An enterocele is a less common form of pelvic organ prolapse where the small intestine herniates down into the vaginal passage. Entrocele symptoms are more typical in the absence of a uterus, although it can happen with the uterus still in place (sometimes referred to as enterocele caused by apical prolapse). Enterocele symptoms are common with a vaginal vault prolapse following hysterectomy. Hysterectomy destabilises the supportive ligaments of the uterus which can contribute to formation of an enterocele. Pelvic organ prolapse is measured in stages ranging from stage 1 which is a minor prolapse, to stage 4 which is complete prolapse. Surgery is almost always required for this type of prolapse. If you believe you may have this type of pelvic organ prolapse, you should see a specialist immediately.
Because the enterocele causes the small intestine to slip down into the vagina, digestion and bowel function can be impacted. Urine function can also be impacted, depending on the stage of this pelvic organ prolapse. An enterocele can also have negative impact on sexual function.
The image shows stage 4 of Enterocele where the vaginal vault and small intestine have fully prolapsed out of the vaginal cavity.