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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.
WHAT YOU SHOULD KNOW: 1  A rectocele (REK-to-sel), also called vaginal hernia, occurs when a part of the rectum bulges down into the vagina. It is often caused by weak muscles and ligaments that hold and support the vagina and rectum. 2  Your caregiver will be able to find your rectocele by doing a physical exam.