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Enterocele vs rectocele

Enterocele, Rectocele, or Both? — APOP

A rectocele is a bulge (hernia) that occurs in the front wall of the rectum and pushes it into the vagina. An enterocele is caused by the small bowel pushing into the vagina An enterocele (en-tuh-roh-seal), also called small bowel prolapse, occurs when the small intestine moves down and pushes at the top part of the vagina. This creates a bulge (see Figure 1). Figure 1. Female anatomy with and without a enterocele. An enterocele happens when the roof of your vagina weakens. This can be caused by

Rectocele and enterocele - Bowel Research UK : Bowel

Surgery Overview. A rectocele occurs when the end of the large intestine (rectum) pushes against and moves the back wall of the vagina.An enterocele (small bowel prolapse) occurs when the small bowel presses against and moves the upper wall of the vagina. Rectoceles and enteroceles develop if the lower pelvic muscles become damaged by labor, childbirth, or a previous pelvic surgery or when the. A rectocele occurs when the end of the large intestine (rectum) pushes against and moves the back wall of the vagina. An enterocele (small bowel prolapse) occurs when the small bowel presses against and moves the upper wall of the vagina CHAPTER 54. Vaginal Repair of Cystocele, Rectocele, and Enterocele. Mickey M. Karram. Anterior Vaginal Wall Prolapse. Anterior vaginal wall prolapse, or cystocele, is defined as pathologic descent of the anterior vaginal wall and overlying bladder base There are five types of pelvic organ prolapse: rectocele, cystocele, enterocele, uterine prolapse and vagina prolapse. Rectocele (prolapse of rectum) A rectocele occurs when the rectum drops down and protrudes into the back wall of the vagina. It can make it difficult to have bowel movements, and give a sensation of constipation Best answers. 0. Jul 30, 2012. #2. The documentation of this portion of the operative report would only support an vaginal enterocele repair. In addition, NCCI will not permit you to bill neither a posterior colporraphy (57250) or repair of rectocele (45560) had they been documented in addition to the enterocele repair

About Your Enterocele or Rectocele Repair Memorial Sloan

  1. Rectocele repair is a surgical procedure carried out to correct a prolapse of the rectum. The main type of cystocele and rectocele surgery is known as colporrhaphy. There are two types of colporrhaphy surgeries, anterior and posterior. Antierior colporrhaphy surgery aims to strengthen the front portion of the vaginal wall that separates the.
  2. A rectocele is a herniation (bulge) of the front wall of the rectum into the back wall of the vagina. It is a common finding that is largely asymptomatic and rarely needs surgical repair. A symptomatic rectocele is best diagnosed if evacuation is aided by supporting the rectocele. This includes pressing the rectocele back into the rectum.
  3. Emma Lloyd Rectocele repair is a surgical procedure carried out to correct a prolapse of the rectum. Rectocele repair is a surgical procedure carried out to correct a rectocele, or prolapse, of the rectum.A rectocele occurs when the rectum is forced out of place and begins to put pressure on the back wall of the vagina, causing symptoms such as pain during sex and constipation

A rectocele (also known as an posterior prolapse) is a hernia of the back wall of the vagina resulting in the rectum bulging into the vaginal passage. Rectocele is often measured in stages ranging from stage 1 which is a minor prolapse, to stage 4 which is complete prolapse. If you are suffering from one type of pelvic organ prolapse, the pull. Small bowel prolapse, also called enterocele (EN-tur-o-seel), occurs when the small intestine (small bowel) descends into the lower pelvic cavity and pushes at the top part of the vagina, creating a bulge. The word prolapse means to slip or fall out of place

St. Luke's - Repair of Rectocele or Enterocel

The rectocele has become bigger and the rest also seems to be dropping. The doctor wants to operate to correct the rectocele but thinks that the rectocele may be a symptom coming from other problems in my bowel. He suspects an enterocele, but als an intussusception between the small and large bowel Rectocele is a herniation of the terminal rectum into the posterior vagina, causing a collapsible pouch-like fullness Enterocele is a vaginal vault hernia containing small intestine, usually in the posterior vagina and resulting from a deepening of the pouch of Douglas All three types of hernia may occur in combinatio

