WHAT IS A RECTOCELE?
A rectocele is a weakness in the wall between the rectum and the vagina. When stool goes into the rectum, the thin wall allows a bulge into the vagina. Other structure may push into the vagina. Cystocele (bladder), Enterocele (intestines).
WHAT CAUSES A RECTOCELE?
Certain factors increase the risk of the thinning of the rectal-vaginal wall. Childbirth, trauma, chronic constipation, straining, and hysterectomy may all contribute.
WHAT ARE THE SYMPTOMS OF A RECTOCELE?
Many women have rectoceles but only a small percentage have symptoms. Symptoms are either vaginal or rectal. Vaginal symptoms include: vaginal bulging, bleeding, painful intercourse, and the sensation of a mass. Rectal symptoms include: constipation and straining. A finger may be placed into the vagina, pushing backwards towards the rectal wall, to assist in bowel movements.
HOW IS A RECTOCELE DIAGNOSED?
A physical exam usually diagnosis a rectocele, although specialized xrays may be needed.
WHEN SHOULD A RECTOCELE BE TREATED?
When symptoms become significant, treatment is suggested.
WHAT TREATMENTS ARE AVAILABLE?
Medical treatment includes a bowel management program to decrease straining. Fiber and increased fluid intake help.
Surgical treatment is performed through the rectum, vagina, and/or the skin between the two.
WHO SHOULD TREAT MY PROBLEM?
Both colon and rectal surgeons and gynecologists are equipped to handle this problem. If the symptoms are mostly rectal, a colon and rectal surgeon should be consulted. If the symptoms are mostly vaginal, the a gynecologist should be involved.