Articles in the December issue discuss various health issues affecting school-aged children, including acne, eczema and growth disorders. Volume 44, No. Female pelvic floor dysfunction encompasses a number of prevalent clinical conditions including urinary and faecal incontinence, obstructed defaecation, sexual dysfunction and female pelvic organ prolapse FPOP.
Anterior and posterior vaginal wall prolapse involve protrusion of an organ into the vaginal canal. Anterior vaginal wall prolapse is commonly referred to as cystocele or urethrocele when the bladder or urethra is involved. Posterior vaginal wall prolapse is commonly referred to as enterocele when the small intestine and peritoneum are involved and rectocele when the rectum is involved.
An enterocele can also be present in patients who have a uterus and develop prolapse but is not as common. When this is the case, fatty tissue around the intestines descends into the pelvic cavity and forms a bulge between the cervix and the vagina. The main factors that contribute to the development of an enterocele are:.
A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of fibrous tissue that separates the rectum from the vagina weakens. When this happens, tissues or structures just behind the vaginal wall — in this case, the rectum — can bulge into the vagina. A posterior vaginal wall prolapse occurs when the thin wall of tissue that separates the rectum from the vagina weakens, allowing the vaginal wall to bulge. Posterior vaginal prolapse is also called a rectocele REK-toe-seel.
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A rectocele is a condition in which the wall of tissue that separates the rectum from the vagina is weakened, allowing the vaginal wall to budge. Commonly, the front wall of the rectum bulges against the posterior of the vagina. The size of the prolapse often indicates if it is symptomatic.
The organs of the pelvis — the area of the body between the hip bones — include the vagina, cervix, uterus, bladder, urethra, intestines, and rectum. These organs are held in place by a group of muscles and other tissue. When this support system becomes stretched or torn, it allows pelvic organs to slip out of their normal places or sag down prolapse.
Back to Health A to Z. Pelvic organ prolapse is when one or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. A prolapse isn't life-threatening, but it can cause pain and discomfort.
All Rights Reserved. This includes the posting of electronic files on the Internet, transferring electronic files to other persons, distributing printed output, and photocopying. Pelvic organ prolapse is a disorder in which one or more of the pelvic organs drop from their normal position.
Disabling symptoms of pelvic discomfort and obstructed defaecation are frequently attributed to posterior pelvic floor disorders, such as enterocele and rectocele. Enterocele is defined as a herniation of the peritoneal sac between the vagina and the rectum. Unlike other types of pelvic organ prolapse, enterocele is a true herniation with a peritoneal sac containing small bowel or sigmoid colon. Enteroceles are most frequently found in elderly, multiparous females.