Dr Dimple Doshi

Rectocele Repair Surgery in Mumbai – Restore Comfort & Function

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Dr. Dimple Doshi (MBBS, MD, DGO)
Female Obstetrician and Gynecologist
27+ years’ experience
20,000+ surgeries completed

Feeling a Bulge or Discomfort During Bowel Movements? It Could Be a Rectocele

Are you experiencing a pressure-like feeling in your vagina, constipation, or the need to push the vaginal wall to pass stool? These troubling symptoms may indicate a rectocele—a condition where the rectum bulges into the vaginal wall due to weakened pelvic muscles.

A rectocele doesn’t just cause physical discomfort—it can also affect your confidence, intimacy, and day-to-day activities. Many women silently endure these symptoms, thinking it’s just part of aging or childbirth. But left untreated, it can worsen over time, making daily life and bowel movements increasingly difficult.

Rectocele repair surgery, also known as posterior colporrhaphy, is a proven surgical solution to restore vaginal and rectal support. It may be done with or without mesh, depending on the case.

At Vardaan Hospital, Mumbai, Dr. Dimple Doshi—renowned lady gynecologist—offers expert diagnosis, personalized treatment plans, and minimally invasive techniques to help you regain control, comfort, and quality of life. Prevention is always a part of the care we provide, with clear guidance on post-op recovery and lifestyle changes.

What Is Rectocele and How Does It Develop?

A rectocele, also called a posterior vaginal wall prolapse, occurs when the rectum bulges into the vaginal wall due to weakened pelvic floor muscles.

  • Caused by weakened or stretched pelvic floor muscles
  • Common triggers: vaginal childbirth, aging, menopause
  • Chronic straining during bowel movements increases risk

Synonyms of Rectocele: Posterior vaginal wall prolapse, rectovaginal prolapse, vaginal wall hernia, rectal bulge

What Are the Symptoms of Rectocele?

Common rectocele symptoms include a feeling of vaginal bulge, constipation, discomfort during intercourse, and difficulty emptying the bowel.

  • Sensation of bulge or pressure in the vagina
  • Constipation or frequent straining during bowel movements
  • Incomplete bowel evacuation despite effort
  • Vaginal discomfort or pain during sexual intercourse
  • Pelvic heaviness or lower backache in severe cases

What Causes Rectocele in Women?

Rectocele in women occurs when pelvic floor muscles weaken, often due to childbirth, aging, chronic straining, or conditions that increase abdominal pressure.

  • Vaginal childbirth, especially with large babies or forceps use
  • Menopause and age-related weakening of pelvic tissues
  • Chronic constipation and repeated straining during bowel movements
  • Heavy lifting over time or chronic coughing
  • Previous pelvic surgery that impacts muscle support

How Is Rectocele Diagnosed?

Rectocele is usually diagnosed through a pelvic examination and confirmed with imaging tests like defecography, ultrasound, or MRI.

  • Comprehensive pelvic examination by a gynecologist
  • Defecography (X-ray during bowel movement) to assess severity
  • Ultrasound or MRI for detailed pelvic floor visualization
  • Evaluation of symptoms such as constipation and vaginal bulge

Who Is the Right Candidate for Rectocele Surgery?

Women with moderate to severe rectocele symptoms affecting daily life, who don’t respond to pelvic floor therapy or pessary use, are ideal candidates.

  • Persistent bowel movement difficulties despite lifestyle changes
  • Bulging sensation or visible prolapse in the vaginal wall
  • Pain or discomfort during sexual intercourse
  • No improvement with non-surgical treatments like Kegel exercises or pessary

What Are the Non-Surgical Treatment Options for Rectocele?

Before considering surgery, doctors may suggest non-surgical treatments to relieve symptoms and strengthen the pelvic floor.

  • Kegel exercises and pelvic floor muscle therapy
  • Insertion of a vaginal pessary to support the vaginal wall
  • Dietary changes to prevent constipation and straining
  • Lifestyle modifications such as avoiding heavy lifting

When Should You Consider Rectocele Repair Surgery?

Rectocele repair surgery is recommended when symptoms affect bowel movements, sexual function, or quality of life despite conservative treatment.

  • Persistent difficulty in bowel movements or incomplete evacuation
  • Discomfort or pain during sexual intercourse
  • Bulging sensation or visible prolapse in the vaginal wall
  • Failure of non-surgical options like pelvic floor therapy

Can Rectocele Recur After Surgery?

Yes, a rectocele can recur after surgery, but proper care and lifestyle changes can significantly lower the risk of recurrence.

