An anterior vaginal wall repair is used to treat prolapse of the vaginal wall under the bladder, also called a cystocele or dropped bladder. A posterior repair treats prolapse of the vaginal wall over the rectum, also called a rectocele. Your doctor will decide if you need one or both vaginal walls repaired.
What is involved with an anterior colporrhaphy?
Anterior colporrhaphy is performed through the vagina by
making an incision in the anterior wall of the vagina in order to identify the weaknesses in the fibromuscular layer
. When those weaknesses are identified, sutures are placed to strengthen the fibromuscular layer of the vagina that supports the bladder.
Is a cystocele repair the same as a anterior repair?
Anterior vaginal wall repair is a surgical procedure. This surgery tightens the front (anterior) wall of the vagina.
A cystocele is an downward outpocketing or hernia of the bladder towards the vaginal opening
.
What does a bladder repair involve?
The operation usually takes about half an hour. Your gynaecologist will make a cut in the front (anterior) wall of your vagina so they can push your bladder and urethra back into place. Your gynaecologist will stitch the support tissues together to provide better support for your bladder and urethra.
How long does a posterior repair last?
You can return to work once your doctor has said you are well enough to do so (usually after 6 to 8 weeks). You should be feeling more or less back to normal after
3 months
.
How long does an anterior repair take?
The operation normally takes
around 30 minutes
to complete. Most anterior repairs in our unit are safely performed under local anaesthesia. However, in some cases a general anaesthetic may be more appropriate.
Is anterior repair major surgery?
An anterior repair is a major operation
usually recommended after simpler treatments have failed. Your bladder should be better supported and you should no longer have a bulge in your vagina.
How successful is anterior colporrhaphy?
Success rate of the surgery is about
85 – 90%
. Serious complications are rare with this type of surgery. However, no surgery is without risk and the main potential complications are listed below.
What can you not do after anterior repair?
It is important to
avoid stretching the repair particularly in the first weeks after surgery
. Therefore, avoid constipation and heavy lifting. The deep stitches dissolve during the first three months and the body will gradually lay down strong scar tissue over a few months. Any constant cough is to be treated promptly.
Is colporrhaphy major surgery?
Colporrhaphy is a
minimally invasive surgical procedure
that repairs and strengthens the vaginal wall after a pelvic organ prolapse (POP).
How do they do a posterior repair?
A posterior repair involves repairing the weakened connective tissue which lies underneath the back wall of the vagina, between the vagina and the rectum. The repair is performed
through a cut in the back wall of the vagina and uses dissolvable stitches
. The aim of the operation is to get rid of the prolapse bulge.
What is colporrhaphy surgery?
Colporrhaphy, also known as vaginal wall repair, is
a surgical procedure performed to correct defects in the vaginal wall, or pelvic-organ prolapse, including cystoceles and rectoceles
.
Is a bladder repair a big operation?
Cystocele (bladder prolapse) repair is major surgery
. Yes, cystocele (bladder prolapse) repair is major surgery. Even if your surgery is done through a less invasive way, surgeries to repair prolapse tend to be major surgery.
How is an anterior repair done?
There are many ways to perform an anterior repair, but a common method is by an incision being made along the centre of the front wall of the vagina, starting near the entrance and finishing near the top of the vagina. The weakened layers are then repaired using absorbable stitches.
What is the recovery time for bladder surgery?
You should be able to resume normal activities in
four to six weeks
. You will need to maintain constant care for your new urine removal structure. However, after a period of time, you will likely feel comfortable both with emptying your pouch or bag and urinating normally.
How do you poop after rectocele surgery?
- Sit on the toilet seat (never hover)
- Place your feet flat on the floor.
- Rest your hands or forearms on your thighs to support your trunk.
- Lean your trunk forwards.
- Keep the inward curve in your lower back during emptying (see bowel emptying position above)
Is the vagina tighter after rectocele repair?
Your vagina may be smaller, tighter or shorter after surgery
. It is uncommon to be so small that you will not be able to have sex.
How painful is Cystocele and rectocele surgery?
The regional anesthetic may not numb the area quite enough and you may feel
some minor discomfort
. There may be damage to the bladder and rectum. If damage occurs and the doctor is aware of it, he or she will try to correct it during the operation.
Can I have a bath after prolapse surgery?
Avoid strenuous activities, such as biking, jogging, weightlifting, and aerobic exercise, for 4 to 6 weeks after open surgery and 1 week after laparoscopic surgery. You may shower. Pat the incision dry when you are done.
Do not take a bath for the first week after surgery or until your doctor tells you it is okay
.
How much does a bladder lift Cost?
Bladder lift surgeries can cost
between an estimated $5,800 and $8,000
. The exact amount depends on the type of procedure. Health insurance plans typically cover bladder lift procedures, similar to other surgical procedures.
How successful is cystocele surgery?
The anatomic success rate of cystocele repair was
75/79 (94.9%)
and a highly significant improvement was noted for symptoms and on quality of life questionnaires.
How do you prepare for a prolapse surgery?
Preparing for surgery
You may need to
take a laxative or enema before surgery
. Your doctor will tell you how to do this. Be sure you have someone to take you home. Anesthesia and pain medicine will make it unsafe for you to drive or get home on your own.
What is the success rate of bladder prolapse surgery?
Approximately
94%
achieved surgical success when it was defined as the absence of prolapse beyond the hymen. Subjective cure (absence of bulge symptoms) occurred in 92.1% while absence of re-treatment occurred in 97.2% of participants.
Is bladder prolapse surgery painful?
Usually the graft is anchored to the muscles of the pelvic floor. Generally this surgery is
not very painful
. You may feel as if you have been ‘riding on a horseback’. You will have some discomfort and pain, so please do not hesitate to take pain medication.
What can you eat after rectocele surgery?
High-fiber foods, such as fruits, vegetables, and whole grains
, soften bowel movements. This helps bowel movements pass more quickly through your colon. Slowly add fiber into your diet to avoid bloating, stomach pain, and gas.
What is posterior perineoplasty?
A posterior repair returns the rectum back into its normal position and strengthens the wall between the rectum and the vagina. A perineoplasty is
the reconstruction of the opening of the vagina (introitus) and the area between the anus and the vagina (perineum)
.
Can you have a second prolapse repair?
An organ can prolapse again after surgery
. Surgery in one part of your pelvis can make a prolapse in another part worse. This may mean that you will need to have another surgery later. You might be able to relieve some symptoms on your own without surgery.
