ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferences
Rectocele
Print
Other Resources UpToDate PubMed

Rectocele

Print Images (1)
Contributors: Abhijeet Waghray MD, Khaled Bittar MD, Nishant H. Patel MD, Desiree Rivera-Nieves MD, Paritosh Prasad MD
Other Resources UpToDate PubMed

Synopsis

A rectocele is a herniation of the rectal wall toward the vagina. Normally, a thin layer of connective tissue termed the rectovaginal septum (fascia of Otto) separates the vagina and rectum. A defect in the rectovaginal septum allows the formation of rectoceles.

Rectoceles may be asymptomatic or may present as bulging into the vagina or protruding from the vaginal opening. Common signs and symptoms include difficulty defecating with manually placing pressure on the vagina or rectum, discomfort or sensation of a rectal mass, tenesmus, constipation, and painful defecation. Fecal incontinence and sexual dysfunction may also occur. Causes include a history of pelvic surgery, chronic constipation, pregnancy, childbirth, decreased muscle tone due to aging or menopause, increased weight on the pelvic floor such as in obesity, continuous heavy lifting, and chronic coughing.

Management may include dietary adjustments (high fiber, increased water intake), stool softeners, and pelvic exercises. A pessary to support weakened vaginal muscles may help. Corrective surgery may be considered if less invasive therapies are unsatisfactory and if pregnancy is no longer a consideration.

Related topic: Uterovaginal prolapse

Codes

ICD10CM:
N81.6 – Rectocele

SNOMEDCT:
447072005 – Herniation of rectum into vagina

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Reviewed: 12/13/2017
Last Updated: 12/13/2017
Copyright © 2019 VisualDx®. All rights reserved.
Rectocele
Print 1 Images
Rectocele : Constipation, Rectal mass, Rectal pain, Painful defecation, Tenesmus
Copyright © 2019 VisualDx®. All rights reserved.