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Rectocele (Anus Prolapse)

RECTOCELE (ANUS PROLAPSE) Rectocele is the condition where the rectum, or in other words, large intestines herniate into the vagina. In the cases of advanced rectoceles, it’s seen that the rectocele comes off of the vagina with or without pushing. Rectocele is also caused by pressure increases on the pelvic area and anus due to […]

RECTOCELE (ANUS PROLAPSE)

Rectocele is the condition where the rectum, or in other words, large intestines herniate into the vagina. In the cases of advanced rectoceles, it’s seen that the rectocele comes off of the vagina with or without pushing. Rectocele is also caused by pressure increases on the pelvic area and anus due to deliveries, obesity, constipation, chronic cough, excessive pushing. Apart from these, rectocele complaints increase with aging and after menopause. Intestine movements become more difficult and constipation is seen when rectocele is the case. The complaints of the patients with rectocele are difficulty in defecation, pushing, the feeling of not being able to finish defecation, not being able to relax after defecation, urge to redecorate immediately, and gas and abdominal swelling due to initial reasons.

Actually, irritative complaints of the urine that can’t be evacuated are the case for cystocele, and the stool that can’t be discharged is the case for rectocele. Cystocele is the bladder prolapse, while rectocele is the anus prolapse. Rectocele causes the feeling of swelling in the vagina as well. The feeling of having a mess in the back wall of vagina and pain during coitus can also be seen. Diagnosis is an easy thorough physical examination. Consumption of liquid and fibrous foods are recommended in the case of mild rectoceles. Vaginal contraction through laser can be tried in the case of mild rectocele. The only treatment option for the patients with too much complaints and advanced rectocele is surgery. Rectocele repairment procedure is called colporrhaphy posterior (post repairment).

Cystocele and rectocele forming and the complaints they cause are similar to each other. Eventually, cystocele is about the front wall prolapse, herniation of the vagina, while the rectocele is about the prolapse and herniation of posterior wall of the vagina. They can be observed together rarely.

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