Types of Pelvic Organ Prolapse: Enterocele  - Legacy Physical Therapy
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Types of Pelvic Organ Prolapse: Enterocele 

Types of POP Enterocele Blog

Women often face various health challenges related to their pelvic region, with enteroceles being one of the lesser-known conditions. 


  • Occurs when the small intestine bulges into the vaginal wall due to weakened pelvic floor muscles and ligaments
  • This can happen when the supporting structures that hold the pelvic organs in place become stretched or damaged, often due to factors like childbirth, chronic constipation, heavy lifting, or surgeries that impact the pelvic region.

Symptoms of an Enterocele may include:

  1. Sensation of fullness or pressure in the vagina 
  2. Back pain or discomfort in the pelvic area 
  3. Pain during intercourse
  4. Difficulty with bowel movements 

Pelvic floor physical therapy has gained recognition as a non-invasive and conservative treatment option for various pelvic floor disorders, including enteroceles. This specialized form of physical therapy focuses on strengthening and rehabilitating the muscles and connective tissues that support the pelvic organs. 

Components of Pelvic Floor Physical Therapy

  1. Assessment and Education: The first step in pelvic floor physical therapy involves a thorough assessment of the patient’s pelvic floor muscles and the severity of the enterocele. The therapist will educate the patient about their condition, providing valuable insights into lifestyle modifications and strategies to prevent further strain on the pelvic region.
  2. Pelvic Floor Muscle Exercises: Kegels are a well-known pelvic floor exercise that involves contracting and relaxing the muscles responsible for bladder and bowel control. Pelvic floor physical therapists guide patients on proper pelvic floor coordination techniques and help them develop a consistent exercise routine.
  3. Manual Techniques: The therapist may use manual techniques like massage or myofascial release to release tension in the pelvic floor muscles and improve blood flow to the area.
  4. Lifestyle and Posture Advice: The therapist may provide advice on lifestyle modifications, such as toileting habits and proper body mechanics, to reduce pressure on the pelvic floor.

The benefits of pelvic floor physical therapy for enteroceles can be significant. Patients often report reduced discomfort, improved bladder and bowel control, enhanced sexual function, and a better overall quality of life. If you suspect you may have an enterocele, don’t hesitate to schedule a discovery session to talk to one of our pelvic floor physical therapists.