Rectocele

What is Rectocele?

Rectocele occurs when the wall between the rectum and vagina weakens, allowing part of the rectum to bulge into the back wall of the vaginal canal. This form of pelvic organ prolapse can lead to pressure, discomfort, and changes in normal bowel function.

Common Symptoms

Symptoms can start subtly and progress over time. You may notice:

• Sensation of pressure or fullness in the lower pelvis
• A bulge or lump you can feel inside the vagina
• Difficulty completing bowel movements, often requiring straining
• Pain or discomfort during sexual intercourse
• Lower back or lower abdominal pain

Causes

Rectocele typically develops when pelvic support tissues are weakened or damaged by factors such as:

• Childbirth, especially after prolonged or difficult labor
• Chronic constipation and repeated straining
• Aging and hormonal changes that reduce tissue strength
• Heavy lifting or high-impact physical activities
• Previous pelvic surgeries or injuries

Treatment Options for Rectocele in Cypress

Treatment includes non-surgical and surgical approaches:

• Pelvic floor muscle therapy: Specialized exercises (Kegels and biofeedback) to strengthen the pelvic support and reduce bulging.
• Vaginal pessary: A removable silicone or plastic device placed in the vagina to support weakened tissues and relieve pressure.
• Dietary changes & stool management: High-fiber diet, adequate hydration, and occasional stool softeners to minimize straining during bowel movements.
• Posterior colporrhaphy: Surgical repair of the posterior vaginal wall using stitches to tighten and reinforce the weakened tissue.
• Minimally invasive techniques: Laparoscopic or robotic-assisted repair through small incisions to reduce pain and speed recovery.
• Open surgery: Traditional abdominal approach when extensive tissue support or mesh reinforcement is needed.
• Recovery guidelines: Most patients return to normal activities in 4-6 weeks, with pelvic rest and gradual re-introduction of exercise.