Anterior vaginal wall repair

Definition

Anterior vaginal wall repair is surgery that tightens the front (anterior) wall of the vagina.

Alternative Names

A/P repair; Vaginal wall repair; Anterior and/or posterior vaginal wall repair; Colporrhaphy - repair of vaginal wall; Cystocele repair

Description

This procedure may be done while you are under general or spinal anesthesia. Under general anesthesia, you will be asleep and unable to feel pain. With spinal anesthesia, you will be awake, but you will be numb from the waist down and you will not feel pain.

You will be given medicines to help you relax.

Usually, a surgical cut is made through the front wall of your vagina.

Sometimes, your doctor will also make a surgical cut in your belly. This cut may be up and down or across.

Why the Procedure Is Performed

This procedure is used to repair sinking of the vaginal wall (prolapse) or bulging that occurs when the bladder or urethra sink into the vagina.

Symptoms of prolapse include:

This surgery by itself does not treat stress incontinence (leaking urine when you cough, sneeze, or lift). It may be performed along with other surgeries.

Before doing this surgery, your health care provider may have you learn pelvic floor muscle exercises (Kegel exercises), use estrogen cream in your vagina, or try a device called a pessary in your vagina to hold up the prolapse.

Risks

Risks for any surgery are:

Risks for this surgery are:

Before the Procedure

Always tell your health care provider or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.

During the days before the surgery:

On the day of your surgery:

After the Procedure

You may have a catheter to drain urine for 1 or 2 days after surgery.

You will be on a liquid diet right after surgery. When your normal bowel function returns, you can return to your regular diet.

Outlook (Prognosis)

This surgery will usually repair the prolapse and the symptoms will go away. This improvement will often last for years.

References

Winters JC, Togami JM, Chermansky CJ. Vaginal and abdominal reconstructive surgery for pelvic organ prolapse. In: Wein AJ, ed. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 72.

Maher CM, Feiner B, Baessler K, Glazener CMA. Surgical management of pelvic organ prolapse in women: the updated summary version. Cochrane review. Int Urogynecol J. 2011;22:1445-1457.