Partners in Pelvic HealthRating 5 "Dr. Gandhi and his staff are very caring and knowledgeable in their area. It is comforting to know that Dr. Gandhi is only a phone call away if there is an emergency at home. Our 1+ hour trip to Park City is worth it. Thank you."
While more mild cases of enterocele may result in no symptoms, patients with the following symptoms may be experiencing significantly severe prolapse:
- Pelvic pressure, pain, or fullness
- Lower back pain improved by lying down
- Tissue bulge in the vagina
- Pulling sensation in the pelvis when lying down
- Pain during intercourse
- Vaginal discomfort
Enterocele is diagnosed by a physical examination and a review of the patient's symptoms. Dr. Gandhi has his patients relax on the exam table and bear down in the pelvic region to see if the small bowel bulges through the vaginal cavity. This can also be done while the patient is standing and allows the doctor to see the condition and give an accurate diagnosis.
In most cases, mild enterocele will not need any treatment. However, if the symptoms are bothersome to the patient, or if the patient is self-conscious about the condition, they may be able to seek treatment with pelvic floor exercises to strengthen the pelvic muscles and ligaments. A pessary can be used to help support the pelvic organs and hold them in their proper location. More severe cases may benefit from surgical procedures in which connective tissues are tightened and a synthetic mesh is put in place to provide support for the small bowel and any other pelvic organs that are at risk of experiencing moderate to severe prolapse.