Anterior vaginal wall repair
Anterior vaginal wall repair is a surgical procedure. This surgery tightens the front (anterior) wall of the vagina.
A/P repair; Vaginal wall repair; Colporrhaphy - repair of vaginal wall; Cystocele repair - vaginal wall repair; Stress urinary incontinence - vaginal wall repair
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 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. It 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:
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.
You should not insert anything in the vagina 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. Anatomic defects of the abdominal wall and pelvic floor: abdominal hernias, inguinal hernias, and pelvic organ prolapse: diagnosis and management. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Comprehensive Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 20.
Walters MD, Barber MD. Surgical treatment of anterior vaginal wall prolapse. In: Walters MD, Karram MM, eds. Urogynecology and Reconstructive Pelvic Surgery. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 23.
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.
Review Date: 5/31/2018
Reviewed By: Sovrin M. Shah, MD, Assistant Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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