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By Mayo Clinic staffA rectocele occurs when the fascia — a wall of fibrous tissue separating the rectum from the vagina — becomes weakened, allowing the front wall of the rectum to bulge into the vagina.
Childbirth and other processes that put pressure on the fascia can lead to a rectocele. Generally, rectoceles occur after menopause, when estrogen — which helps keep your pelvic tissues strong — decreases.
A small rectocele may cause no signs or symptoms. If a rectocele is large, it may create a noticeable bulge of tissue through the vaginal opening. Though this bulge may be uncomfortable, it's rarely painful.
When treatment of a rectocele is necessary, self-care measures and other nonsurgical options are often effective. In severe cases, you may need surgical repair.
Symptoms