The tissue between the rectum and the vagina is known as the rectovaginal septum and this structure can become thin and weak over time, resulting in a rectocele. Colon and rectal surgeons as well between vagina and anus gynecologists are trained in the diagnosis and treatment of this condition. Symptomatic rectoceles can lead to excessive straining with bowel movements, the urge to have multiple bowel movements throughout the day, and rectal discomfort. Rectal symptoms may include: Colon and rectal surgeons are experts in the surgical and non-surgical treatment of diseases of the colon, rectum, and anus.
There are many things which can lead to weakening of the pelvic floor, including advanced age, multiple vaginal deliveries and birthing trauma during vaginal delivery e. When symptoms are present, they may be categorized as either rectal or vaginal. Biofeedback refers to exercises one performs with a provider to strengthen and retrain the pelvic floor and can also lessen the symptoms of a rectocele. Rectocele Expanded Information. The American Society of Colon and Rectal Surgeons is dedicated to ensuring high-quality patient care by advancing the science, prevention and management of disorders and diseases of the colon, rectum and anus.
The surgical management of rectoceles should only be performed if you continue to have symptoms despite the use of conservative measures such as fiber, water, and pelvic floor strengthening. CAUSES Rectoceles are usually caused by thinning of the rectovaginal septum the tissue between the rectum and vagina and weakening of the pelvic floor muscles. Skip to main content. Prior to any treatment, there should be a thorough evaluation by your doctor. A rectocele should only be treated if you are having significant symptoms that interfere with your quality of life.
Prior to any treatment, there should be a thorough evaluation by your doctor. Examination of the pelvic region typically includes both a vaginal and rectal examination. There are nonsurgical and surgical treatment options for rectoceles.
Most people with a small rectocele do not have symptoms. They are well-versed in the treatment of both benign and malignant diseases of the colon, rectum, and anus and are able to perform routine screening examinations and surgically treat conditions if indicated to do so. This technique should only be used if a patient has other problems such as obstructive defecation or mucosal prolapse rectal tissue that protrudes out of the anus. Skip to main content.
During this exam, the patient will sit and be asked to defecate on a specially-designed commode after contrast material is instilled in the rectum, vagina and bladder. A rectocele is a herniation bulge of the front wall of the rectum into the back wall of the vagina. A rectocele may be an isolated finding or occur as part of a generalized weakening of the pelvic floor muscles. A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina. As with any surgical procedure, there are associated risks including bleeding, infection, new onset dyspareunia pain during intercourse , fecal incontinence, rectovaginal fistula a communication between the rectum and vagina , as well as a risk that the rectocele may recur or worsen.