Your story sound a lot like mine. I want to tell all of you what I have been trying. (end of the post). I have struggled with severe constipation since I had a baby delivered with forceps in my teens. I had a partial hysterectomy in my 20's and things went downhill from there. It took >20 years, but I developed vaginal vault prolapse (enterocele) which got worse and worse and I finally had 3 surgeries (different doctors) for that until one finally stuck when the surgeon used mesh. On the side of my vagina without the mesh, a large rectocele has developed. I never have been able to get rid of the constipation and the stool gets stuck in my rectum. I have removed it with a gloved finger out of total frustration and that may have contributed to the development of the rectocele and rectal prolapse. It's a real problem now (large), but about 1/2 the time recedes, and as long as I don't do ANY straining I can manage it pretty well for a while, but then it reoccurs. I have a love of cheese (which I am going to have to completely give up) and have been dx with slow transit in my colon. If I allow my stool to get hard it backs up worse behind the prolapsed lining of the rectum and after much misery finally makes its way out. I have prayed, asking for a total recovery, and at times I will go for a week or 2 without the protrusion, but then it comes back. I hate it that after I eat there is an urge to have a BM but I can't have one. That usually is when the rectum will also prolapse on the toilet. My biggest frustration now is not being able to tell when I need to have a BM because the rectal prolapse feels the same. If anyone has any hints about that, please tell me. When the rectum is out I am also incontinent but when I sit on the toilet I usually can't go, but will go when I am walking around. It is hard stool so that is good as far as that goes. I am concerned that this thing is going to go bad and I will end up in the emergency room with a surgery I don't want. Right now I am going to continue to work on my diet (absolutely no cheese) and there are pelvic floor strengthening exercises on the Internet. I am also going to start walking around the block every day to try to work the stool out. I have been doing the exercises but I am going to spend more time on that. We have an old Victorian house we are working on and exercising, walks, etc. are time consuming, but I have do more. I am on the slim side and I love working on the house and gardening and overall I am very active. I feel healthy in spite of the fact that in the past 16 years I have had a lot of surgery. I sit on a heating pad a lot, especially in the AM. It helps relieve the anal soreness. I recently discovered a great product. They are underpants that are especially designed for vaginal prolapse and vulvar viscosities. They even have a crotch design where you can put a cold pack or heat pack that you buy from them. Even though they are not specifically designed for rectal prolapse they work quite well for this. There is a drawstring. Even though there are more moving parts to a rectal prolapse (trying to tell if you need to have a BM or not) I think these things a well worth the $35.00 a pair. They also have shorts. They are made in America and ship from Miami. I like their customer service person as she was very good about answering questions. I also wear (tight pants) but they are a lot more expensive and don't work as well now that things are worse. These pants are cleverly designed. I wear my regular underpants under them and use a least a pantiliner or a pad if the problem is acting up. I feel very strongly that surgery would not be successful for me because I have had so much failed surgery in that region so these pants are a God-send for me. Without the very tight shorts (I just got the new product) I would have had to take a chance on the surgery because I would find it unbearable. Good Luck