Special x-ray (proctogram or defaecagram).Rectal prolapse – the rectum protrudes through the anus.ĭiagnosis of rectoceleA doctor can diagnose rectocele by using a number of tests including:.Vaginal prolapse – in cases of severe uterine prolapse, the vagina may slide out of the body too.Uterine prolapse – the cervix and uterus drop down into the vagina and may protrude out of the vaginal opening.Enterocele – the small intestines push down into the vagina.Cystocele – the bladder protrudes into the vagina.In other cases, the woman may also have other problems including: Rectocele and related problemsA rectocele sometimes occurs by itself. Advancing age, as older women are more prone to rectocele.Episiotomy (a surgical cut made to enlarge the vaginal opening during childbirth to avoid injury to mother and baby), particularly if the cut extends to the anus.Tearing during childbirth, particularly if the tear extended from the vagina to the anus.Assisted delivery during childbirth, including the use of forceps.A weak or thinned rectovaginal septum allows the front wall of the rectum to bulge into the vagina.Ĭauses of rectoceleSome of the events that may weaken or thin the rectovaginal septum and cause a rectocele include: This wall can become weak or stretched by pressure such as childbirth, straining while going to the toilet, or ageing. The front wall of the rectum and rear wall of the vagina, and the thin layer of tissue between them, are together called the rectovaginal septum (or wall). In women, the front wall of the rectum is situated behind the rear wall of the vagina. Structures including ligaments and connective tissue help to keep the pelvic organs tethered in place. The rectovaginal septum and rectoceleOur pelvic organs are supported by our pelvic floor muscles. The feeling that the bowel isn’t completely empty after passing a motion.Problems with passing a bowel motion, since the stool becomes caught in the rectocele.Painful or impossible vaginal intercourse.Vaginal bleeding that’s not related to the menstrual cycle.Symptoms worsened by standing up and eased by lying down.The feeling that something is falling down or falling out within the pelvis.A sensation of pressure within the pelvis.Symptoms of rectoceleThe symptoms of rectocele may be vaginal, rectal or both, and can include: Milder cases can be treated by measures such as management of constipation, Kegel exercises to strengthen the pelvic floor and the insertion of a vaginal pessary to prop up the pelvic organs. The degree of severity varies for example, in mild cases the rectocele may be felt as a small bulge high inside the vagina while, in severe cases, the bulge may be hanging outside of the vagina. Risk factors include difficult childbirth and the use of forceps during delivery, but women who have never had children can also develop rectocele. A rectocele occurs when the rectum pushes the back wall of the vagina forward, causing a prominent bulge into the vagina.

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