Fellowship-Trained Urogynecologist
Urogynecology & Reconstructive Pelvic Surgery
Green Bay, Wisconsin
✓ Medically reviewed March 2026
What Is a Rectocele (Rectal Prolapse into the Vagina)?
A rectocele occurs when the wall between the rectum and vagina weakens, allowing the rectum to bulge into the back wall of the vagina. It’s a common type of pelvic organ prolapse that can cause symptoms related to both bowel function and vaginal comfort.
How It Develops
The back wall of the vagina separates the vaginal canal from the rectum. Childbirth, aging, chronic constipation, and heavy lifting can weaken this wall, allowing the rectum to push forward into the vaginal space.
Rectoceles are more common than most women realize. They often develop gradually and may not cause symptoms until they reach a certain size. The hallmark symptom is difficulty completing a bowel movement.
Symptoms
- Difficulty with bowel movements — feeling of incomplete emptying
- Need to press on the vaginal wall to complete a bowel movement (splinting)
- A bulge felt at the back wall of the vagina
- Pelvic pressure, especially with prolonged standing
- Discomfort during intercourse
Treatment Options
- Dietary management — adequate fiber and hydration to prevent constipation
- Pelvic floor physical therapy — coordination training for bowel mechanics
- Pessary — supports the back vaginal wall
- Surgical repair — posterior colporrhaphy (back wall repair)
Many women with rectoceles have been struggling with constipation for years without realizing there’s a structural cause. Once we identify the rectocele, treatment can be very effective.
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