Rectoceles cause a bulge into the bottom wall of the vagina.
Most are asymptomatic, but others can create an aching sensation during or after intercourse, an inability to completely empty the colon during a bowel movement, pelvic pressure when standing for long periods, or release of loud intravaginal gas during intercourse. Some women without a rectocele also develop these symptoms, but generally they are more common with rectoceles. Many women who have had a baby have a small rectocele, and treatment is not indicated as these are almost always without symptoms. Kegel exercises generally do not work once a large rectocele is present. While pessaries will not correct the problem and must be worn at all times, they don't require surgery.