Enterocele & Sigmoidocele. An enterocele or sigmoidoceleis a type of prolapse or internal hernia. It is a bulge that develops between the vagina in front and the rectum behind. The small intestine (enterocele) or colon (sigmoidocele) pushes downwards between the vagina and rectum causing pressure on each. Enteroceles or sigmoidoceles usually. An enterocele is usually seen as a vaginal bulge near the apex of the vagina, which then protrudes distally, whereas a rectocele is typically an isolated protrusion just proximal to the perineal.. The respective recurrence rates of rectocele were one (7 percent) vs. six (40 percent) (P = 0.04), and enterocele rates were zero vs. four (P = 0.05). In the vaginal group defecography showed a significant decrease in rectocele depth whereas in the transanal group the difference did not reach statistical significance Posterior vaginal wall prolapse caused by a rectocele or enterocele is assessed by using a rectal finger to evaluate for anterior displacement of the rectovaginal septum and perineal body. A rectocele can be differentiated from an enterocele by noting bowel in the rectovaginal space. On standing, the rectovaginal examination can reveal small.

The other type is called enterocele and occurs when the small bowel bulges into the vagina. Typical Rectocele Symptoms. Typical rectocele symptoms include: 1. Rectocele surgery seems to be more effective when performed through the vagina compared with through the anus. 2 Benefits of Cystocele and Rectocele Repair. This procedure should allow easy, effective and complete urination and better bowel control. It should help you to be more active. You might be able to resume your normal level of activity without leaking urine. Bulging and pressure sensations in the vagina also will be relieved The anatomical defects of rectal prolapse, intussusception and rectocele and enterocele were similarly corrected after rectopexy in either technique as confirmed with dynamic MR defaecography. A slight residual intussusception was observed in three patients with primary total prolapse (two RVMR vs one LVMR) and in one patient with primary.

Repair of Rectocele or Enterocele Michigan Medicin

  1. al contents including small bowel and omentum. Most commonly the hernia is at the vaginal apex or the proximal posterior vaginal wall on the rectum. Rarely, it is seen at the apical anterior vaginal wall under the bladder
  2. An enterocele is the herniation of the sigmoid colon into the upper posterior vaginal wall. An enterocele differs from a rectocele in that it is a true hernia, lined by peritoneum and usually.
  3. Prolapse of the posterior vaginal wall may be secondary to the presence of an enterocele, sigmoidocele, or rectocele, or a combination of these entities. A rectocele is an anterior protrusion of the rectal wall to the posterior vaginal wall. The rectovaginal space exists between the vaginal tube and the rectum

Repair of Rectocele or Enterocele Cign

  1. Small bowel prolapsed also known as enterocele is a medical condition characterized by entry of a portion of the small bowel into the lower part of the pelvic cavity. It pushes the upper portion of the vagina leading to bulging of the area. In women with a history of surgical removal of the uterus (hysterectomy), this condition is also known as.
  2. or problem or become larger and more problematic with time. Prevention. During delivery, some doctors cut the skin between the vagina and the rectum to enlarge the opening. This procedure is called an episiotomy
  3. Rectocele is graded according to the degree of its inclination into the vagina of women. The grade 1 refers to a small rectocele while the grade 3 rectocele is large and sloppy. Women suffering from grade 3 can have the rectum bulging out of the vagina. This condition can be very painful and uncomfortable for a lady
  4. After completion of the rectocele and/or enterocele repair, evaluate the perineal body for laxity and separation of the superficial transverse perineal muscles by digitally palpating the defect on rectal exam (Fig. 13.4).We will mark out a triangle of thin perineal skin at the mucocutaneous junction for excision
  5. Hi I tried, a number of different pessaries ( ring, shelf, cube) now have the gelhorn which works well for me. I had hysterectomy in 2014 and anterior repair. Now have further prolapse and need repair to perineum, possible op next year. I am 58 and can take it in and out ok myself, so can still be sexually active
  6. Rectocele (side view) Enterocele - There exists a defect between the pubocervical fascia and rectovaginal fascia (note - the intestine are pushing directly against the vaginal epithelium) Patients with a large enterocele, vaginal vault prolapse and uterine.

The technique of vaginal repair of an apical or posterior enterocele is as follows: 1. The patient is positioned as for a posterior colporrhaphy. A midline posterior vaginal wall incision is made over the enterocele sac up to the vaginal apex and extended to the perineum, if a rectocele is also present Distinguishing enterocele and rectocele on translabial ultrasound (left image is at rest; right image is maximal Valsalva). It is evident that the contents of an enterocele appear generally more homogeneously iso- to hyperechogenic compared with a rectocele that is filled with stool and air, resulting in strong echoes with distal shadowing and.

