I have recently had an Injection of Botox and an examination under general A. And was told my rectocele was worst than expected.the letter I have recieved from my consultant explains I have animus , the rectocele and grade 4 prolapse and that surgery will be needed. I did ask a few questions on the day but wasnt really with it after my General and want to ask further but he s away. Since the 17th when I had the Botox , the pressure on my anus is driving me crazy! I think it s stool and it isn t , the pressure is constant and when I m trying to go a fleshing lump comes out and goes back in , I ve also noticed bloody jelly coming out and I had a bright blood clot thing on a tiny piece of stool . Shall I wait until the 28th when my consultant is back? And what does all the above mean , especially grade4?