Physical Therapy Assistant Practice Exam

Which of the following best describes the primary symptom of a rectocele?

1. Urinary incontinence

2. Pelvic pressure

3. Constipation

4. Bowel incontinence

The correct answer is: Constipation

The primary symptom of a rectocele is best described as constipation. A rectocele occurs when the rectum bulges into the back wall of the vagina due to weakened pelvic floor muscles or connective tissue. This bulging can obstruct the normal passage of stool, making it difficult for the patient to have bowel movements. Consequently, they often experience constipation as they may struggle to fully empty their bowels because of the anatomical changes. In contrast, while pelvic pressure can be associated with a rectocele, it is more of a general symptom rather than the primary one. Similarly, urinary incontinence can occur in some cases, especially if there is also a cystocele present (where the bladder bulges into the vagina), but it does not specifically indicate the presence of a rectocele. Bowel incontinence, pertaining to an inability to control bowel movements, is not typically a primary symptom of a rectocele. Thus, constipation is the most accurately aligned with the primary symptom of this condition.