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Rectocele
At GastroDoxs in Houston, Dr. Nghia Nguyen offers expert care for rectocele, a condition where the rectum bulges into the vagina. With personalized evaluations, advanced diagnostics and treatment options ranging from lifestyle changes to minimally invasive surgery, patients regain comfort.
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
What Is Rectocele?
A rectocele occurs when the wall between the rectum and vagina weakens, allowing part of the rectum to bulge into the vaginal space. This can lead to vaginal pressure, discomfort, and difficulty with bowel movements.
Common Causes and Risk Factors
Childbirth, especially vaginal delivery of a large baby
Repeated heavy lifting or chronic straining
Long-term constipation or diarrhea
Pelvic muscle weakening with age
Previous pelvic surgeries
Signs and Symptoms
Sensation of pressure or fullness in the vagina
Noticeable bulge or lump inside the vaginal canal
Difficult or incomplete bowel movements
Needing to press on the vaginal wall to pass stool
Lower back or pelvic discomfort
Urinary changes (urgency, frequency, or incomplete emptying)
How Dr. Nghia Nguyen Diagnoses This Condition?
Dr. Nguyen uses a step-by-step approach:
Medical History and Symptom Review
He discusses your pelvic and bowel history, childbirth details, and any risk factors like heavy lifting or chronic constipation.
Pelvic Examination
A gentle, hands-on exam checks for a vaginal bulge. You may be asked to cough or bear down to see how the rectal wall moves.
Defecography and Dynamic Testing
Defecography (X-ray or MRI) visualizes the rectum during simulated bowel movements.
Dynamic pelvic floor ultrasound assesses muscle and tissue support in real time.
Additional Imaging (If Needed)
In select cases, a pelvic MRI offers detailed soft-tissue views to confirm the diagnosis and plan treatment.
Treatment
Our Team offers a full range of care for rectocele.
1. Lifestyle and Diet Changes
Eat more fiber and drink plenty of water
Daily pelvic floor exercises like Kegels
Avoid straining and lifting heavy objects
Maintain regular bowel habits by going at the same time each day
2. Medications
Stool softeners or gentle laxatives to ease bowel movements
Topical estrogen cream for post-menopausal women
Pain relievers as needed for discomfort
3. Minimally Invasive or Surgical Options
Posterior colporrhaphy - repair through a small vaginal incision
Mesh repair - additional support using surgical mesh in selected cases
Laparoscopic repair - small incisions and specialized tools for faster healing
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Frequently Asked Questions
How long can I live with a rectocele?
Many women live with a mild rectocele for years without major issues. However, treatment is available at any stage to improve comfort and quality of life.
What exactly is a rectocele?
A rectocele occurs when the wall between the rectum and vagina weakens, allowing part of the rectum to bulge into the vaginal space.
Will surgery fix it?
Surgery often relieves vaginal pressure and improves bowel movements. Dr. Nguyen will recommend the best approach—whether minimally invasive or traditional—to suit your needs.
Can a colonoscopy make it worse?
Generally, a colonoscopy won't worsen a rectocele. Be sure to inform your doctor about your condition so they can use extra care during the procedure.
Is surgery painful?
Most women experience only mild discomfort after surgery. Pain management and modern surgical techniques help ensure a quicker, more comfortable recovery.
Will I need therapy afterward?
Pelvic floor therapy can support healing and prevent recurrence. Dr. Nguyen can refer you to a trusted pelvic rehabilitation specialist for personalized exercises.
Can I stop a rectocele from happening?
You can lower your risk by avoiding heavy lifting and straining, doing daily pelvic floor exercises like Kegels, and maintaining healthy bowel habits.