Enterocele usually occurs after a hysterectomy. Weakness in the pubocervical fascia and rectovaginal fascia allows the apex of the vagina, which contains the peritoneum and small bowel, to descend. Rectocele results from disruption of the levator ani muscles Enterocele is the descending of the small intestine into the lower pelvic cavity. When this occurs, the small intestine pushes on the top part of the vagina, creating a bulge. It is a form of pelvic organ prolapse. Treatment and management of enterocele depends on the severity of the patient's condition

Background: Posterior vaginal wall prolapse is common in parous women and may be due to rectocele, enterocele or perineal hypermobility. Translabial ultrasound can be used to detect defects of the rectovaginal septum, that is, a 'true rectocele', potentially avoiding the need for defecation proctography. However, it is currently unknown whether specific sonographic appearances are. Pelvic Prolapse and Laparoscopic Enterocele and Cystocele Repair. Pelvic Prolapse is when pelvic supporting tissues have torn away from their normal attachments and pelvic organs fall down. The traditional approach to this problem has been vaginal surgery where the vaginal walls are opened and the supporting tissues (fascia) are sewn together.

CHAPTER 24: Pelvic Organ Prolapse | Obgyn Key

Note that enterocele and rectocele formation may occur together, especially if the patient has had a hysterectomy; however, the enterocele will be located closer to the vaginal apex than will a. Colporrhaphy at a glance. Colporrhaphy is a surgical procedure to repair pelvic organ prolapse such as cystocele (prolapsed bladder) or rectocele (prolapsed rectum). Approximately one in 10 women will require surgery to repair pelvic organ prolapse at some point in their lives. Because the procedure is minimally invasive, patients are often.

Vaginal Repair of Cystocele, Rectocele, and Enterocele

intestinal vs enterocele - what is the differenc A rectocele is a condition in which the wall of tissue that separates the rectum from the vagina is weakened, allowing the vaginal wall to budge. Commonly, the front wall of the rectum bulges against the posterior of the vagina. The size of the prolapse often indicates if it is symptomatic. If the prolapse is small they can be asymptomatic (no. Patients with grade 2 rectocele or enterocele were noted to have significantly longer mean follow-up (6.0 ± 4.3 vs 4.9 ± 3.9 years, P = .05), more often had stage 2-4 ACP prior to AVWS (52% vs 37%, P = .02), more often had stage 2-4 PCP prior to AVWS (37% vs 8%, P < .001) and were less likely to have uterine sparing at the time of AVWS (5% vs. PVP is related to several anatomical abnormalities, such as rectocele, enterocele, and intussusception. Rectocele is defined as a hernial sac of the anterior rectal wall into the lumen of the vagina . Although rectocele is associated with obstructed defecation (OD), some patients affected by it remain asymptomatic enterocele, and high rectocele by physical exami-nationalone.Withuterineprolapse,thecervixand uterus often fill the entire introitus, making the diagnosis of concomitant pelvic prolapse difficult. Many of the current methods for evaluating pelvic prolapse and pelvic floor relaxation are invasive

A diagnosis of posterior vaginal prolapse generally occurs during a pelvic exam of your vagina and rectum. During the pelvic exam your doctor is likely to ask you: To bear down as if having a bowel movement. Bearing down may cause the posterior vaginal prolapse to bulge, so your doctor can assess its size and location Rectocele vs enterocele. o Enterocele: herniation of intestines (NOT the rectum, just a random portion of SI) through post vag wall o Rectocele: same but rectum. 2 methods of staging pelvic organ prolapse (POP) o POPQ method; baden walker methods. POPQ prolapse stages 0-4 Anterior vaginal wall prolapse is commonly referred to as cystocele or urethrocele (when the bladder or urethra is involved). Posterior vaginal wall prolapse is commonly referred to as enterocele (when the small intestine and peritoneum are involved) and rectocele (when the rectum is involved). Symptoms include pelvic or vaginal fullness or.

