What is a anterior Colporrhaphy?
Anterior colporrhaphy (also known as anterior vaginal repair) treats prolapses that affect the front wall of the vagina, such as cystocele (prolapsed bladder).
What happens after anterior and posterior repair?
You can expect to stay in hospital between 3-6 days. The vaginal pack is removed on the first day and the bladder catheter after the first few days. In the early postoperative period you should avoid situations where excessive pressure is placed on the repair ie lifting, straining, coughing and constipation.
What is anterior and posterior prolapse?
Anterior vaginal wall prolapse is commonly referred to as cystocele or urethrocele (when the bladder or urethra is involved). Posterior vaginal wall prolapse is commonly referred to as enterocele (when the small intestine and peritoneum are involved) and rectocele (when the rectum is involved).
What grade is a moderate rectocele?
Grade 2—moderate form, where the bladder has sunken far enough to reach the opening of the vagina. Grade 3—most severe form, where the bladder sags through the opening of the vagina.
What is a posterior colporrhaphy?
Rectocele repair (posterior colporrhaphy) removes your bowel hernia from the vagina. This procedure can help ease chronic discomfort and difficulty having bowel movements. Advantages of vaginal reconstructive procedures include: Small vaginal incision, no abdominal incision.
What is colporrhaphy suture?
Colporrhaphy, also known as vaginal wall repair, is a surgical procedure performed to correct defects in the vaginal wall, or pelvic-organ prolapse, including cystoceles and rectoceles.
What causes colporrhaphy?
Reasons for a Colporrhaphy A rectocele occurs when the wall between the rectum and the vagina weakens, causing the rectum to push into the vagina. The colporrhaphy procedure repairs and strengthens the vaginal wall, which can then support the prolapsed organs.
How long does anterior colporrhaphy surgery take?
It involves making a cut on the front wall of the vagina and repairing the wall between the bladder and vagina, this cures the bulge in the vaginal wall. The operation normally takes around 30 minutes to complete.
What is a colporrhaphy surgery?
How serious is a rectocele?
A rectocele may not cause symptoms. Or, you may notice a bulge in your vagina when you strain or bear down during a bowel movement. You may feel pressure, have pain during sex, or have trouble passing stool. A rectocele usually does not cause serious health problems.
How do I know if I have a Cystocele or rectocele?
A cystocele is when part of the bladder wall bulges into the vagina. The bulge happens through a defect in the wall between the bladder and vagina. A rectocele is when part of the wall of the rectum bulges into the vagina. The bulge happens through a defect in the wall between the rectum and vagina.
What is the meaning of colporrhaphy?
What is the posterior colporrhaphy?
The posterior colporrhaphy was introduced in the nineteenth century. The goals of this procedure were to narrow the vaginal tube and genital hiatus and to create a shelf of support. The posterior colpoperineorrhaphy was thought to be the key component of all prolapse surgery (including correction of anterior wall and uterine prolapse).
What is the success rate of anterior colporrhaphy?
Anterior colporrhaphy is approximately 66% successful at restoring urinary continence. There is approximately a 1% risk of serious complications associated with colporrhaphy; the procedure is generally viewed to be safe with a very low rate of overall complications.
How is the posterior colporrhaphy performed in the workup of Allis clamps?
To begin the posterior colporrhaphy, Allis clamps are placed bilaterally on the posterior perineum. A triangular incision is made in the perineal body, and the overlying perineal skin is removed.
How is anterior colporrhaphy performed for the treatment of a cystocele?
In this anterior colporrhaphy, a speculum is used to hold open the vagina, and the cystocele is visualized (A). The wall of the vagina is cut open to reveal an opening in the supporting structures, or fascia (B). The defect is closed (C), and the vaginal skin is repaired (D). (