beside using pessaries , pushing the hernia through the vagina to help defecation or surgery for rectocele in a very senior patient,, what are the other options available? age 99, manage her toilletries, excellent mental faculties; wt. about 45 kg; Height: 5 ft. ;on Dilzem (Cal. blocker)30mg x2/day & Imdur 30 controled stable angina.