Rectocele is a variety of pelvic organ prolapse (POP) that involves the herniation of the rectum through the rectovaginal septum into the posterior vaginal lumen. Anatomically, the vagina begins at the hymenal ring and terminates at the cervix. The bladder lies anterior to the vagina, while the rectum lies posterior to the vagina A cystocele (also known as an anterior prolapse) is a hernia of the front vaginal wall resulting in the bladder bulging into the vaginal passage. Pelvic organ prolapse is often measured in stages ranging from stage 1 which is a minor prolapse, to stage 4 which is complete prolapse In addition, 34 patients had enterocele, six had uterine prolapse, 33 had rectocele, and two had urethral diverticula. All patients had anterior vaginal suspension (AVS), with cystocele repair and bladder neck suspension. Six patients had vaginal hysterectomy, 34 had enterocele repair, 33 had rectocele repair, and two had urethral diverticulectomy One must understand the difference between Cystocele and Rectocele. Cystocele surgery is one treatment that can be applied when this problem happens. Cytocele is a condition that occurs when a person undertakes strenuous activities such as heavy lifting and giving birth to a child for a couple of times. Ctyocele is characterized into three A complex rectocele was defined as a rectocele that had one or more of the following features: larger than 3 cm in diameter, associated with an enterocele or internal rectal prolapse. The patients underwent either the robotic procedure or laparoscopic procedure, based only on the availability of the robotic system

Types of Pelvic Organ Prolapse - Rectocele, Cystocele

Rectocele/Enterocele Medical Billing and Coding Forum - AAP

  1. Fifty-one patients underwent a transanal rectocele repair and form the cohort of this study. RESULTS: The mean age was 62 years (range, 32-87 years); all were female. Seven patients had less than 3 months of follow up and were not included in the outcome analysis, leaving 44 for review. Mean follow up was 3.7 years (range, 3 months to 13.3 years)
  2. About Cystocele. A cystocele (sis-tuh-seal), also called a prolapsed bladder, is when your bladder shifts and pushes on the outside wall of your vagina (see Figure 1). This happens when the muscles between your bladder and vagina weaken and loosen. Figure 1. Female anatomy without (left) and with (right) a cystocele
  3. This video edit shows the performance of a an anterior rectocele repair by an perineal approach. It is associated with a text under submission for publicati..
  4. Rectocele is a weakness in the back wall of the vagina allowing the rectum to fall into the vagina, Enterocele is a weakness in the top or roof of the vagina allowing small bowel to fall into the vagina, Uterine prolapse is when the uterus and cervix descend from its normal position deep in the pelvis at the top of the vagina, towards the.
  5. The distinction between rectocele and septum was diagnosed if there was a discontinuity or gap in enterocele is much easier on realtime imaging of a Valsalva the anterior anorectal muscularis, measuring ≥ 10 mm in manoeuvre, as the movement of ampullary contents and small depth (Fig. 1).7 bowel peristalsis help differentiate the two conditions
Vaginal prolapse: Causes and treatment options

Enterocele: the intestinal handles descend through the gap between the rectum and the back of the vagina. It can occur in isolation or be associated with rectocele or also with uterine prolapse. Degrees of prolapse. Prolapse, according to its severity , can be classified into four grades for which there is a specific treatment Rectocele: When the rectum (the last part of the large bowel) bulges into the vagina, it is called rectocele. Enterocele: This refers to the bulging of the small bowel against the vaginal wall. This can occur along with vaginal vault prolapse. Depending on the severity, cystocele may be (a-c) Sagittal true-FISP images obtained during progressive defecatory effort show the appearance of an anterior rectocele (*) and a large enterocele (arrow). During its descent, the peritoneal sac closes the rectal lumen and prevents complete evacuation of the rectocele and the proximal rectum. A cystocele (white arrowhead) and vaginal vault.

What is the Difference Between Cystocele and Rectocele

  1. A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina. Rectoceles are usually due to thinning of the rectovaginal septum (the tissue between the rectum and vagina) and weakening of the pelvic floor muscles. This is a very common defect; however, most women do not have symptoms
  2. 57250 Posterior repair, rectocele 5415 $3,660 49.6467 57260 Combined A&P repair 5415 $3,660 49.6467 57265 Combined A&P repair w/enterocele repair 5415 $3,660 49.6467 57267 Insertion of mesh (ADD-ON CODE) No Separate Reimbursement (See *Note Below) 57268 Repair of enterocele, vaginal approach 5414 $1,861 25.244
  3. The commonest anatomical abnormalities seen (which this article will describe later in greater depth) include perineal descent, rectocele formation, rectal intussusception, rectal prolapse, sigmoidocele and enterocele formation . Dyssynergic defecation is a functional abnormality and is probably the most common cause of defecating disorders