  • Avoid heavy lifting and strenuous activity
  • Maintain a healthy weight to reduce pelvic strain
  • Treat constipation promptly to prevent pressure
  • Follow all post-operative care instructions

Who Is the Best Surgeon for Rectocele Repair in Mumbai, India?

Dr. Dimple Doshi at Vardaan Hospital is highly experienced in minimally invasive pelvic surgeries, including rectocele and cystocele repair.

  • Expert in laparoscopic and pelvic floor reconstructive surgeries
  • Over two decades of gynecological and pelvic surgery experience
  • High success rate with minimally invasive rectocele repair
  • Focus on personalized treatment and quick recovery

Which Is the Best Hospital for Rectocele Repair in Mumbai?

Vardaan Hospital in Goregaon West provides advanced laparoscopic and pelvic reconstructive care with high success and excellent patient satisfaction.

  • Specialized in minimally invasive and laparoscopic rectocele repair
  • Experienced gynecologists and pelvic floor specialists
  • Comprehensive post-operative care for faster recovery
  • Trusted by patients for safety, quality, and personalized treatment

What Is the Cost of Rectocele Repair Surgery in Mumbai?

The cost of rectocele repair surgery in Mumbai usually ranges from ₹50,000 to ₹1,20,000, depending on complexity, hospital, and surgical technique.

  • Factors affecting cost:
    • Severity of rectocele and complexity of repair
    • Type of surgery (open, laparoscopic, or robotic)
    • Hospital category and surgeon expertise
    • Length of hospital stay and additional care
    • Insurance coverage and medical add-ons
  • A consultation provides an accurate cost estimate for your case

Medical Code for Rectocele

ICD-10 Codes for Rectocele

ICD-10 CodeDescription
N81.6Rectocele
N81.10Cystocele, unspecified (often coexists with rectocele)
N81.2Incomplete uterovaginal prolapse (if present with rectocele)
N81.9Female genital prolapse, unspecified
R15.9Fullness or difficulty with defecation (symptom of rectocele)

CPT Codes for Rectocele Evaluation and Repair

CPT CodeDescription
45560Repair of rectocele (posterior colporrhaphy)
57250Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy
57284Paravaginal repair (if done for associated defects)
57425Laparoscopy, surgical, colpopexy (if laparoscopic suspension is used)
76830Transvaginal ultrasound (diagnostic evaluation)
99202–99215Office consultation or follow-up (pre/post-surgery)

(FAQs) Frequently Asked Questions About Rectocele Repair

Q1. Is rectocele repair a major surgery?

Ans. Rectocele repair is usually considered a minor to moderate surgery, often performed vaginally or laparoscopically with minimal hospital stay and faster recovery.

Q2. What is the recovery time after rectocele repair surgery?

Ans. Most patients recover within 4 to 6 weeks. However, activities like heavy lifting and intercourse should be avoided for at least 6 weeks to ensure proper healing.

Q3. Will rectocele surgery affect my bowel movements?

Ans. Initially, you may feel some discomfort or constipation. A high-fiber diet, hydration, and mild laxatives can help. In the long term, surgery usually improves bowel emptying.

Q4. Can rectocele repair improve sexual function?

Ans. Yes, many women report improved comfort and satisfaction during intercourse after surgery due to restored vaginal support and reduced bulging.

Q5. How long should I avoid intercourse after rectocele surgery?

Ans. Most doctors recommend avoiding vaginal intercourse for 6–8 weeks post-surgery to allow full tissue healing and reduce infection risk.

Q6. What kind of anesthesia is used for rectocele surgery?

Ans. Depending on the case, spinal anesthesia or general anesthesia is commonly used. Your anesthetist and surgeon will determine the best choice for you.

Q7. Are mesh materials used in rectocele repair?

Ans. In most cases, especially in India, native tissue repair is preferred. Mesh is avoided unless absolutely necessary due to risk of complications like erosion or infection.

Q8. Will I need physiotherapy after rectocele surgery?

Ans. Yes, pelvic floor physiotherapy may be advised post-surgery to strengthen muscles, improve long-term outcomes, and prevent recurrence.

Q9. Can I walk after rectocele surgery?

Ans. Gentle walking is encouraged soon after surgery to promote circulation, but strenuous activities and lifting should be avoided during recovery.

Q10. What are the long-term results of rectocele repair?

Ans. Most women experience significant relief from symptoms and improved quality of life. Long-term success depends on lifestyle, pelvic floor strength, and avoiding straining.

Take charge of your health today.

Book your consultation with Dr. Dimple Doshi at
Vardaan Hospital, Goregaon West, Mumbai.

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