What is enterocele and how serious is it?
Enterocele is a type of pelvic organ prolapse where the small intestine descends into the lower pelvic cavity and bulges into the top of the vagina. While not usually dangerous, it can cause discomfort, pressure, and problems with bowel movements.
Detailed Medical Explanation
Enterocele is most often seen in women who have had previous pelvic surgery such as hysterectomy or multiple childbirths. It occurs when the support between the vagina and the small bowel becomes weak, allowing the intestine to push downwards. Symptoms include a feeling of vaginal fullness, pelvic pressure, and occasionally difficulty with bowel movements. While enterocele rarely leads to serious medical complications, it can significantly impact quality of life. Management includes pelvic floor exercises, pessaries, and surgery for severe or persistent cases. (NHS resource)
Clinical Context
Enterocele can occur on its own or alongside other types of prolapse. Early diagnosis and treatment improve comfort and prevent progression. Regular pelvic exams are important for at-risk women.
Evidence-Based Approaches
NICE guidelines recommend conservative treatment for mild cases, reserving surgery for more severe symptoms or when quality of life is significantly affected. NICE NG123