Small bowel prolapse (enterocele)

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Small bowel prolapse (enterocele)

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Small bowel prolapse (enterocele) occurs when muscles and tissues that hold the intestines (small bowel) in place inside the pelvic cavity weaken, causing the small bowel to descend and bulge into the vagina.

Small bowel prolapse, also called enterocele (EN-tur-o-seel), 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.

Childbirth, aging and other processes that put pressure on your pelvic floor may weaken the muscles and ligaments that support pelvic organs, making small bowel prolapse more likely to occur.

To manage small bowel prolapse, self-care measures and other nonsurgical options are often effective. In severe cases, you may need surgical repair.

Mild small bowel prolapse may produce no signs or symptoms. However, if you have significant prolapse, you might experience:

Many women with small bowel prolapse also experience prolapse of other pelvic organs, such as the bladder, uterus or rectum.

See your doctor if you develop signs or symptoms of prolapse that bother you.

Increased pressure on the pelvic floor is the main reason for any form of pelvic organ prolapse. Conditions and activities that can cause or contribute to small bowel prolapse or other types of prolapse include:

Pregnancy and childbirth are the most common causes of pelvic organ prolapse. The muscles, ligaments and fascia that hold and support your vagina stretch and weaken during pregnancy, labor and delivery.

Not everyone who has had a baby develops pelvic organ prolapse. Some women have very strong supporting muscles, ligaments and fascia in the pelvis and never have a problem. It’s also possible for a woman who’s never had a baby to develop pelvic organ prolapse.

Factors that increase your risk of developing small bowel prolapse include:

You may be able to lower your chances of small bowel prolapse with these strategies:

Small bowel prolapse (enterocele) care at Mayo Clinic

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Small bowel prolapse (enterocele)

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Small bowel prolapse (enterocele)

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