VAGINAL PROLAPSE

The diagnosis of pelvic relaxation is mainly made through observation at the
time of pelvic examination. The prolapsed vagina, rectum, and uterus are easily
visualized, particularly as the patient increases intra-abdominal pressure by
straining.

Cystocele:  herniation  or  bulging of  the anterior    vaginal wall    and overlying

bladder base    into    the vaginal lumen

Rectocele:  herniation  or  bulging of  the posterior   vaginal wall    and underlying

rectum  into    the vaginal lumen

Enterocele: herniation  of  the pouch   of  Douglas containing  small   bowel   into

the vaginal lumen