Rectocele: The Daily PANCE Blueprint

Home Rectocele: The Daily PANCE Blueprint

Rectocele: The Daily PANCE Blueprint

A 58-year-old G3P3 female presents to your clinic. She is complaining of pelvic pressure and lower back pain for the past few months. On physical exam you notice bulging of the posterior vaginal wall noted on examination during a Valsalva maneuver. Which of the following is the most appropriate next step in management?

A. Surgery
B. Reassurance
C. Estrogen cream
D. Pessary placement
E. Total hysterectomy

Answer and topic summary

The answer is D. Pessary placement

Pelvic organ prolapse includes different vagal wall defects (e..g, rectocele, enterocoele, and sigmoidocele). Rectocele particularly is defined as an anterior protrusion of the rectum. The most important risk factors are vaginal childbirth, advancing age, and obesity. Clinical features include pelvic pressure, constipation, fecal incontinence, and sexual dysfunction. Diagnosis is clinical and based on physical exam findings. Management for symptomatic patients may include pelvic floor muscle training, placement of a pessary, and last-line is surgery.

View blueprint lesson

Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Reproductive System ⇒ Vaginal/vulvar disorders ⇒ Rectocele

Sign up for the ENTIRE Blueprint Daily Email Series (500 days and counting! 😀)

Sign Up
X