Posterior Vaginal Prolapse (Rectocele). A condition when the rectum bulges into or out of the vagina. May cause difficulty with bowel movements.

Proper diagnosis is essential in treating pelvic support conditions. Being open about symptoms with your physician is important in finding the exact cause. Depending upon your symptoms and the type or vaginal prolapse you are diagnosed as having, treatments can include special exercises, lifestyle changes, the use of pessaries, changes in diet and lifestyle, reconstructive surgery and obliterative procedures to narrow and shorten the vagina.

Posterior Vaginal Prolapse (Rectocele) Treatment

If muscles at the vaginal opening are stretched or separated at childbirth, this condition can be corrected by a perineorrhaphy. It may also be corrected abdominally during a sacral colpopexy. To correct the vaginal bulge, a surgical procedure called an anterior colporrhaphy is performed to raise the back wall of the vagina back into the body to support the bladder.

A posterior coloporrhaphy is a procedure used to repair the rectal bulge that protrudes through the back wall of the vagina. In this procedure, an incision is made in the back wall of the vagina. The vaginal skin is separated from the rectal wall underneath. Once the weak or frayed edges of the deep vaginal wall tissue are identified, the strong tissue next to edges is sutured to each other to recreate the wall between the rectum and the vagina. Occasionally, a surgeon will use graft material to provide additional strength to the repair.