Tuesday 17 April 2018

Posterior vaginal wall repair

What is a posterior vaginal wall repair? Will a pessary help prolapsed vaginal wall? What causes a prolapsed vaginal wall? Is the vaginal opening posterior to the urethral opening?


A perineorrhaphy is the term used for the operation that repairs the perineal body.

It is used when the bladder drops out of its normal position and bulges into the front of the vagina , causing the front wall of the vagina to sag. This condition is known as anterior wall prolapse , cystocele or dropped bladder. Anterior vaginal wall repair is a surgical procedure used to correct a condition called vaginal prolapse.


Prolapse” means to slip out of place. In the case of a vaginal prolapse , your bladder or urethra slips down into your vagina. Your urethra is the tube that carries urine out of your body.


An anterior vaginal wall repair is used to treat prolapse of the vaginal wall under the bladder, also called a cystocele or dropped bladder. Your doctor will decide if you need one or both vaginal walls repaired.

A posterior repair treats prolapse of the vaginal wall over the rectum, also called a rectocele. When your normal bowel function returns, you can return to your regular diet. You should not insert anything in the vagina or.


A posterior vaginal repair (colporrhaphy) is an operation performed within the vagina (front passage) to treat a posterior (back) vaginal wall prolapse also called a rectocoele. A posterior vaginal wall prolapse occurs when the thin wall of tissue that separates the rectum from the vagina weakens, allowing the vaginal wall to bulge. Childbirth and other processes that put pressure on pelvic tissues can lead to posterior vaginal prolapse.


A prolapse of the back wall of the vagina ( posterior ) is usually due to a weakness in the strong tissue layers that divides the vagina from the lower part of the bowel. An anterior prolapse can happen if you’ve had your uterus taken out ( hysterectomy ). There are two types of prolapses that can occur in the front side of your vagina, and they’re the most common kinds of pelvic organ prolapse. It is surgery that restores normal support of the posterior (bottom) vaginal wall. During this surgery, the surgeon makes an incision (cut) in the bottom vaginal wall then stitches together the stronger tissues that are underneath the soft skin that lines the inside of the vagina. This can help prevent you from leaking urine.


Posterior Vaginal Wall Repair. The procedure is also called an anterior colporrhaphy. Since most of these surgeries are performed under general anesthesia, the patient will likely feel groggy as she wakes up.


Anterior and posterior vaginal wall prolapse involve protrusion of an organ into the vaginal canal. The complications which specifically relate to the posterior vaginal wall repair surgery include: Constipation – this is common after surgery and can be easily treated with laxatives.

Pain or discomfort during sex – Some women might experience this and it is often unavoidable. Surgical Techniques An incision is made on the posterior wall of the vagina starting at the entrance. Dissecting the vagina and rectovaginal fascia from the vagina until the pelvic floor muscles.


Defects in the fascia are corrected by centrally plicating the fascia using delayed absorption. Vaginal repair using native tissue, which includes either a uterosacral ligament suspension or sacrospinous ligament fixation. The risk of injury to bowel or bladder is 0-. After a vaginal repair you may notice that at first your urine flow is slowed and it takes longer than normal to empty your bladder.


A vaginal repair is an operation for women who have a prolapse of one or both vaginal walls. It may sometimes be performed to treat stress incontinence when there is significant prolapse. It involves making a cut in the vaginal wall and closing the skin closer together to reduce the bulge in the vaginal wall.

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