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Rectocele

At GastroDoxs in Houston, our expert colorectal specialists provide compassionate, minimally invasive, comprehensive evaluation and personalized treatment plans for rectocele, helping local women regain pelvic health, comfort, and confidence through advanced diagnostic techniques and patient-focused care tailored to our community.

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Bharat Pothuri
Symptoms

What is Rectocele?

A rectocele occurs when the thin wall (posterior vaginal wall) between the rectum and vagina weakens or stretches, allowing part of the rectum to bulge into the back of the vaginal space. This condition, also known as posterior vaginal wall prolapse, often develops after childbirth, aging, or heavy lifting.

Common Symptoms

Symptoms can range from mild to more severe and may include:

  • Pressure or fullness in the lower abdomen or vagina
  • Difficulty passing stool
  • Need to press on the vagina to help with bowel movements
  • Feeling of incomplete bowel emptying
  • Lower back pain
  • Pain during intercourse

Causes

Several factors can weaken the pelvic floor and contribute to a rectocele:

  • Childbirth and vaginal delivery
  • Straining during bowel movements or chronic constipation
  • Natural aging and loss of tissue strength
  • Excess body weight
  • Previous pelvic surgeries
Treatment

Treatment Options for Rectocele in Houston

Treatment includes conservative and surgical approaches:

  • Pelvic floor therapy: Targeted exercises and techniques to strengthen pelvic muscles and improve bowel control.
  • Biofeedback: Gentle training to help you relax and coordinate your pelvic floor during bowel movements.
  • Pessary support: A removable device placed in the vagina to hold the rectum in position and relieve pressure.
  • Diet and lifestyle changes: High-fiber diet, adequate hydration, and avoiding heavy lifting to reduce straining.
  • Stool softeners and laxatives: Medications and supplements to ease bowel movements and prevent excessive strain.
  • Minimally invasive surgery: Options like native tissue repair or mesh reinforcement to restore the rectovaginal wall.
  • Recovery and follow-up: Most patients return to normal activities within 4-6 weeks, with guided rehabilitation and monitoring.

Why Choose GastroDoxs?

At GastroDoxs in Houston, our board-certified gastroenterologists offer personalized, patient-centered care for rectocele relief-using the latest non-surgical therapies and minimally invasive techniques. Ready to take the next step toward comfort and confidence? Call us today or schedule your consultation online to get started.

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Patients Treated

We've successfully treated more than 1.5k patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is a rectocele?

A rectocele, also called a posterior vaginal wall prolapse, occurs when the thin wall between the rectum and vagina weakens or stretches, causing the rectum to bulge into the vaginal space.

Can I live with a rectocele?

Yes. Many people live with a rectocele for years. Mild cases often respond well to lifestyle changes, pelvic floor exercises, and other non-surgical treatments to relieve symptoms.

What causes a rectocele?

Common causes include pelvic floor weakening after childbirth, chronic straining during bowel movements, aging, obesity, and prior pelvic surgeries.

Can a colonoscopy make a rectocele worse?

No. A colonoscopy is generally safe and does not worsen a rectocele. Always discuss any concerns with your doctor before the procedure.

When is surgery needed for a rectocele?

Surgery may be recommended if non-surgical treatments don't relieve symptoms or if the rectocele significantly impacts daily life, bowel function, or comfort.

What can I try first to manage a rectocele?

First-line treatments include pelvic floor physical therapy, biofeedback, dietary modifications to prevent constipation, stool softeners, and using a vaginal pessary for support.

How long is recovery after rectocele surgery?

Recovery typically takes 4 to 6 weeks after minimally invasive surgery, with gradual return to normal activities as guided by your surgeon.

Will pelvic floor exercises help my rectocele?

Yes. Pelvic floor exercises strengthen the muscles supporting the rectum and vagina, reduce symptoms, and may delay or avoid the need for surgery.

Is rectocele common after childbirth?

Yes. Many women develop a rectocele following vaginal delivery. Pelvic floor therapy and preventive exercises can often improve symptoms.

Where can I get expert rectocele care in Houston?

GastroDoxs in Houston offers expert evaluation and personalized treatment plans for rectocele, including non-surgical therapies and minimally invasive surgical options.

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