I live in Weatherford Texas and just had rectocele repair Dec. 1st. After extensive research and 3 doctor's opinions, I chose to not use mesh at all. It is generally not advised for posterior repair and can have negative outcomes according to 3 urogynocologists' in my area who specialize in pelvic organ prolapse repairs I had a rectocele repaired vaginally about ten years ago. My primary care physician recommended a Pessary, but I felt that was a poor solution. I got a second opinion from an Ob/Gyn who recommended Surgical Repair of a Rectocele. Since mine was worsening, I did not feel I could leave things as they were, so I chose the surgery a rectocele/enterocele. Multivariate regression modeling was performed to estimate the potential impact of confounders identified on univariate analysis, such as age, parity,menopausalstatus,bodymassindex(BMI),history of instrumental delivery, hysterectomy, incontinence or prolapse surgery and levator avulsion. Agreemen Enterocele, Rectocele several x's and currently have a horrible rectocele now. Had my colon tear thru vaginal wall, with colon, bladder and vagina falling out of body. i have massive pelvic trauma/dysfunction and unbearable pain that i feel like i won't make it another 5 minutes. On top of all that i had an ileostomy a year ago. i've had every. This condition is known as posterior wall prolapse, rectocele or fallen rectum. During the surgery the rectum is pushed back into to its normal position, and the support tissue between the back of the vagina and the rectum is tightened and reinforced. The procedure is also called a posterior vaginal wall repair or posterior colporrhaphy

Cystocele-No-Uterus-Image-4 - Gynecologic & Reconstructive

phy were included in this study. Enterocele was diagnosed when the extension of the loop of the small bowel was located between the vagina and rectum. A significant rectocele was defined as >20 mm in diameter. Multivariate analysis was used to establish which morphological parameters best predicted the presence of enterocele or rectocele A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina. The rectum is the bottom section of your colon (large intestine). This is a very common problem that often does not produce symptoms. Other pelvic organs can bulge into the vagina, including the bladder (cystocele) and the small intestines (enterocele. Rectocele. Doctors also call this a rectal wall prolapse. It happens when your rectum drops down and forward and then bulges into the back wall of your vagina. Enterocele. If you have. Pelvic Organ Prolapse. A prolapse is a dropping of surrounding organs into the vagina. This can include the bladder ( cystocele ), uterus, small intestine ( enterocele) or rectum ( rectocele ). In some cases, there is prolapse of all of these organs, causing a significant vaginal bulge, sensation of pelvic pressure, or even of something. A rectocele is a bulging of the rectum into the vagina. It happens when the wall between the rectum and vagina becomes weak, and the rectum starts to press internally against the wall. This can.

Enterocele and uterine/vaginal vault descent occurred in equal frequencies in the two groups. Independent of the outcome of the colposuspension, the women with rectocele were significantly younger than the women without rectocele (55 years vs. 63.5 years; p<0.01) ve had surgery for 3 types of POP (cyctocele, rectocele, enterocele), grade 3, and I was extremely happy with the outcome. Some women are happy with treatments, some prefer surgery; it depends on your personal scenario. I do recommend women try treatments first, you generally know pretty quickly if you will be happy with that or if you prefer.

PPT - Urinary Incontinence PowerPoint Presentation, free

Constipation and Rectocele - Center For Colon and Rectal

I have had 2 previous rectocele repairs now. The first one was in 2000, the second one which was more involved and included sphincter repair, prolapse, rectoplasty and I forget the other one that was performed in 2004. My problems all stem from a vaginal delivery with a large baby and several abdominal surgeries later. I have the prolapse back. The pelvic floor is a group of muscles and other tissues that form a sling or hammock across the pelvis. In women, it holds the uterus, bladder, bowel, and other pelvic organs in place so that they can work properly. The pelvic floor can become weak or be injured. The main causes are pregnancy and childbirth There are 3 grades of cystocele: In a rectocele, there is a defect in the fascia between the rectum and the vagina. This allows part of the wall of the rectum to bulge into the vagina. The sooner that a cystocele or rectocele is treated, the better the outcome. If you suspect you have this condition, contact your doctor

