enterocoele

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Vaginal wall prolapse may occur independently of the uterus. Several types are described:

  • cystocoele - descent or bulging of the bladder into the upper two thirds of the anterior vaginal wall. It denotes weakness in the investing fascia of the vagina.

  • urethrocoele - bulging of the urethra into the lower one third of the anterior vaginal wall. It is more properly called urethral displacement, as the urethra is not dilated.

  • enterocoele - herniation of the pouch of Douglas into the upper posterior vaginal wall. The peritoneal sac may contain loops of bowel

  • rectocoele - prolapse of the rectum into the lower posterior vaginal wall. It is not to be confused with rectal prolapse.

  • inversion of the vagina or vaginal vault prolapse indicates a failure of the supports around the upper vagina. It may be seen after vaginal or abdominal hysterectomy.

Last reviewed 01/2018

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