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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.
A rectocele or an enterocele may become large or more obvious when you strain or bear down (for example, during a bowel movement). A rectocele and an enterocele may occur together, especially if you have had surgery to remove the uterus (hysterectomy). Because rectocele and enterocele are defects of the pelvic supporting tissue and not the bowel wall, they are treated most successfully with surgery that repairs the vaginal wall.