Anterior vaginal wall repair is a surgical procedure that tightens the front vaginal wall to repair the sinking of the bladder into the vagina (cystocele) or the sinking of the urethra into the vagina (urethrocele). This is done when the vagina andAnterior vaginal wall repair the back passage - rectum are no longer held up properly. The rectum is dropping down onto the back of the vagina, causing a weakness or bulge called a prolapse. A prolapsed rectum is called a rectocele. The prolapsed rectum may not empty properly when you want. The prolapse makes you feel uncomfortable in the vagina. The prolapse happens if the supports to the vagina and rectum stretch during pregnancy and do not get back to normal afterwards. This may not show up until after the menopause. Having a heavy job, having a chronic cough, or being overweight will all bring on a prolapse earlier. An operation will tighten up the supports to the rectum and take away the bulge in the vagina.
To perform the anterior vaginal repair, the doctor makes a surgical cut through the vagina to release part of the front (anterior) vaginal wall that is attached to the base of the bladder.
Tissue between the vagina and bladder is folded and stitched to bring the bladder and urethra into the right position. There are several different versions of this procedure that may be necessary, based on the amount of bulging or sinking.
This procedure may be performed using general or spinal anesthesia. You may have a foley catheter in pNormal & Prolapsed uteruslace for 1 - 2 days after surgery.
You will be given a liquid diet immediately after surgery, followed by a regular diet when your normal bowel function has returned. Your health care provider may prescribe stool softeners and laxatives to prevent straining with bowel movements, because this can cause stress on the area where surgery was performed.
A similar procedure can be performed on the back (posterior) wall of the vagina to repair a rectocele.
In this case the vagina and the back passage - rectum are no longer held up properly. The rectum is dropping down onto the back of the vagina, making a weakness or bulge. The bulge is called a prolapse. A prolapsed rectum is called a rectocele. The prolapsed rectum may not empty properly when you want. The prolapse makes you feel uncomfortable in the vagina. The prolapse happens if the supports to the vagina and rectum stretch during pregnancy and do not get back to normal afterwards. This may not show up until after the menopause. Having a heavy job, having a chronic cough, or being overweight will all bring on a prolapse earlier and make it worse. An operation will tighten up the supports to the rectum and take away the bulge in the vagina.
General anesthesia is used for this procedure and you will be completely asleep. A small cut is made through the lining of the back - posterior of the vagina. The supports to the rectum are shortened with stitches and the bulging part of the vagina cut away. This repairs the weakness. The wound in the vagina is then sutured suitably. Hospitalization will be needed for about six days.
As in the case for any surgery are Bleeding, Infection, Injury to surrounding structures.
Possible complications from anterior vaginal repair may include difficulty or inability to urinate, Injury to the bladder or Urinary tract infection
Women treated with this procedure for cystocele have an excellent chance that the prolapse will be cured. This improvement will usually last for years but in some cases the tissue weakens with time and other procedures may be necessary to treat the symptoms.
One should avoid activities that cause an increase in abdominal pressure, such as straining, sneezing and coughing for several weeks to months after your surgery. Any activities that require lifting or straining should be avoided. You may need to take stool softeners or gentle laxatives to prevent constipation and straining with bowel movements.
The other Gynecology Procedures are:
Few Major Hospitals for Posterior Repair - Prolapse Operation are:
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