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In gynecology, a rectocele (/ ˈ r ɛ k t ə s iː l / REK-tə-seel) or posterior vaginal wall prolapse results when the rectum bulges into the vagina. [1] Two common causes of this defect are childbirth and hysterectomy. [2] Rectocele also tends to occur with other forms of pelvic organ prolapse, such as enterocele, sigmoidocele and cystocele. [1]
A cystocele protruding through the vagina in a 73 year old woman. Large rectocele. Anterior vaginal wall prolapse. Cystocele (bladder into vagina) Urethrocele (urethra into vagina) Cystourethrocele (both bladder and urethra) Posterior vaginal wall prolapse. Enterocele (small intestine into vagina) Rectocele (rectum into vagina) Sigmoidocele ...
A cystocele protruding through the vagina in a 73-year-old woman. The cystocele, also known as a prolapsed bladder, is a medical condition in which a woman's bladder bulges into her vagina. [1] [5] Some may have no symptoms. [6] Others may have trouble starting urination, urinary incontinence, or frequent urination. [1]
Enterocele, if causing symptoms. [8] Mucosal prolapse. [5] Obstructed defecation syndrome (which may be caused by external or internal rectal prolapse, but also by other conditions such as rectocele, enterocele, prolapse of the vaginal vault and cystocele). [21] Vaginal vault prolapse. [22]
It is the surgical intervention for both cystocele (protrusion of the urinary bladder into the vagina) and rectocele (protrusion of the rectum into the vagina). [citation needed] The repair may be to either or both of the anterior (front) or posterior (rear) vaginal walls, thus the origin of some of its alternative names. [1] [2] [3]
repair of cystocele [3] [6] and rectocele [3] retropubic paravaginal repair [8] the repair of a cystocele using a graft or prosthesis [3] [6] the repair of a cystocele and a rectocele in the same procedure using a graft or prosthetic device [3] [6] the repair of a rectocele using a graft or prosthetic material [3]
[2] [3] Urinary symptoms, such as uncontrollable loss of urine or difficulty urinating, may also be present. [3] Complete uterine prolapse in which the uterus protrudes through the vaginal hymen is known as procidentia. [6] In the absence of treatment, symptoms of procidentia may include purulent vaginal discharge, ulceration, and bleeding.
Sigmoidocele may be internal if it is only detectable on defecography, or external if it detectable without imaging and associated with a rectocele or rectal prolapse. [2] It is a type of posterior compartment prolapse. [4] Sigmoidocele may be classified according to size relative to the pubococcygeal line. [2] [note 1]