Overview
A rectocele is a herniation of the rectum into the vaginal wall caused by pelvic floor weakening.
Symptoms
• Pressure or bulge sensation
• Difficulty emptying bowels
• Constipation
• Needing manual pressure (splinting)
• Pelvic discomfort
Causes
• Childbirth
• Chronic constipation
• Heavy lifting
• Pelvic floor injury
• Aging
Diagnosis
• Pelvic exam
• Defecography
• MRI
Treatment
• Pelvic floor physical therapy
• High-fiber diet
• Pessary device
• Surgical repair (moderate/severe)
Self-Management
Tracking bowel patterns, hydration, fiber, and triggers helps reduce strain.