a mesh inlay come reinforce the wall surface between the vagina and the rectum.

The technique can vary from open surgery come a minimally invasive procedure. In part cases, a surgeon will certainly repair the damaged tissue, usually through an incision in the vagina.

The gynecologist will discuss the alternatives with the patient, and also the selection is likely to depend on the extent of prolapse, and also the individual’s situation, including age, general health and whether or no they want to have more children.


A number of actions can reduce the possibility of occurring a rectocele or making that worse.

After childbirth: anyone who has recently provided birth must do the recommended Kegel practice regularly.

Chronic cough: Anyone v a persistent cough, chest infections, and other lung problems should seek clinical attention. Cigarette smoking tobacco provides lung conditions an ext likely and also should be avoided.

Healthy human body weight: keeping a healthy and balanced body weight deserve to reduce the risk. A healthy diet and also drinking many of water can help to protect against constipation. In the situation of constipation, individuals should avoid lengthy straining as soon as trying to empty the bowels.

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Anyone who already has a prolapse must avoid tasks such as hefty lifting, as they have the right to make the worse.