Enterocele
Also called small bowel prolapse, this 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. Childbirth, aging and other processes that put pressure on your pelvic floor may weaken the muscles and ligaments that support pelvic organs, making enterocele prolapse more likely to occur. Mild enterocele prolapse may produce no signs or symptoms. However, if you have significant prolapse, you might experience a pulling sensation in your pelvis that eases when you lie down, a feeling of pelvic fullness, pressure or pain, low back pain that eases when you lie down, a soft bulge of tissue in your vagina or vaginal discomfort and painful intercourse (dyspareunia).
To manage this kind of prolapse, self-care measures and other nonsurgical options are often effective. In severe cases, you may need surgical repair.
Treatment Options
Dr. Stephanie Molden is motivated by the gratification of helping women with pelvic disorders—including pelvic organ prolapse, urinary and bladder problems—return to their normal lifestyle. She completed her training in Urogynecology with a three-year fellowship in a leading training program in the Lehigh Valley. Dr. Molden is an active member of the American Urogynecology Society (AUGS), participating in ongoing continuing education and research initiatives. 
