Rectocele

A Rectocele occurs when the tissues and muscles that hold the end of the large intestine (rectum) in place are stretched or weakened. The rectum moves from its normal position, pressing against the back wall of the vagina forming a bulge into the vagina. This condition often occurs due to injuries sustained during childbirth. It is common to experience a bulge at the opening of the vagina and sometimes this bulge needs to be pushed back inside for comfort.

Pessary

Some women with a rectocele benefit from a Pessary, a device worn in the vagina for support. It is important to avoid heavy lifting, maintain a healthy weight, and practice Kegel exercises. Medication such as Estrogen might also help alleviate some of the symptoms. Eating high fiber foods are also recommended to help prevent straining that is associated with constipation.

Estrogen Replacement Therapy

Estrogen Replacement Therapy (ERT) — For women suffering with Vaginal Prolpase, ERT may help to limit further weakness of the muscles and other connective tissues that support the uterus. The decision to use ERT must be made with your doctor after carefully weighing all of the risks and benefits. Vaginal application of estrogen has very few side-effects.

Rectocele Repair

A Rectocele occurs when the tissues and muscles that hold the end of the large intestine (rectum) in place are stretched or weakened. The rectum moves from its normal position, pressing against the back wall of the vagina forming a bulge into the vagina. In this procedure the bulge at the back wall of the vagina is re-positioned and supported usually using the existing tissue that has been stretched. Muscle power in the pelvis usually improves and helps to provide support to the other tissues in the bladder and uterus. In some cases, special materials may be used to achieve this support.

Treatment Options