How do you examine enterocele?

To confirm a diagnosis of small bowel prolapse, your doctor performs a pelvic exam. During the exam, your doctor may ask you to take a deep breath and hold it while bearing down like you’re having a bowel movement (Valsalva maneuver), which is likely to cause the prolapsed small bowel to bulge downward.

Can you feel an enterocele?

Symptoms of an enterocele may be sensation of a mass bulging into the vagina or pushing against the perineum or pain with intercourse. They may also include a pulling sensation in the pelvis or low back pain that eases up when you lie down, vaginal discharge, or a feeling of pelvic fullness, pain, or pressure.

How can you tell the difference between a enterocele and a Rectocele?

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.

What do you need to know about enterocele surgery?

Enterocele is a type of pelvic organ prolapse where the small intestine descends into the lower pelvic cavity. Learn more from our experts. Laparoscopic-Assisted Vaginal Tape Procedures for the Treatment of Pelvic Organ Prolapse. What is an enterocele? Enterocele is the descending of the small intestine into the lower pelvic cavity.

What are the names of the four types of enterocele?

The normal intervening endopelvic fascia is deficient or absent, and small bowel fills the hernia sac. Generally, enteroceles have been divided into four types: congenital, traction, pulsion, and iatrogenic. Congenital enterocele is rare.

How is enterocele used to treat pelvic organ prolapse?

Laparoscopic-Assisted Vaginal Tape Procedures for the Treatment of Pelvic Organ Prolapse. What is an enterocele? 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.

Where does the enterocele occur in the female body?

Enteroceles occur when the peritoneum elongates and opens the potential space in the pouch of Douglas between the anterior rectal wall and posterior vaginal wall. This allows small bowel to herniate into the lower pelvic cavity, which may then lead to mechanical obstruction of defecation by the bowel compressing the rectum with straining.