I believe my rectum has pushed into the vaginal wall. Very, very painful and is disrupting my life. Urologist has done a cystoscopy and bladder is clear. Have had bladder spasms, urologist prescribed Enablex, and spasms have stopped. However, Enablex causes constipation and this exacerbates the rectocele problem. Do I now see a urogynecologist for surgery? Or is there a less complicated procedure to "fix" my problem?