What Is the Treatment of Enterocele? First-Line Management
Enterocele requires a structured, individualised approach — the appropriate intervention depends on the presence and severity of symptoms. This protocol outlines the initial management pathway, from asymptomatic presentations through to symptomatic prolapse.
Clinical Scenario
This first-line protocol addresses enterocele across the spectrum of presentation: patients who are asymptomatic as well as those experiencing symptoms such as bulge discomfort or defecatory dysfunction.
Initial Treatment Approach
The initial pathway includes conservative, non-surgical options — the specific selection, sequence, and criteria for escalation are set out in the complete protocol.
References
DOI: 10.1097/AOG.0000000000003519
For women with asymptomatic prolapse, education and reassurance are appropriate.
For example, defecatory dysfunction may improve with fiber supplementation and use of an osmotic laxative.
Sitting with feet elevated may decrease bulge symptoms.
Pelvic muscle exercises, performed either independently or under professional supervision, may improve symptoms or slow the progression of POP.
Women considering treatment of POP should be offered a vaginal pessary as an alternative to surgery.
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