Can prolapse cause constipation and bowel problems?
Yes, pelvic organ prolapse—especially rectocele (rectal prolapse)—can lead to constipation, incomplete bowel emptying, and other bowel difficulties. Women may feel the need to press on the vaginal wall to help pass stool or experience a sensation of blockage.
Detailed Medical Explanation
Prolapse of the rectum (rectocele) or small bowel (enterocele) can disrupt the normal passage of stool by creating a bulge in the vaginal wall. This may cause constipation, straining, incomplete emptying, and, in some cases, faecal incontinence. Women may use manual pressure on the vaginal wall to help evacuate the bowel. Dietary changes, pelvic floor physiotherapy, and treating constipation can help, while severe cases may require surgery. (NHS: Prolapse symptoms)
Clinical Context
Bowel symptoms are common with rectocele and should be discussed with your healthcare provider. Managing constipation reduces straining and may help prevent prolapse progression.
Evidence-Based Approaches
NICE guidelines recommend addressing bowel symptoms as part of prolapse care. Conservative measures are first-line, but referral to a specialist is advised if symptoms persist. (NICE NG123)