The symptoms of a prolapse differ depending on the type and severity of the prolapse, and may appear either gradually or suddenly. Tissue protruding from the vagina, that may feel tender or bleed, is the most specific symptom of any prolapse. Below are examples of different types of prolapse, and the symptoms they can cause on the bladder and bowel.
Rectocele:
A prolapse condition involving the bowel, in which the wall of tissue that separates the rectum from the vagina weakens, and a distention forms in the rectum that bulges against the vaginal canal. Typical symptoms include:
- Constipation
- Feeling that you can’t completely empty your bowel
- A sensation of pressure within the pelvis
- A bulging mass felt inside the vagina
In many cases “digital evacuation” — manual pushing on the perineum (the area between the vagina and rectum) or on the posterior wall of the vagina — may help to aid in bowel movement.
Cystocele:
A cystocele prolapse occurs when the bladder falls down and pushes in toward the vaginal space. Typical symptoms include:
- Difficulties completely emptying the bladder when urinating
- A frequent need to urinate
- A bulging mass felt inside the vagina
As the prolapsed bladder compresses the urethra, it may cause bladder-emptying difficulties and feelings of urgency from the bladder. Because the bladder cannot empty completely, urinary tract infections may also result. Often, symptoms are not as severe in the morning, after the body has been horizontal during the night. But with renewed strain placed on the pelvic floor by daily activities, the symptoms return.
Symptoms may also differ from case to case. Always consult a medical professional if you experience feelings of urgency from the bladder, unclear bleedings, or something bulging out from the vagina. If you have severe bladder-emptying difficulties and feel you need to urinate but are not able to, you may require more acute help.