Enterocele

Enterocele is a hernia of the pouch of Douglas that forms in the rectal uterine cavity. It may also contain loops of the small intestine.

Enterocele belongs to the group of pelvic hernias. It occurs when the ligamentous apparatus of the pelvis is weakened and the pelvic organs prolapse.

With this pathology, protrusion of the rectal-uterine septum occurs towards the vagina. The resulting hernial sac may involve loops of the small intestine, sigmoid colon, uterus and other pelvic organs.

The main symptoms of enterocele:

  1. Feeling of pressure or fullness in the perineal area
  2. Pain in the lower abdomen and sacral area
  3. Problems with bowel movements
  4. Frequent urge to urinate
  5. Discomfort during sexual intercourse

Diagnosis of enterocele is carried out using a gynecological examination, pelvic ultrasound, and MRI.

The main methods of treatment: conservative therapy, surgery (pelvic floor plastic surgery using synthetic meshes).

The prognosis with timely treatment is usually favorable.



Enterocele: causes, symptoms and treatment

Enterocele is a type of hernia of the pouch of Douglas that forms in the rectouterine cavity. This hernia may contain loops of small intestine and cause various symptoms. In this article we will look at the causes of enterocele development, its symptoms and treatment methods.

Causes of enterocele

Enterocele usually develops due to weakening of the pelvic floor muscles. This may occur due to childbirth, surgery, aging, or other factors. In addition, women who have had a hysterectomy (removal of the uterus) are at increased risk of developing enteroceles.

Symptoms of enterocele

The main symptoms of enterocele may include a feeling of pressure in the pelvis, pain in the lower abdomen or perineum, unusual vaginal discharge, difficulty urinating and defecating, and pain during intercourse. Some women may also experience heaviness in the pelvic area.

Diagnosis of enterocele

Diagnosis of enterocele may require a number of tests, including a rectal examination, pelvic ultrasound, magnetic resonance imaging (MRI), and other methods.

Treatment of enterocele

Treatment for enterocele may include conservative methods such as pelvic floor exercises and physical therapy. If conservative methods do not help, the patient may require surgery. Surgical treatment may include pelvic muscle reconstruction, laparoscopic surgery, or other methods.

In conclusion, enterocele is a serious condition that can cause various symptoms and negatively affect the patient's quality of life. If you notice symptoms of enterocele, see your doctor for diagnosis and treatment. In most cases, with proper treatment and care for the disease, patients can avoid possible complications and return to normal life.



An enterocele is a hernia of the pouch of Douglas that forms in the rectouterine cavity. It may contain loops of the small intestine.

With enterocele, protrusion of the vaginal wall occurs in the posterior fornix due to weakening of the fascial-muscular support of the pelvic floor. As a result, a hernial protrusion is formed, filled with the contents of the abdominal cavity.

The main symptoms of enterocele include:

  1. a feeling of pressure or fullness in the vagina
  2. problems with bowel movements
  3. feeling of incomplete bowel movement
  4. constipation

Diagnosis of enterocele is carried out using vaginal and rectal examination, as well as imaging methods such as pelvic MRI, defecography and ultrasound.

The main methods of treating enterocele are conservative therapy and surgery - plasty of the pouch of Douglas using synthetic meshes.



About Enteroceleo pouch of Douglas

Enteroceleso is an enteroptosis-like disease, which consists of the entry of the vermiform appendix of the small intestine and cecum through the vagina into an extra-abdominal position. Enterocel can occur in any woman at any age, but most often occurs in teenage girls and the elderly.