Small bowel prolapse, also called enterocele, occurs when the small intestine (small bowel) descends into the lower pelvic cavity and pushes at the top part of the vagina, creating a bulge. The word “prolapse” means to slip or fall out of place.
Small bowel prolapse, also called enterocele, occurs when the small intestine (small bowel) descends into the lower pelvic cavity and pushes at the top part of the vagina, creating a bulge. The word “prolapse” means to slip or fall out of place.
A surgeon can perform surgery to repair the prolapse through the vagina or abdomen, with or without robotic assistance. During the procedure, your surgeon moves the prolapsed small bowel back into place and tightens the connective tissue of your pelvic floor.
What causes an enterocele? An enterocele occurs when muscles, connective tissues and ligaments in the pelvic region (pelvic floor) stretch or tear. These muscles and tissues support the bowels, uterus and vagina. The small intestine is part of the digestive system.
A pelvic exam is needed to diagnose an enterocele. Your doctor will ask you to take a deep breath and hold it while bearing down like you are having a bowel movement. This will cause the prolapsed small bowel to bulge downward while the doctor feels for it.