Gynecological diagnosis . he vagina, although the name is given to any bulging of theposterior vaginal wall, whether the protrusion contains the rectumor not. It is possible for the posterior vagina to become separatedfrom the rectal wall, becauseof the loose connection of thetwo structures. As a rule therectal wall is in the dislocatedvagina. Rectocele is one ofthe concomitants of completeuterine prolapse. Etiology and Frequency.—Rectocele is caused by ruptureof the perineum and pelvicfloor, by consequent subinvo-lution of the vagina, and bychronic overclistention of therectum by feces and sc
Gynecological diagnosis . he vagina, although the name is given to any bulging of theposterior vaginal wall, whether the protrusion contains the rectumor not. It is possible for the posterior vagina to become separatedfrom the rectal wall, becauseof the loose connection of thetwo structures. As a rule therectal wall is in the dislocatedvagina. Rectocele is one ofthe concomitants of completeuterine prolapse. Etiology and Frequency.—Rectocele is caused by ruptureof the perineum and pelvicfloor, by consequent subinvo-lution of the vagina, and bychronic overclistention of therectum by feces and scybalousmasses. The firm support ordinarily given to the anterior wall of the rectum during defecation, due to contraction of the levator ani muscle at this time, is lacking because of the injury of this muscle. Therefore the fecal mass covered by rectal and vaginal walls is pushed forward into the vagina. Constant straining accentuates the faulty condition. Like cystocele, the development of a rectocele is a matter of24. Fig. 149.—Rectocele. 370 DISEASES OF THE VAGINA months and years, and the disease is frequent among the working-classes for the same reason as in the case of cystocele. Symptoms.—The symptoms are a sense of fullness in, or pro-trusion from, the vulva, weight and dragging in the pelvis, anddifficulty in defecation. Sometimes the woman is obliged toreplace the rectocele with her fingers before she can empty thebowel, and in pronounced cases of rectocele there is apt to berectal tenesmus and a feeling as if the rectum had not been emptiedcompletely. Diagnosis.—Bulging of the posterior vaginal wall may be visible
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectwomen, bookyear1910
