Small bowel prolapse (enterocele)

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Symptoms

By Mayo Clinic staff

Mild small bowel prolapse may produce no signs or symptoms. However, if you have significant prolapse, you might experience:

  • A pulling sensation in your pelvis that eases when you lie down
  • A feeling of pelvic fullness, pressure or pain
  • Low back pain that eases when you lie down
  • A soft bulge of tissue in your vagina
  • Vaginal discomfort and painful intercourse (dyspareunia)

Many women with small bowel prolapse also have related conditions, such as:

  • Posterior prolapse, also known as rectocele, when the bottom or back of the vagina bulges, often because the rectum pushes on the vaginal wall
  • Anterior prolapse, also known as cystocele, when the front of the vagina is pushed down — usually by the bladder — into the vaginal canal
  • Uterine prolapse, when the uterus pushes down into the vagina

When to see a doctor
See your doctor if you develop signs or symptoms of prolapse that bother you.

References
  1. Lentz GM, et al. Comprehensive Gynecology. 6th ed. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/linkTo?type=bookPage&isbn=978-0-323-06986-1&eid=4-u1.0-B978-0-323-06986-1..C2009-0-48752-X--TOP. Accessed Oct. 30, 2012.
  2. Park AJ, et al. Clinical manifestations, diagnosis, and nonsurgical management of posterior vaginal defects. http://www.uptodate.com/index. Accessed Oct. 30, 2012.
  3. Rogers RG, et al. An overview of the epidemiology, risk factors, clinical manifestations, and management of pelvic organ prolapse in women. http://www.uptodate.com/index. Accessed Oct. 30, 2012.
  4. Hoffman BL, et al. Williams Gynecology. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://accessmedicine.com/resourceTOC.aspx?resourceID=768. Accessed Oct. 31, 2012.
  5. Culligan PJ. Nonsurgical management of pelvic organ prolapse. Obstetrics & Gynecology. 2012;119:852.
  6. Hagen S, et al. Conservative management of pelvic organ prolapse. Obstetrics, Gynaecology and Reproductive Medicine. 2012;22:118.
  7. Gibbs RS, et al. Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2008. http://www.danforthsobgyn.com. Accessed Oct. 31, 2012.
  8. Lightner DJ (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 15, 2012.
DS00765 Nov. 27, 2012

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