Relaxation of the posterior compartment may involve the upper, middle,
and/or lower portion of the posterior vaginal wall and result in a va
riety of disorders including enterocele, rectocele, and perineal defec
ts. When symptomatic, singly, or in combination with other abnormaliti
es, they deserve full evaluation and surgical correction. Their manage
ment and technical considerations for repair and prevention of recurre
nce are outlined including fecal incontinence.