The problem of prolapse and prolapse of the internal genitalia in women has remained relevant for many years. In almost all cases, patients with OIVVD have functional disorders of the pelvic organs, the so-called complicated form of OIVPO, characterized by the involvement of the bladder and intestines in the process. Rectocele is a pathological condition that is etiologically and pathogenetically associated with pelvic organ prolapse. Proctologists define a rectocele as a diverticulum-like protrusion of the anterior wall of the rectum towards the vagina [1], and in gynecological literature, this term refers only to the prolapse or prolapse of the posterior vaginal wall [2]. The clinical picture of rectocele in OIVVPO consists of several groups of symptoms: symptoms of impaired motor-evacuation function of the colon, symptoms of genital prolapse, sexual dysfunction. The main signs characterizing rectal dysfunction are the symptoms of obstructive defecation: prolonged constipation, the need to use a finger aid (transvaginal, transrectal or perineal) in order to eliminate the prolabrating anterior wall of the rectum and facilitate its emptying. The patient has to strain for a long time with the active involvement of the abdominal press, patients are bothered by frequent and ineffective urges to defecate, a feeling of discomfort with downward pressure.[5] Disruption of the fecal evacuation process is accompanied by inflammatory changes in the distal parts of the colon and the occurrence of concomitant proctological diseases. This is manifested by the discharge of blood from the anus, prolapse of internal hemorrhoids, flatulence, and pain during defecation [1, 7]. For the treatment of rectocele, many conservative therapy regimens are used aimed at normalizing the stool and strengthening the pelvic floor muscles, but the main method of treatment remains surgical.[3,4] Traditional reconstructive plastic surgery on the pelvic floor is aimed at eliminating the diverticulum-like protrusion of the anterior wall of the rectum into the vagina and strengthening the rectovaginal septum.

Rectocele; pelvic organ prolapse; evacuation dysfunction of the rectum; 3-D ultrasound of the pelvic floor.

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