A rectocele, Opens dialog occurs when the end of the large intestine (rectum) pushes against and moves the back wall of the vagina, Opens dialog. An enterocele (small bowel prolapse) occurs when the small bowel, Opens dialog presses against and moves the upper wall of the vagina. Rectoceles, Opens dialog and enteroceles, Opens dialog may develop if the lower pelvic muscles become damaged by labor, childbirth, or a previous pelvic surgery or if the muscles are weakened by aging. A rectocele or an enterocele can be present at birth (congenital), though this is rare.
A rectocele or an enterocele may become large or more obvious when you strain or bear down (for example, during a bowel movement). A rectocele and an enterocele may occur together.
Because rectocele and enterocele are defects of the pelvic supporting tissue and not the bowel wall, they are treated most successfully with surgery that repairs the vaginal wall. This surgery pulls together the stretched or torn tissue in the area of prolapse. Surgery will also strengthen the wall of the vagina to prevent prolapse from recurring. Unless there is another health problem that would require an abdominal incision, rectoceles and enteroceles are usually repaired through the vagina.
General anesthesia, Opens dialog is usually used for repair of a rectocele or enterocele. You may stay in the hospital from 1 to 2 days. Most people can return to their normal activities in about 6 weeks. Avoid strenuous activity for the first 6 weeks. And increase your activity level gradually.
Normal bowel function returns within 2 to 4 weeks. It is important to avoid constipation during this time. Your doctor will give you special bowel care instructions. But it is important to include sources of fiber and adequate fluids in your diet. Try to drink about 6 to 8 glasses of water a day.
Most people are able to resume sexual intercourse in about 6 weeks.
Surgical repair of rectoceles and enteroceles is used to help symptoms such as pressure from movement of the intestine that pushes against the wall of the vagina, low back pain, and painful intercourse. An enterocele may not cause symptoms until it is so large that it pushes into the middle of the vaginal canal.
Rectocele and enterocele often occur with other pelvic organ prolapse, so tell your doctor about other symptoms you may be having. If your doctor finds a bladder prolapse (cystocele, Opens dialog), urethral prolapse (urethrocele, Opens dialog), or uterine prolapse, Opens dialog during your pelvic exam, that problem can also be repaired during surgery.
Clinical Review Board All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Clinical Review Board All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.
