A small rectocele may not cause any symptoms, especially if it bulges less than 2 centimeters (less than 1 inch) into the vagina. However, larger rectoceles can trigger a variety of rectal and vaginal complaints, including:
A bulge of tissue protruding through the vaginal opening
Difficulty having a bowel movement
Pain or discomfort during sexual intercourse
A feeling that the rectum has not emptied completely after a bowel movement
A sensation of rectal pressure
Difficulty controlling the passage of stool or gas from the rectum
Low back pain that is relieved by lying down. In many women, this back pain may worsen as the day goes on and is more severe in the evening.
In some cases, the patient must use a technique called manual evacuation or digitation to help empty the rectum. In this technique, the patient presses on the rectocele with her fingers while defecating to help the stool to pass.