Anterior vaginal wall repair is surgery that tightens the front (anterior) wall of the vagina.
This procedure may be done while you are under general or spinal anesthesia. Under general anesthesia, you will be asleep and unable to feel pain. With spinal anesthesia, you will be awake, but you will be numb from the waist down and you will not feel pain.
You will be given medicines to help you relax.
In most cases, a surgical cut is made through the front wall of your vagina.
Sometimes, your doctor will also make a surgical cut in your belly. This cut may be up and down or across.
This procedure is used to repair sinking of the vaginal wall (prolapse) or bulging that occurs when the bladder or urethra sink into the vagina.
Symptoms of prolapse include:
This surgery by itself does not treat stress incontinence (leaking 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 learn pelvic floor muscle exercises (Kegel exercises), use estrogen cream in your vagina, or try a device called a pessary in your vagina to hold up the prolapse.
Risks for this surgery are:
Always tell your health care provider or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.
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.
This surgery will very often repair the prolapse and the symptoms will go away. This improvement will often last for years.
A/P repair; Vaginal wall repair; Anterior and/or posterior vaginal wall repair; Colporrhaphy - repair of vaginal wall; Cystocele repair
Lentz GM. Anatomic defects of the abdominal wall and pelvic floor: abdominal and inguinal hernias, cystocele, urethrocele, enterocele, rectocele, uterine and vaginal prolapse: diagnosis and management. In: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. Comprehensive Gynecology. 6th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 20.
Maher CM, Feiner B, Baessler K, Glazener CMA. Surgical management of pelvic organ prolapse in women: the updated summary version. Cochrane review. Int Urogynecol J. 2011;22:1445-1457.
Winters JC, Togami JM, Chermansky CJ. Vaginal and abdominal reconstructive surgery for pelvic organ prolapse. In: Wein AJ, ed. Campbell-Walsh Urology. 10th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 72.
Updated by: Scott Miller, MD, Urologist in private practice in Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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