Anterior Vaginal Repair

Alternate Names: A/P Repair, Anterior and/or Posterior Colporrhaphy, Anterior and/or Posterior Vaginal Wall Repair, Vaginal Wall Repair

Definition

This is a surgical procedure that tightens the anterior vaginal wall, thus repairing a cystocele or urethrocele. A rectocele is repaired by tightening the posterior vaginal wall.

Overview & Description Cystocele

To perform the anterior vaginal repair, an incision is made through the vagina to release a portion of the anterior (front) vaginal wall that is attached to the base of the bladder. The pub cervical fascia (the supportive tissue between the vagina and bladder) is folded and stitched to bring the bladder and urethra in proper position. There are several variations on this procedure that may be necessary, based on the severity of the prolapse.

This procedure may be performed using general or spinal anesthesia. You may have a Foley catheter in place for 1 to 2 days after surgery. You will be given a liquid diet immediately after surgery, followed by a regular diet when your normal bowel function has returned. Stool softeners and laxatives may be prescribed to prevent straining with bowel movements since this can cause stress on the incision.

A similar procedure can be performed on the posterior wall of the vagina to repair a rectocele.

Risks

  • Risks for any anesthesia are:
  • Reactions to medications
  • Problems breathing
  • Risks for any surgery are:
  • Bleeding
  • Infection
  • Injury to surrounding structures

Additional risks include:

Possible complications resulting from anterior vaginal repair include:

  • Urinary tract infection
  • Injury to the bladder
  • Inability to urinate