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A small rectocele may not cause any symptoms, especially if it bulges less than 2 centimeters (less than 1 inch) into the vagina. However, larger rectoceles can trigger a variety of rectal and vaginal complaints, including: A bulge of tissue protruding through the vaginal opening. Constipation.
The symptoms of rectocele may be vaginal, rectal or both, and can include: 1  A sensation of pressure within the pelvis. 2  The feeling that something is falling down or falling out within the pelvis. 3  Symptoms worsened by standing up and eased by lying down.  Lower-abdominal 1  pain. Lower-back pain.  A bulging mass felt inside the vagina.