This procedure can help ease chronic discomfort and difficulty having bowel movements. In this outpatient procedure, your surgeon makes an opening in your vagina and reinforces the tissue layer under the vaginal skin with strong sutures. The stitches dissolve over within a few months and don't need to be removed.
A rectocele is a herniation bulge of the front wall of the rectum into the back wall of the vagina. The tissue between the rectum and the vagina is known as the rectovaginal septum and this structure can become thin and weak over time, resulting in a rectocele. When rectoceles are small, most women have no symptoms.
A diagnosis of posterior vaginal prolapse generally occurs during a pelvic exam of your vagina and rectum. You might fill out a questionnaire that helps your doctor assess how far the bulge extends into your vagina and how much it affects your quality of life. This information helps guide treatment decisions.
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There are both non-surgical and surgical ways to treat a rectocele. In all cases, the patient should have a thorough physical exam and talk with her doctor before deciding on the best treatment. If non-surgical methods do not help control rectocele symptoms, surgery may be needed.
A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of fibrous tissue that separates the rectum from the vagina weakens. When this happens, tissues or structures just behind the vaginal wall — in this case, the rectum — can bulge into the vagina. A posterior vaginal wall prolapse occurs when the thin wall of tissue that separates the rectum from the vagina weakens, allowing the vaginal wall to bulge.
A cystocele and rectocele repair is an operation that lifts and tightens the tissue around the bladder and rectum so these organs no longer push against the vagina. Surgery is done to relieve bulging into the vagina that may be caused by a cystocele and rectocele. Surgery is usually used only after you have tried other treatments such as:. Plan for your care and recovery after the operation.
An enterocele en-tuh-roh-sealalso called small bowel prolapse, occurs when the small intestine moves down and pushes at the top part of the vagina. This creates a bulge see Figure 1. A rectocele rek-tuh-sealalso called a posterior prolapse, is when your rectum bulges into the back wall of your vagina see Figure 2.
View image. Cystocele and rectocele repair is surgery to lift and tighten the tissue around the bladder and rectum so that these organs no longer push into the vagina. A cystocele happens when the bladder pushes against weakened tissue in the vagina and drops down into the vagina. A rectocele happens when the rectum bulges into the vagina.