Rectocele — Patient Information
A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina, most commonly seen in women after childbirth or pelvic floor weakness. It can cause difficulty emptying the bowel, a sensation of incomplete evacuation or a vaginal bulge.
Symptoms
- Difficulty emptying the bowel; need to strain
- Sensation of incomplete evacuation
- Need to support the perineum or vagina to defecate
- Vaginal bulge or pressure, especially when straining
Diagnosis
Diagnosis is based on history, physical examination including vaginal and rectal evaluation, and selected imaging such as defecography when indicated. Other pelvic floor disorders may coexist.
Treatment options
Conservative measures include high-fibre diet, adequate fluids, bowel-habit training and pelvic-floor physiotherapy. Symptomatic rectoceles unresponsive to conservative care may require surgical repair, with the technique chosen individually.
This page is for general information only
The content here is not a diagnosis or treatment recommendation and does not replace an individual medical evaluation. If your symptoms persist, consult a physician. In emergencies call 112 or the nearest emergency department.