Impact of Defecation Posture on Ease of Bowel Movements in Patients With a Rectocele

Inclusion Criteria:

• Patients with pelvic organ prolapse, including a rectocele (posterior compartmentmeasurements to Stage 2 or greater) that endorse bowel dysfunction, based on ouroffice standard screening questionnaires

Exclusion Criteria:

• Anyone currently using a defecation posture modification device Unwillingness orunable to participate in the study Planned travel, inability to use device duringthe study period Patient preparing to undergo pelvic reconstructive surgery prior tothe end of the study period Presence of ileostomy/colostomy Bowel disease such asCrohn's disease or Ulcerative Colitis Daily opiate use Wheelchair bound If devicemay pose fall or safety hazard risk to patient, such as need for walker or cane forambulation.

Patients weighing over 250 lbs, per manufacturer guidelines for the device Inability to understand English Pregnant women