Colporrhaphy repair

In this anterior colporrhaphy , a speculum is used to hold open the vagina, and the cystocele is visualized (A). During the surgery, the bladder is pushed back into its normal position and the support tissue between the front of the vagina and the bladder is tightened and reinforced. The procedure is also called an anterior vaginal wall repair or anterior colporrhaphy.

In an anterior colporrhaphy , the surgery is performed at the front of the vaginal wall to repair a urethrocele or cystocele. In a posterior colporrhaphy , the procedure is carried out on the rear vaginal wall to repair a rectocele.

Depending on the side of the defect, the repair can either be anterior, posterior, vault or total. The repair is achieved by the placement of permanent mesh that may result in a stronger repair. Anterior colporrhaphy , which has been traditionally employed to correct cystocele and urethrocele, is a vaginal approach.

The vaginal epithelium is first dissected off the underlying endopelvic fascia for the entire extent of the prolapse and to expose the area around the urethrovesical junction. A colporrhaphy returns the prolapsed organ back to its natural position, repairs the wall tissue and can strengthen the structure of the vagina to help prevent a prolapse reoccurring. Considering pelvic prolapse repair ? See how it’s done in this animation.

The colporrhaphy procedure aims to effectively restore prolapsed organs back to their normal position and relieve symptoms such as urinary incontinence and.

Since most of these surgeries are performed under general anesthesia, the patient will likely feel groggy as she wakes up. A prolapse occurs when an organ falls or sinks out of its normal anatomical place. Maher et al, in a prospective study of women, reported an anatomic cure, defined as POP-Q stage I or less, of at months. A cut is made in the skin of the vagina and internal stitches are placed to strengthen the area.

Colporrhaphy Definition. This stops the area bulging down and should make you feel better. It is helpful to think of the vagina as having a ‘front’ wall and a ‘back’ wall.

Medical definition of colporrhaphy : surgical repair of the vaginal wall. In patients with advanced prolapse (stage III and beyond), restoration of anatomy and function usually necessitates more than repair : concomitant posterior, apical, and enterocele repairs are usually. The patient had a Vaginal Hysterectomy (uterus), Anterior Coloporrhaphy, Repair of Cystotomy and Cystoscopy. If the patient has leaking during testing, she has a chance of having urinary incontinence after the prolapse repair.

There is a chance that the patient may have leaking even if the testing is negative and may require a separate staged procedure to address the incontinence. We use vicryl suture (usually 2-0) to approximate the bulbocavernosis muscles and reapproximate or plicate the transverse perineal muscles (usually separately). A moderate or severe cystocele may require reconstructive surgery to move the bladder into a normal position.

There are a number of ways to perform this surgery, including an anterior repair. In an anterior repair , an incision (cut) is made in the wall of the vagina and the tissue that separates the bladder from the vagina is tightened. The originally described procedure for anterior colporrhaphy remains currently in use, with modification.

More recently appreciated anatomic features include designation of the three different levels of vaginal paracolpia. A posterior colporrhaphy is a vaginal procedure commonly performed to correct a rectocele or herniation of the rectum into the vagina. Posterior colporrhaphy What is a posterior colporrhaphy ? While it can be performed alone, it is often combined with additional prolapse procedures in order to correct all the areas of prolapse in the vagina.

Transperineal repair : The rectocele is reached through the perineum. This method allows the surgical removal of hemorrhoids at the same time, if necessary. However, it usually requires the implanting of a mesh over the entire surgical area to provide added support following surgery. Transanal repair : The rectocele is reached through the anus.

A posterior repair also known as a posterior colporrhaphy is a surgical procedure to repair or reinforce the fascial support layer between the rectum and the vagina. A peri-neorrhaphy is the term used for the operation that repairs the perineal body.