In vaginal prolapse the vagina stretches or expands to protrude on other organs and structures. In vaginal prolapse the vagina stretches or expands to protrude on other organs and structures. The situation seldom involves the vagina alone. Supports for the uterus often stretch allowing it to also fall (prolapse) when a woman strains during a bowel movement. When the protrusion involves the front (anterior) of the vagina and bladder, the presentation is called a cystocele or dropped bladder, When the back (posterior) of the vagina and rectum are involved, the presentation is called are rectocele, When the anterior vaginal wall and small bowel are involved the situation is called an enterocele. Many women do not have any symptoms. Those that have symptoms may note a fullness or discomfort in the vagina, a sensation of heaviness or pulling in the pelvis and/or low backache that is relieved when lying down. Other symptoms may be urinary frequency and/or stress incontinence – passing urine when laughing, coughing or exercising.
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