Vaginal repairs

A related procedure is vaginoplasty , a cosmetic procedure which is intended to change the shape or appearance of the vagina for aesthetic reasons. Anterior vaginal wall repair is a surgical procedure used to correct a condition called vaginal prolapse. Prolapse” means to slip out of place. In the case of a vaginal prolapse , your bladder or urethra slips down into your vagina. Your urethra is the tube that carries urine out of your body.

Put sutures (stitches) in the tissue between your vagina and bladder.

These will hold the walls of your vagina in the correct position. Place a patch between your bladder and vagina. This patch can be made of man-made material (synthetic skin) or commercially available biological material (such as pig skin). It may sometimes be performed to treat stress incontinence when there is significant prolapse. A vaginal repair is an operation for women who have a prolapse of one or both vaginal walls.

It involves making a cut in the vaginal wall and closing the skin closer together to reduce the bulge in the vaginal wall. No mesh is used in this surgery. On the other han vaginal cystocele repairs have been done for many years, are good at least in the short-term, and vaginal approach avoids going into the abdomen.

Paravaginal Repairs reattach the Pubocervical Fascia to the fascia on the Obturator Internus muscle on the lateral pelvic wall, and this is a more anatomically correct repair. Permanent sutures add to the security of the repair , but any repair can fail over time, and even permanent sutures may not hold if the tissues are. After a vaginal repair you may notice that at first your urine flow is slowed and it takes longer than normal to empty your bladder. A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of fibrous tissue that separates the rectum from the vagina weakens.

When this happens, tissues or structures just behind the vaginal wall — in this case, the rectum — can bulge into the vagina. Posterior repair is a surgical procedure to repair or reinforce the weakened layers between the rectum and the vagina. Length of stay  With a vaginal or laparoscopic pelvic floor repair surgery you will usually go home within 2- days of surgery.

Post operative pain  Within a day of your vaginal or laparoscopic operation, most patients require only oral pain medications and are usually up and walking around. The incision will start near the vaginal opening. It will continue over the bulging area and a bit above the bulge. Your surgeon will remove the vaginal skin covering this area.

He or she will place stitches in the tissue between your vagina and rectum to stop the bulging. Mesh or a graft may also be placed to make the repair stronger. This bulging can cause symptoms such as the sensation of sitting on a ball, incomplete emptying of the rectum, and pelvic discomfort. Culdeplasty is a surgical technique that repairs an enterocele. The physician will make an incision in the vagina, and will find the tissue that supports the bladder and the rectum.

The physician then sutures it to surrounding tissues to elevate and support the bladder and the vaginal apex. The risk of injury to bowel or bladder is 0-.

Vaginal repair using native tissue, which includes either a uterosacral ligament suspension or sacrospinous ligament fixation. The objective of a midline anterior repair is to plicate the layers of the vaginal muscularis and adventitia overlying the bladder (pubocervical fascia). The operative procedure begins with the patient in the supine position and situated and prepped as for vaginal hysterectomy. As a pelvic floor reconstructive surgeon or vaginal restorative surgeon, one of the important functions of the vagina, sexual activity, can not be overlooked.

Not everyone desires to be sexually active, however if you do and are looking for repair of your vaginal prolapse, it is important to consider some facts that I will discuss. Anterior repair is used to tighten the front (anterior) wall of the vagina. It is used when the bladder drops out of its normal position and bulges into the front of the vagina, causing the front wall of the vagina to sag. This condition is known as anterior wall prolapse, cystocele or dropped bladder. Vaginal vault suspension repairs the prolapse of the pelvic lining and small intestine into the upper vagina, called an enterocele.

Through a vaginal incision, your surgeon will push the small intestine back into position and attach the top of the vagina to strong pelvic ligaments. Effective repair requires a knowledge of perineal anatomy and surgical technique. Perineal lacerations are classified according to their depth. Repair of Obstetric Perineal Lacerations.

Sequelae of obstetric lacerations include chronic perineal pain, dyspareunia, urinary incontinence, and fecal incontinence.