Anterior vaginal wall repair
Anterior Vaginal Wall Repair Procedure: Medical Overview and Steps
Anterior vaginal wall repair, also known as anterior colporrhaphy or cystocele repair, is a surgical procedure performed to address a condition known as cystocele. A cystocele occurs when the bladder bulges into the front wall of the vagina, causing discomfort, urinary symptoms, and vaginal prolapse. The procedure involves repairing and reinforcing the weakened vaginal wall to correct the prolapse and alleviate associated symptoms.
Procedure Steps:
Preoperative Assessment: Prior to surgery, the patient undergoes a comprehensive evaluation, including a review of medical history, physical examination, and possibly imaging studies to assess the severity of the cystocele and any associated pelvic floor issues.
Informed Consent: The patient is provided with detailed information about the procedure, its potential risks, benefits, and alternative treatments. Informed consent is obtained, ensuring the patient’s understanding and agreement.
Anesthesia: The patient is typically placed under general anesthesia or regional anesthesia (epidural or spinal) to ensure their comfort during the procedure.
Surgical Approach: The surgeon makes an incision in the vaginal wall near the anterior (front) wall to access the weakened tissues.
Repair of Prolapsed Tissues: The weakened or stretched tissues of the anterior vaginal wall are repositioned and tightened. Any excess tissue is trimmed away.
Suturing and Reinforcement: The surgeon uses sutures to secure and reinforce the repaired tissues. The sutures are placed in a way that provides support to the anterior vaginal wall and restores its normal position.
Closure: The incision is closed using dissolvable sutures, which eliminate the need for suture removal.
Recovery and Healing: After the procedure, the patient is carefully monitored as they wake up from anesthesia. Instructions are given for postoperative care, hygiene, and follow-up appointments.
Postoperative Care and Rehabilitation: Depending on the surgeon’s recommendations, the patient may need to avoid heavy lifting, strenuous activities, and sexual intercourse during the initial healing period. Pelvic floor exercises (Kegels) are often advised to aid in recovery.
References:
American College of Obstetricians and Gynecologists. (2019). ACOG Practice Bulletin No. 214: Effective Communication in Obstetrics and Gynecology. Obstetrics & Gynecology, 134(4), e94-e103.
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. (2019). Cystocele Repair (Anterior Colporrhaphy). Retrieved from https://ranzcog.edu.au/statements-guidelines/cystocele-repair
U.S. National Library of Medicine. (2021). Cystocele Repair. MedlinePlus. Retrieved from https://medlineplus.gov/ency/article/002994.htm
Cleveland Clinic. (2021). Anterior Vaginal Wall Prolapse (Cystocele). Retrieved from https://my.clevelandclinic.org/health/diseases/12363-anterior-vaginal-wall-prolapse-cystocele
American Urogynecologic Society. (2021). Cystocele (Anterior Prolapse). Retrieved from https://www.voicesforpfd.org/cystocele
Please note that the specifics of anterior vaginal wall repair procedures may vary based on individual patient factors and the surgeon’s experience. Always consult with qualified healthcare professionals for personalized advice and information regarding anterior vaginal wall repair procedures.
Below is some Obstetricians and Gynaecologists that can assist with anterior vaginal wall repair
Dr Mutanda-Musoke
Specialist Obstetricians and Gynaecologists
- Phone:+27 (0) 12 003 4030
- Email:[email protected]
Dr Welile Mdluli
Obstetrician and Gynaecologist
- Phone:+27 13 752 3153
- Email:[email protected]
Dr Gitesh Rampersadh
Specialist Gynaecologist and Obstetrician
- Phone:+27 (0)31 265 1020
- Email:[email protected]
Dr L Augustine
Specialist Obstetrician and Gynaecologist
- Phone:031 401 1617
- Email:[email protected]
Dr Paul Smit
Urologist
- Phone:012 993 5886
- Email:[email protected]
PROF ZEELHA ABDOOL
Obstetrician, Gynaecologist and Urogynaecologist
- Phone:Request on website
- Email:Request on website
Dr Natalia Novikova
Gynaecologist and Endoscopic Surgeon
- Phone:076 242 0027
- Email: [email protected]
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