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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 should only be treated if it causes significant symptoms. The treatment may be medical or surgical. Medical options include a high fiber diet and ample fluids (to avoid constipation), stool softeners, and a pessary inserted into the vagina to support the pelvic organs. Surgery is meant to repair the rectocele.