Small bowel prolapse (enterocele) occurs when muscles and tissues that hold the intestines (small bowel) in place inside the pelvic cavity weaken, causing the small bowel to descend and bulge into the vagina.
Mild small bowel prolapse may produce no signs or symptoms. However, if you have significant prolapse, you might experience:
Many women with small bowel prolapse also experience prolapse of other pelvic organs, such as the bladder, uterus or rectum.
The goal is to have good daily bowel habits and softer stools. Avoiding constipation and straining with bowel movements will reduce the risk of a bulge associated with a rectocele.
The surgical management of rectoceles and enteroceles should only be considered when non-surgical methods have not resolved or improved symptoms and the condition interferes with daily living. This can be done through laparoscopic, robotic or vaginal surgery. The choice of procedure depends on the size of the rectocele and its symptoms. The goal of surgery is:
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