Summary and Conclusions A rectocele may not become symptomatic until physiologic changes of the postmenopausal period occur. Correction of the vaginal deformity alone may not provide sufficient relief because the rectal side of the rectocele will become a source of annoyance. Surgical correction of both vaginal and rectal portions of a rectocele is feasible and can bring more lasting results than utilizing the vaginal procedure alone. Little more operating time is required to repair both deformities adequately, and the same anesthetic can be used. A nonsymptomatic rectocele with troublesome hemorrhoids can be relieved if the surgical procedure is adequate.