This is a condition similar to the preceding, occurring in the posterior wall of the vagina. On account of rupture of the perinaeum, the natural supports of the uterus are removed, and this organ settles down, causing a bulging forward of the lower portion of the vagina, and with it the anterior wall of the rectum to which it is attached. This pouch like extension of the rectum gets filled with the contents of the bowels, producing much pain, tenesmus, local irritation, and mucous discharge from the bowels. Rectocele, like the preceding condition, can only be cured by a surgical operation, a proceeding which we have often found necessary in patients who have suffered for many years without being aware of the nature the difficulty.