Causes of posterior vaginal wall prolapse

Women all want their reproductive system to be healthier. However, some women experience posterior vaginal wall prolapse due to various reasons, which poses a threat to their health. Therefore, many women want to fully understand the causes and clinical manifestations of posterior vaginal wall prolapse. In order for you to have a comprehensive understanding, let's take a look at the detailed answers below.

Causes

Injury during vaginal delivery is the main cause. If the damaged pelvic floor supporting tissues such as the pubococcygeus muscle, rectum, vaginal fascia or urogenital diaphragm are not repaired after delivery, the rectum will gradually bulge toward the middle of the posterior wall of the vagina, and the bulging posterior vaginal wall mucosa can be seen at the vaginal opening, which is called rectocele. Weak pelvic floor muscles and internal anal sphincter muscles in elderly women and straining during bowel movements in constipated patients may cause or aggravate rectal prolapse. Weak supporting tissue at the vaginal vault may cause a rectouterine hernia, in which the posterior vaginal vault protrudes into the vagina or even out of the vaginal opening with the small intestine inside. This is called enterocele.

Clinical manifestations

1. Symptoms: If the mucosa of the posterior vaginal wall can be seen at the vaginal opening, there is usually no discomfort. If the posterior wall of the vagina protrudes significantly beyond the vaginal opening, there is a sensation of foreign body rubbing against the vulva. Some patients experience a feeling of falling and lower back pain. Those with severe prolapse may have difficulty defecating and need to press down on the posterior wall of the vagina to defecate.

2. Physical signs: Examination shows that the posterior vaginal wall mucosa is bulging in a spherical shape, the vagina is loose, and it is often accompanied by old perineal lacerations. During anal examination, the finger can be moved forward to touch the rectum protruding into the vagina, which feels like a blind bag and may be just a bulge of the posterior vaginal wall mucosa. When there are two spherical protrusions on the posterior wall of the vagina, the spherical protrusion located in the middle of the vagina is rectocele, and the spherical protrusion located in the posterior fornix is ​​enterocele. Digital examination can touch the small intestine in the hernia sac.

The causes and clinical manifestations of posterior vaginal wall prolapse. This article gives many women a detailed introduction to the causes and clinical manifestations of posterior vaginal wall prolapse. So after fully understanding it, in order to make your reproductive system healthier, you must undergo treatment as soon as possible and make yourself healthy as soon as possible.