Posterior Vaginal Wall Prolapse (Rectocele)

Overview

This is a bulge in the back wall of the vagina. It happens when the thin wall of tissue between the vagina and the rectum isn't strong enough to hold back the rectum. It lets the rectum push into the vagina.

Causes

What causes this to happen? It's linked to increased pressure on your pelvic tissues. Pressure can increase if you have constipation, and if you strain when you empty your bowels. It can be caused by a chronic cough, or heavy lifting. Being overweight or obese increases pressure, too. Your risk for a prolapse is higher if you are older, and if you have given birth to multiple children. And, some women are born with weak pelvic tissues.

Symptoms

What are the symptoms? You may not notice a small prolapse. But if it's larger, you can have a soft bulge in your vagina. It may be big enough to push through your vaginal opening. You may feel fullness or pressure in your rectum. It may not feel empty even after a bowel movement. And, you may notice that your vaginal tissue feels loose.

Treatment

Treatment options depend on your needs. Things like pelvic exercises and weight loss may help. You may benefit from a soft ring placed in your vagina for support. Or, you may need surgery. Your doctor will create a care plan that's right for you.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.