Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-24T00:42:05.693Z Has data issue: false hasContentIssue false

Case 34 - A 65-Year-Old Woman Presents with a Symptomatic Stage 2 Rectocele

Published online by Cambridge University Press:  19 November 2021

By
Christopher M. Morosky
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
Get access

Summary

A 65-year-old female, gravida 4, para 4, presents with a worsening bulge in her vagina. She describes a dragging sensation in the vagina that is worse at the end of the day. She has increased the fiber in her diet to help with constipation. Despite this, over the past three months, she has had increased straining with bowel movements. Now, she must digitally place pressure on the bulge in the vagina to evacuate the rectum.

Keywords

rectoceleposterior repairpelvic prolapse
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 102 - 104
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Pelvic organ prolapse: ACOG Practice Bulletin, Number 214. Obstet Gynecol 2019; 134: e126–42.Google Scholar
Mowat, A, Maher, D, Baessler, K, et al. Surgery for women with posterior compartment prolapse. Cochrane Database Syst Rev 2018; 3(3): CD012975.Google ScholarPubMed
Beck, DE, Allen, NL. Rectocele. Clin Colon Rectal Surg 2010; 23(2): 90–8.CrossRefGoogle ScholarPubMed
Grimes, CL, Schimpf, MO, Wieslander, CK, et al. Surgical interventions for posterior compartment prolapse and obstructed defecation symptoms: a systemic review with clinical practice recommendations. Int Urogynecol J 2019; 30(9): 1433–54.CrossRefGoogle Scholar
Patcharatrakul, T, Rao, SSC. Update on the pathophysiology and management of anorectal disorders. Gut Liver 2018; 12(4): 375–84.CrossRefGoogle ScholarPubMed
Hagen, S, Stark, D. Conservative prevention and management of pelvic organ prolapse in women. Cochrane Database Syst Rev 2011; (12): CD003882.Google ScholarPubMed
Bugge, C, Adams, EJ, Gopinath, D, et al. Pessaries (mechanical devices) for pelvic organ prolapse in women. Cochrane Database Syst Rev 2013; 2013(2): CD004010.Google ScholarPubMed
Doumouchtsis, SK, Raheem, AA, Milhem Haddad, J, et al. An update of a former FIGO Working Group Report on Management of Posterior Compartment Prolapse. Int J Gynaecol Obstet 2020; 148(2): 135–44.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×