Summary. Pelvic organ prolapse (POP or female genital prolapse) is the protrusion of bladder, rectum, intestines, uterus, cervix, or vaginal apex into the vaginal vault due to decreased pelvic floor support. It is commonly seen in women of advanced age. Other risk factors include multiparity (particularly vaginal births), prior pelvic surgery, connective tissue disorders, and increased intra. As the title of my paper indicates, I wish to draw attention to the difference between true vaginal hernia with a sac of peritoneum, which is quite rare except as a postoperative condition, and the condition known as gynecologic hernia. As the latter has no peritoneal sac, I shall speak of it as a.. Cystocele and rectocele. A rectocele is a herniation (bulge) of the front wall of the rectum into the back wall of the vagina (see Figure 6). The tissue between the rectum and the vagina is known as the rectovaginal septum and this structure can become thin and weak over time, resulting in a rectocele

rectocele, enterocele, and intussusception. Rectocele is dened as a hernial sac of the anterior rectal wall into the lumen of the vagina [1]. Although rectocele is associated with obstructed defecation (OD), some patients aected by it remain asymptomatic [2]. As functional constipa-tion has many subtypes besides OD, such as slow-tran Surgery with mesh is commonly used when the rectocele protrudes out of the vaginal canal. Rectocele Repair with Mesh Surgery. When the rectocele protrudes, this can be a painful sign that it is time for surgery. Your doctor may suggest surgery if a rectocele is found along with other conditions like cystocele or uterine prolapse The combination of a rectocele and an enterocele as pelvic organ prolapses is not infrequent; however, there are few reports on possible simultaneous treatments of these two conditions. we report a new and simple procedure for repairing an enterocele during a transvaginal anterior levatorplasty with posterior colporrhaphy for a rectocele repair

What is a Rectocele Repair? (with pictures

The anatomic defects in rectocele and enterocele. J Pelvic Surg. 1995. 1(4):214-221. Tulikangas PK, Walters MD, Brainard JA, Weber AM. Enterocele: is there a histologic defect?. Obstet Gynecol. 2001 Oct. 98(4):634-7. . Hsu Y, Chen L, Delancey JO, Ashton-Miller JA. Vaginal thickness, cross-sectional area, and perimeter in women with and those. Rectocele. A rectocele occurs when your rectum presses into the space of your vagina and can cause similar symptoms of difficulty starting or completing a bowel movement. Uterine or vaginal prolapse. If you have had a hysterectomy, can affect your bowel or bladder function or simply cause sensations of pressure quittance vs aquittance - what is the difference. English Etymology. From Middle English quytaunce, from Old French quitance (modern French quittance), from Latin quietantia.. Noun. quittance (plural quittances). A release or acquittal. A discharge from a debt or obligation; a document that shows this discharge Posterior compartment prolapse is caused by weakness or injury of the rectovaginal septum resulting in protrusion of the rectum (rectocele) and/or the small bowel (enterocele). Pelvic organ prolapse: A primer for urologist

Obliterative Procedure for the Correction of Pelvic OrganPelvic Prolapse: Diagnosing and Treating Uterine andBowel cancer symptoms: Could YOU be mistaking PILES forMiscellaneous Procedure Photos - South Coast UrogynecologyVault Proplapse Repair

A rectocele occurs when the rectum prolapses into the vagina, caused by a defect in the rectovaginal fascia (fibrous tissue that separates the rectum and vagina). When a part of the small intestine prolapses into the vagina, it is called an enterocele. Uterine prolapse occurs when the uterus protrudes downward into the vagina The surgical treatment of rectocele since the early 19th century has been the posterior colporrhaphy. This procedure was originally designed to repair perineal tears and included plication of the pubococcygeus muscles and the posterior vaginal wall (effectively creating a perineal shelf and partially closing the genital hiatus) with reconstruction of the perineal body Rectocele is a protrusion that occurs when the rectum begins to fall and pushes against or into the vaginal wall. Doctors often recommend rectocele repair, as this falling of the rectum can cause incontinence and mild or severe pain. Rectoceles happen when the muscles of the rectum and vagina weaken and prolapse, allowing one or the other to fall Robotic-assisted sacrocolpopexy is one type of surgery to repair this problem. It is done to pull up the tissues and move the organs back into place. It is a minimally invasive method. This means it uses smaller cuts (incisions) than a standard surgery. It's done while you're asleep under general anesthesia. During the surgery, your doctor. Enterocele and Massive Vaginal Eversion. INTRODUCTION. Massive vaginal vault prolapse (uterovaginal prolapse) is a devastating condition with discomfort, and genitourinary and defecatory abnormalities as the primary consequences. References to prolapse of the womb were first made in ancient Egypt, dating back to 1550 BC of 618.04 (rectocele) and the add-on code, 57267, to a diagnosis of 618.82 (incompetence or weakening of rectovaginal tissue). The reverse would also be true. In some cases, a mesh system is used to repair an exist-ing rectocele; excess mesh is then tacked to the vaginal vault. Because a colpopexy cannot be reported without the pres