Rectocele – Diagnosis of Rectocele, Treatment of Rectocele


is a medical condition that occurs mostly in women, but is not strictly a woman’s problem. It can occur in men too. Rectocele is bulging of the rectum and its pushing into the surrounding organs. In this article, we shall discuss how rectocele is diagnosed and treated.

In a woman with rectocele, the front wall of the rectum bulges into the vagina. When the rectal wall becomes thin and weak, it may balloon out into the vagina when she pushes down to have a bowel movement. The area is called rectovaginal septum. Birth trauma, perineal tears and an episiotomy into the rectum are some of the causes of rectocele.


A sensation of a mass in the vagina, vaginal bulging and pain with intercourse are some of the vaginal symptoms of rectocele and constipation, pelvic pressure and discomfort are some of the rectal symptoms of rectocele.

Diagnosis of Rectocele:

A rectocele is identified by physical examination of the vagina and rectum. To access the size and significance of the rectocele, a X-ray study called a defecagram is done. This study shows the extent of rectocele and the doctor can know how to go about the treatment process.

Treatment of Rectocele:

Rectocele treatment depends on several factors such as age of the patient, the extent of rectocele and vaginal/rectal conditions.

Initial Management:

Bowel movement program is the first step in management of rectocele. The doctor may recommend a high-fiber diet and 6 to 8 glasses of fluids each day. He may also recommend a stool softener to smooth and lubricate the stool.


Another treatment of rectocele is introducing pessaries. A pessary is a small silicone or plastic device which is inserted into the vagina or rectum to support prolapse. It is held in place by the pelvic floor musculature. A pessary looks as follows:



A variety of surgical techniques can be taken up depending on the severity. They include posterior colporrhaphy, posterior fascial replacement, defect-directed repair, transanal repair, and abdominal approaches.


When the urinary bladder bulges into the vagina, the condition is called a


When the rectum bulges into the vagina, it is called a


And when the small intestines push down on the vagina, it is called an


Leave a reply

Your email address will not be published. Required fields are marked *