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Rectocele

Are you experiencing vaginal pressure, difficulty with bowel movements or noticing a bulge? A rectocele, or vaginal wall prolapse, can worsen. Board-certified gastroenterologist Dr. Bharat Pothuri at GastroDoxs in Houston provides tailored, minimally invasive treatments to restore comfort and function.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

What Is Rectocele?

A rectocele occurs when the tissue wall between the rectum and vagina weakens, allowing the rectum to bulge into the back wall of the vagina. This can create a noticeable vaginal bulge, a feeling of pressure, or difficulty with bowel movements. Most cases develop gradually over time.

Common Causes and Risk Factors

  • Vaginal childbirth, especially multiple deliveries or large-baby births
  • Chronic constipation or straining during bowel movements
  • Age-related weakening of pelvic floor muscles
  • Previous pelvic surgery or hysterectomy
  • Obesity or frequent heavy lifting

Signs and Symptoms

  • Sensation of pressure, fullness, or bulging in the vagina
  • Visible or palpable bulge at the vaginal opening
  • Difficulty having a bowel movement; may need to press on the vaginal wall to help
  • Lower back ache or discomfort when standing
  • In severe cases, stool or gas leakage

Expert Treatment for Rectocele by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He asks detailed questions about your pain (onset, location, quality, timing and triggers), dietary habits, medication use (NSAIDs, alcohol), prior GI issues and family history. A careful abdominal exam follows, checking for epigastric tenderness, rebound, masses or organ enlargement.

Laboratory Tests

Basic blood work helps rule out inflammation and infection:

  • CBC (complete blood count) to detect anemia or infection
  • Liver function tests and pancreatic enzymes (amylase, lipase)
  • H. pylori breath or stool antigen test if ulcer disease is suspected

Imaging Studies

  • Abdominal ultrasound to evaluate gallbladder, liver and pancreas
  • Upper endoscopy (EGD) to visualize the esophagus, stomach and duodenum directly and obtain biopsies
  • CT scan of the abdomen with contrast when pancreatitis, biliary obstruction or masses are a concern

Advanced Testing (if needed)

For persistent or unclear cases, Dr. Pothuri may recommend:

  • Endoscopic ultrasound (EUS) to detect small lesions in the pancreas or biliary tree
  • Gastric emptying study for suspected gastroparesis
  • Esophageal manometry and 24-hour pH monitoring if reflux or motility disorders are suspected
Bharat Pothuri
Treatment

Our Team offers a full range of care for rectocele with Dr. Bharat Pothuri.

1. Lifestyle and Diet Changes

  • High-fiber diet: fruits, vegetables, and whole grains
  • Adequate hydration: 8-10 glasses of water daily
  • Stool softeners to reduce straining during bowel movements
  • Pelvic floor exercises (Kegels) guided by a specialized therapist

2. Medications

  • Stool softeners like docusate to make pooping easier
  • Bulk-forming laxatives if recommended to maintain regularity
  • Topical estrogen cream to strengthen vaginal tissue (in select cases)

3. Minimally Invasive or Advanced Procedures

  • Pessary placement for non-surgical vaginal wall support
  • Posterior repair surgery to tighten and reinforce weakened tissue
  • Mesh support implants for added pelvic floor strength
  • Robotic-assisted surgical repair for enhanced precision and faster recovery
1.5K

Patients Treated

Dr. Pothuri has 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? Should I worry?

A rectocele occurs when the rectal wall pushes into the vagina. Mild cases often only require lifestyle changes and exercises. Dr. Pothuri will assess your condition and recommend the most appropriate treatment plan for you.

How long can you live with a rectocele?

Many women live for years without major problems. Early interventions-like dietary fiber, hydration, and pelvic floor exercises-can help slow progression and reduce symptoms.

Do I always need surgery?

No. We first try non-surgical measures: diet modification, stool softeners, pelvic floor therapy, and pessary use. Surgery is reserved for severe or persistent cases that don't respond to conservative care.

Can I sit after surgery?

Yes. Most patients can sit comfortably within a few days. Dr. Pothuri provides post-op guidelines and positioning tips to minimize discomfort and promote healing.

Can I get pregnant after repair?

In most cases, yes. Many women carry future pregnancies after rectocele repair. Be sure to discuss your family-planning goals with Dr. Pothuri so we can time the surgery for the best outcome.

How long does recovery from robotic surgery take?

Most patients go home the same day or the next morning. Full recovery typically takes 4-6 weeks, and many experience less pain and quicker return to activities compared with traditional surgery.

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