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The diagnosis of a rectocele primarily occurs with a physical examination and an interview where symptoms of difficulty defecating are reported. Women often mention the need to insert a finger in the vagina or use of suppositories and/or enemas to aid in having a bowel movement.
Rectocele and recto-rectal intussusception can sometimes be treated by pelvic floor rehabilitation alone, [23] as long as they have not been present for a long time. [23] Larger and more significant examples of these organic/anatomical disorders require surgery to correct since they because contributing causes to ODS by themselves. [ 23 ]
Cul-de-sac hernias are the most difficult to diagnose during physical examination, and to distinguish from anterior rectocele or enterocele. [2] Furthermore, rectocele and cul-de-sac hernia may occur together. [3] Combined vaginal and rectal digital palpation may be used (examiner's thumb in vagina, index finger in anal canal). [11]
A rectocele is a bulge, or herniation, of the front wall of the rectum into the back of the vagina. [16] A cystocele occurs when the wall between the bladder and the vagina weakens. [16] Uterine prolapse. Pelvic floor dysfunction can be assessed with a strong clinical history and physical exam, though imaging is often needed for diagnosis.
External rectal prolapse may give symptoms of obstructed defecation syndrome, fecal incontinence or both, [16] [6] Other symptoms are bloody or mucous rectal discharge. [6] Relative indications are: Internal rectal prolapse (rectal intussusception), if it causes symptoms. [19] Anterior rectocele, if large and causing symptoms. [5]
Rectocele: This is the most common finding with this type of imaging. Almost always, this is an anterior rectocele where the anterior rectal wall bulges forward, into the vagina in females. In males, the prostate gland gives more support in this area compared to the vaginal cavity, so rectoceles, especially anterior rectoceles are uncommon in ...
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Anismus or dyssynergic defecation is the failure of normal relaxation of pelvic floor muscles during attempted defecation. It can occur in both children and adults, and in both men and women (although it is more common in women). It can be caused by physical defects or it can occur for other reasons or unknown reasons.
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