Anterior vaginal wall repair

Definition

Anterior vaginal wall repair is a surgical procedure. This surgery tightens the front (anterior) wall of the vagina.

Alternative Names

A/P repair; Vaginal wall repair; Posterior vaginal wall repair; Colporrhaphy - repair of vaginal wall; Cystocele repair; Uterine prolapse - vaginal wall repair; Urinary incontinence - vaginal wall repair

Description

The anterior vaginal wall can sink (prolapse) or bulge. This occurs when the bladder or the urethra sink into the vagina.

The repair may be done while you are under:

Your surgeon will:

Sometimes, the surgeon 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 or bulging of the vaginal wall.

Symptoms of uterine prolapse include:

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

Before doing this surgery, your provider may have you:

Risks

Risks of anesthesia and surgery in general are:

Risks of this procedure include:

Before the Procedure

Always tell your provider what drugs you are taking. Also tell the provider about the 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 very often repair the prolapse and the symptoms will go away. This improvement will often last for years.

References

Maher CM, Feiner B, Baessler K, Glazener CM. Surgical management of pelvic organ prolapse in women: the updated summary version Cochrane review. Int Urogynecol J. 2011;22(11):1445-1457. PMID: 21927941 www.ncbi.nlm.nih.gov/pubmed/21927941.

Winters JC, Smith AL, Krlin RM. Vaginal and abdominal reconstructive surgery for pelvic organ prolapse. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 83.