Rectocele: Symptoms, Causes, and Treatment

A rectocele occurs when the rectum bulges into the back wall of the vagina, leading to symptoms like constipation, pelvic pressure, and discomfort during bowel movements. This condition is significant as it can impact bowel function and quality of life. Rectoceles are quite prevalent, especially in women who have given birth vaginally or have weakened pelvic floor muscles. Seeking medical advice is crucial for proper diagnosis and management of rectoceles to improve symptoms and quality of life.

Causes of Rectocele

Rectocele, a condition where the rectum bulges into the vagina, can be influenced by various factors. These include:

• Weakening of pelvic floor muscles
• Pregnancy and childbirth
• Chronic constipation and straining during bowel movements
• Aging-related changes in connective tissue
• Prior pelvic surgery

Symptoms of Rectocele

Recognizing the symptoms of rectocele is crucial as early detection can significantly improve outcomes. Common symptoms to look out for include:

• Difficulty passing stool
• A feeling of rectal fullness
• Constipation
• Pelvic pressure or discomfort
• Pain during bowel movements

Being aware of these signs can prompt timely medical evaluation and intervention, leading to better management of rectocele and improved quality of life. If you experience any of these symptoms, consult a healthcare provider for proper diagnosis and treatment.

Diagnosis of Rectocele

Rectocele diagnosis is crucial for appropriate treatment planning. Symptoms like pelvic pressure, constipation, and a bulge in the vagina may indicate a rectocele. To confirm the condition, accurate diagnosis is necessary.

• Physical examination
• Rectal examination
• Defecography (also known as proctography)
• MRI or ultrasound

Treatment Options for Rectocele

When it comes to treating rectocele, individualized care is crucial for the best outcomes. Several approaches can be considered for managing rectocele:

Symptom Management

• This approach focuses on alleviating symptoms like constipation and discomfort.
• The rationale is to improve the patient's quality of life and reduce discomfort.
• The primary objective is to relieve symptoms and improve bowel function.
• Steps may involve dietary modifications, pelvic floor exercises, and stool softeners.

Pessary Use

• A pessary is a device inserted into the vagina to support the rectum.
• This treatment aims to provide structural support to the rectocele.
• The primary objective is to reduce pressure on the rectal wall.
• The process involves fitting the patient with a pessary and regular check-ups.

Surgical Repair

• Surgical repair involves correcting the rectocele through various techniques.
• It is used for significant or symptomatic rectoceles that do not respond to conservative measures.
• The primary objective is to restore normal anatomy and function.
• The procedure may include transvaginal or transanal approaches depending on the case.

Prevention and Management of Rectocele

Rectocele, a condition where the rectum bulges into the vagina, can be managed and prevented through lifestyle changes and proactive measures. Here's how you can take control of your health:

Lifestyle Modifications:

• Avoid heavy lifting to reduce strain on pelvic muscles.
• Maintain a healthy weight to decrease pressure on the pelvic floor.
• Include high-fiber foods in your diet to prevent constipation and straining during bowel movements.

Regular Screenings:

• Regular pelvic exams can help detect rectocele at an early stage.
• Discuss any bowel movement changes or discomfort with your healthcare provider.

Supportive Care:

• Perform Kegel exercises to strengthen pelvic floor muscles.
• Use a stool softener if needed to ease bowel movements.
• Talk to a physical therapist specialized in pelvic floor exercises for additional support.

If you’ve been having any symptoms or worries about rectocele, please reach out to our doctors. They will listen to your concerns, answer your questions and guide you through the next steps.