Make Dinner your smallest meal. At least 4 to 5 hours before bedtime. Do the warm water enema before bed. Take psyllium fiber, preferably Konsyl or 365 brand Before bed to second things up through the evening hopefully making more bulk. Then do the warm water enema maybe two of them when you awake. Hopefully the extra bulking of the psyllium fiber drink through the night will help you evacuate better from the night before. Drink plenty of fluids when you do psyllium fiber but not all at once, just make sure you’re drinking electrolyte drink sipping all throughout the day. There is a fine balance between the fiber and a liquid that must be maintained for a proper illumination. I do have to say, I experience the same exact thing and have for years, but a defacography Was ordered about a year after my surgery and that’s when it showed up that I had prolapse as well as rectocele. It has always been hard to have proper elimination But I’ve got it down to where I do the enemas about four times a day if I don’t eat any things that irritate my gut. I try to stick to a bland soft to medium soft diet. I do fruit smoothies eliminating any citrus fruits Because they can be very acidic. I usually use a combination of strawberries with some blueberries and oat nut milk, maybe with a little honey for sweetener to get my nutrition from fruits. Easily digestible and easy to eliminate. You can add some Chia seeds to the smoothie which will help bulk it up even more Truthfully will help things push through if you drink enough liquids in the day. All of this I do with the fiber drink at least 3 to 4 times a day. Get my vegetables without getting too much insoluble fiber, I try to do a green smoothie during the day as well. Smoothies are a great way to get your nutrition and are easily and fast absorbed. Easy to break down and don’t clog up the gut with hard to digest matter and elimination issues. Granted, I do eat a few more carbs than I should with pasta’s, white bread or rice in meals , but we have to do what we have to do to help the quality of our life. Since the prolapse and rectocele happened or was discovered a couple years after my surgery, I strongly suggest you look further into those things with Testing Because this is exactly what happened to me. I’ve still kept my J patch but I have learned to maintain things At an acceptable level And quality of life considering other options.