Rectocele is a condition that affects many people, often causing discomfort and complications in daily life. It occurs when the tissue between the rectum and vagina weakens, allowing part of the rectum to bulge into the vaginal wall. Although it’s a common condition, it’s one that’s not often talked about due to its intimate nature. At Park Avenue Colon and Rectal Surgery, our goal is to educate and provide compassionate care to those affected by rectocele and similar conditions.
In this blog post, we’ll dive into the causes, symptoms, and treatment options for rectocele, and answer some frequently asked questions. If you’re experiencing symptoms of rectocele, please know that help is available. We’re here to offer support and expert care.
What is Rectocele?
Rectocele is a form of pelvic organ prolapse where the rectal wall pushes into the vaginal wall, typically due to weakened support tissues. This weakening may be caused by childbirth, chronic constipation, heavy lifting, or surgery affecting the pelvic region. A mild rectocele may not cause symptoms, but a more pronounced bulge can lead to discomfort and other complications.
Causes of Rectocele
Several factors can contribute to the development of rectocele:
- Childbirth: The physical strain of vaginal delivery can stretch or tear the supporting tissues in the pelvic area, leading to rectocele.
- Chronic Constipation: Frequent straining during bowel movements increases pressure on the pelvic muscles, weakening them over time.
- Pelvic Surgery: Certain surgical procedures may compromise the strength of pelvic tissues, making them more susceptible to rectocele.
- Heavy Lifting: Consistently lifting heavy objects can strain pelvic muscles, increasing the risk of rectocele.
- Aging: Natural changes in tissue elasticity with age may weaken the pelvic floor, leading to an increased risk of rectocele.
Symptoms of Rectocele
The symptoms of rectocele can vary based on the severity of the prolapse. Some people may experience no symptoms, while others may encounter significant discomfort. Common symptoms include:
- A noticeable bulge or pressure in the vaginal area
- Difficulty with bowel movements, often needing to press on the vagina or perineum to facilitate evacuation (a technique called “splinting”)
- Constipation or a feeling of incomplete evacuation
- Discomfort during sexual intercourse
- Lower back pain or general pelvic discomfort
If you’re experiencing any of these symptoms, it’s essential to consult with a healthcare provider for a proper diagnosis and management plan.
Diagnosis of Rectocele
Rectocele can be diagnosed through a pelvic exam, where a doctor will assess the support of the vaginal and rectal walls. Additional tests, such as a defecography or pelvic floor MRI, may be used to evaluate the extent of the prolapse and help plan the best course of treatment.
Treatment Options for Rectocele
Treatment for rectocele depends on the severity of symptoms and the impact on your quality of life. Treatment options include:
- Lifestyle Modifications: Avoiding heavy lifting, treating constipation, and maintaining a healthy weight can help manage symptoms.
- Physical Therapy: Pelvic floor exercises, such as Kegels, can strengthen the muscles supporting the rectum and vagina, reducing symptoms.
- Pessary: A pessary is a device inserted into the vagina to provide support and reduce the bulge. This option can help manage symptoms without surgery.
- Surgery: For severe cases, surgery may be recommended to repair the tissue and restore normal function. Surgical options include rectocele repair, where the weakened tissue is reinforced to prevent bulging.
Frequently Asked Questions (FAQ)
Q: What are the long-term effects of untreated rectocele?
A: Untreated rectocele can worsen over time, potentially leading to increased symptoms such as chronic constipation, more difficulty during bowel movements, and greater discomfort. Over time, these issues can impact your quality of life, making it essential to seek medical advice.
Q: Can rectocele heal on its own?
A: Rectocele generally does not resolve on its own. Mild cases can sometimes be managed with lifestyle changes and pelvic exercises, but more severe cases may require medical intervention.
Q: How can pelvic floor therapy help with rectocele?
A: Pelvic floor therapy strengthens the muscles supporting the pelvic organs. Exercises like Kegels can reduce the pressure on the rectum and vagina, potentially improving symptoms and slowing the progression of rectocele.
Q: Is rectocele surgery safe?
A: Rectocele repair surgery is a common and safe procedure, but like any surgery, it carries some risks. Your surgeon will discuss the benefits and potential risks with you, ensuring that you have the information needed to make an informed decision.
Q: How long is the recovery period after rectocele surgery?
A: Recovery time can vary, but most people can return to normal activities within a few weeks. Full recovery and resumption of all activities, including heavy lifting, typically take about six to eight weeks. Your doctor will provide specific instructions based on your individual case.
Q: Can rectocele return after treatment?
A: While treatment can be very effective, there is a possibility of recurrence, especially if contributing factors, such as heavy lifting or chronic constipation, are not addressed. Following post-treatment guidelines can help reduce the risk of recurrence.
Q: When should I see a doctor about rectocele symptoms?
A: If you experience discomfort, difficulty with bowel movements, or any symptoms that interfere with your daily life, it’s a good idea to consult with a healthcare provider. Early diagnosis and treatment can often prevent symptoms from worsening.
Contact Park Avenue Colon and Rectal Surgery
If you are experiencing symptoms of rectocele or have concerns about your pelvic health, we’re here to help. At Park Avenue Colon and Rectal Surgery, our experienced team offers compassionate, expert care tailored to your needs.
Park Avenue Colon and Rectal Surgery
36 E 36th St, 1C
New York City, NY 10016
Phone: (646) 822-0228
Reach out to schedule a consultation, and let us support you on your path to improved health and well-being.