Vaginal wall repair; Colporrhaphy - repair of vaginal wall; Cystocele repair - vaginal wall repair
Anterior vaginal wall repair is a surgical procedure. This surgery tightens the front (anterior) wall of the vagina.
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:
This procedure is used to repair sinking or bulging of the anterior vaginal wall.
Symptoms of anterior vaginal wall prolapse include:
This surgery by itself does not treat stress incontinence. Stress incontinence is the leaking of urine when you cough, sneeze, or lift. Surgery to correct stress urinary incontinence may be performed along with other surgeries.
Before doing this surgery, your health care provider may have you:
Risks for anesthesia and surgery in general are:
Risks for this procedure include:
Always tell your provider what drugs you are taking. Also tell the provider about the drugs, supplements, or herbs you bought without a prescription that you are taking.
During the days before the surgery:
On the day of your surgery:
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.
You should not insert anything in the vagina, lift heavy items, or have sex until your surgeon says it is OK.
This surgery will very often repair the prolapse and the symptoms will go away. This improvement will often last for years.
Kirby AC, Lentz GM. Pelvic organ prolapse, abdominal hernias, and inguinal hernias: diagnosis and management. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 20.
Winters JC, Krlin RM, Hallner B. Vaginal and abdominal reconstructive surgery for pelvic organ prolapse. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 124.
Wolff GF, Winters JC, Krlin RM. Anterior pelvic organ prolapse repair. In: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Hinman's Atlas of Urologic Surgery. 4th ed. Philadelphia, PA: Elsevier; 2019:chap 89.BACK TO TOP
Review Date: 4/10/2022
Reviewed By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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