A posterior vaginal wall prolapse occurs when the thin wall of tissue that separates the rectum from the vagina weakens, allowing the vaginal wall to bulge. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel).
Childbirth and other processes that put pressure on pelvic tissues can lead to posterior vaginal prolapse. A small prolapse may cause no signs or symptoms.
If a posterior vaginal prolapse is large, it may create a noticeable bulge of tissue through the vaginal opening. This bulge may be uncomfortable, but it's rarely painful.
If needed, self-care measures and other nonsurgical options are often effective. Severe posterior vaginal prolapse might require surgical repair.
A small posterior vaginal prolapse (rectocele) may cause no signs or symptoms.
Otherwise, you may notice:
- A soft bulge of tissue in your vagina that might protrude through the vaginal opening
- Difficulty having a bowel movement
- Sensation of rectal pressure or fullness
- A feeling that the rectum has not completely emptied after a bowel movement
- Sexual concerns, such as feeling embarrassed or sensing looseness in the tone of your vaginal tissue
Many women with posterior vaginal prolapse also experience prolapse of other pelvic organs, such as the bladder, uterus or — for women who have had surgery to remove the uterus (hysterectomy) — the top of the vagina.
Posterior vaginal prolapse results from pressure on the pelvic floor. Causes of increased pelvic floor pressure include:
- Chronic constipation or straining with bowel movements
- Chronic cough or bronchitis
- Repeated heavy lifting
- Being overweight or obese
Pregnancy and childbirth
The muscles, ligaments and connective tissue that support your vagina become stretched and weakened during pregnancy, labor and delivery. The more pregnancies you have, the greater your chance of developing posterior vaginal prolapse.
Women who have had only cesarean deliveries are less likely to develop posterior vaginal prolapse, but still may.
Factors that may increase your risk of posterior vaginal prolapse include:
- Genetics. Some women are born with weaker connective tissues in the pelvic area, making them naturally more likely to develop posterior vaginal prolapse.
- Childbirth. If you have vaginally delivered multiple children, you have a higher risk of developing posterior vaginal prolapse. If you've had tears in the tissue between the vaginal opening and anus (perineal tears) or incisions that extend the opening of the vagina (episiotomies) during childbirth, you may also be at higher risk.
- Aging. As you grow older, you naturally lose muscle mass, elasticity and nerve function, causing muscles to stretch or weaken.
- Obesity. Extra body weight places stress on pelvic floor tissues.
Consultation
Book An Appointment
Courier your medicine
Give us a Call