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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.
I just had Rectocele surgery with a TVT 1/12/2009. No problems. Pain was somewhat significant, but well handled in the hospital and at home with Vicodin and Motrin. So far so good.