Rectocele

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Obesity, Sleep & Internal medicine
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Rectocele
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Synonyms	Posterior vaginal wall prolapse
Pronounce	N/A
Specialty	N/A
Symptoms	Pelvic pressure, constipation, fecal incontinence, dyspareunia
Complications	Urinary incontinence, pelvic organ prolapse
Onset	Often after childbirth or menopause
Duration	Long-term
Types	N/A
Causes	Childbirth, hysterectomy, aging, chronic constipation
Risks	Obesity, chronic cough, heavy lifting
Diagnosis	Pelvic examination, defecography, MRI
Differential diagnosis	Cystocele, enterocele, uterine prolapse
Prevention	Pelvic floor exercises, avoiding heavy lifting, treating constipation
Treatment	Pessary, pelvic floor physical therapy, surgery
Medication	N/A
Prognosis	Good with treatment
Frequency	Common, especially in older women
Deaths	N/A

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Rectocele

Rectocele is a medical condition characterized by the protrusion or bulging of the rectum into the vagina. It is a type of pelvic organ prolapse, and is also known as a posterior vaginal wall prolapse.

Causes

Rectoceles are caused by thinning of the endopelvic fascia, a tough, fibrous band of tissue that holds the pelvic organs in place. This can occur due to a variety of factors, including childbirth, aging, and chronic constipation.

Symptoms

The symptoms of a rectocele can vary greatly from person to person. Some people may have a rectocele and not experience any symptoms, while others may experience discomfort, difficulty with bowel movements, and sexual dysfunction. In severe cases, a rectocele can cause a visible bulge in the vagina.

Diagnosis

Rectoceles are typically diagnosed through a physical examination. The doctor may ask the patient to strain or cough while examining the vagina, which can cause the rectocele to become more apparent. In some cases, additional tests such as a defecography may be performed.

Treatment

Treatment for a rectocele can range from lifestyle changes and physical therapy to surgery. The choice of treatment depends on the severity of the rectocele and the patient's overall health.

See also

• Cystocele
• Enterocele
• Uterine prolapse