Anterior vaginal wall repair

Alternative Names: A/P repair; Vaginal wall repair; Anterior and/or posterior vaginal wall repair; Colporrhaphy- repair of vaginal wall; Cystocele repair

Anterior vaginal wall repair is surgery that tightens the front (anterior) wall of the vagina.

Description of Procedure

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.

Usually, a surgical cut (incision) is made through the front wall of your vagina.

• