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Anterior vaginal wall repair is usually done for the correction of anterior vaginal prolapse. It is a condition where the urethra or bladder sinks down into the vaginal causing the anterior vaginal wall to bulge or prolapse. This may cause the following implications to the patient:
Includes anterior colporrhaphy and pelvic organ prolapse repair techniques.
01. Frequent urge to pass urine
02. Feeling that the bladder has not emptied completely
03. Bulged vaginal wall causing discomfort during intercourse
04. Sensation of something coming down
05. Low back pain
If you are planning to get the anterior vaginal wall repair surgery, contact Ortil Healthcare. We have tie-ups with some of the best hospitals across the globe which provides world-class treatment at pocket-friendly prices.
Some of the common causes behind anterior vaginal prolapse are mentioned below:
01. Pregnancy
02. Vaginal delivery
03. Obesity
04. Difficult bowel movements
05. Heavy lifting
06. Chronic cough
Before the surgery, the doctor will take a detailed medical history about your past medical conditions, surgeries or treatments that you have undergone in the past. You must also inform your doctor about all the medications that you are currently taking.
After the medical history, a physical examination is done which includes evaluating the vagina and certain lab tests. You will be given some pre-operative instructions to follow before the surgery. These instructions include:
01. Do not eat anything for eight hours before the procedure.
02. Do not take medications like aspirin, ibuprofen or any herbal supplements for some days before the procedure.
03. If you are taking any other prescribed medicine, consult your doctor.
04. Avoid smoking or alcohol consumption for some days before and after the surgery.
Anterior vaginal wall repair may be performed under general or spinal anesthesia. Under general anesthesia, you will be asleep during the procedure while under spinal anesthesia only the lower body down the waist will get numb. You will be awake during the procedure under spinal anesthesia. Sedative medications may be administered to help to relax.
After administering the anesthesia, the surgeon makes an incision on the front or anterior wall of the vagina. This is followed by repositioning of the bladder or the urethra to their normal position. Then, the sutures are applied between the vagina and the bladder to provide support and prevent the bladder from sliding down again. Some additional vaginal tissue may also be used to tighten the muscles and ligaments.
The entire procedure does not take more than 30 minutes.
After the surgery you will be staying in the hospital for the next 2-3 days. Once the medical team ensures that you are recovering without any complications, you will be discharged from the hospital. A catheter may be attached to the bladder for the next couple of days to help in urination. Once you are discharged, you will still need to be careful and follow the given instructions. Some of the common post-operative instructions include:
01. Take adequate rest.
02. Avoid sexual intercourse for 6 weeks after the surgery.
03. Avoid heavy lifting, or standing for a long time.
04. Do exercises as advised by the doctor.
05. Take only a liquid diet unless your bowel movements become normal.
06. You can return to work within six to eight weeks of the surgery.
07. You can resume a normal lifestyle within three months.
Before scheduling the surgery, you must calculate the risk-benefit ratio. Ask your doctor about the possible risks of the surgery. Some of the complications may include,
01. Pain while urination
02. Frequent urge to urinate
03. Involuntary leakage of urine
04. Irritation in the bladder
05. Any damage to vagina, bladder or urethra
06. Adverse reaction to anesthesia
07. Difficulty breathing
08. Bleeding
09. Infection
Gynecologic surgeons trained in restoring vaginal structure and function.
Womens health clinics offering expert care in prolapse and pelvic surgeries.
Anterior vaginal wall repair is a surgical procedure to correct a cystocele, which occurs when the bladder drops and bulges into the vaginal wall. It is performed to relieve symptoms like urinary incontinence, pelvic pressure, or discomfort during physical activities.
Common causes include childbirth, aging, menopause, heavy lifting, chronic coughing, and conditions that increase pressure on the pelvic floor. These factors can stretch or weaken the muscles and tissues that support the bladder.
The surgery is typically done through the vagina without external incisions. The surgeon reinforces the vaginal wall by tightening supportive tissues or using mesh (if needed), to restore normal anatomy and function.
Most patients recover within 4 to 6 weeks. During this period, it is advised to avoid lifting heavy objects, strenuous activities, or sexual intercourse to allow complete healing.
Yes, although it is more common after childbirth, this procedure may also be recommended for women with pelvic organ prolapse symptoms due to other causes. A gynecologist will evaluate individual suitability through a pelvic exam and imaging if required.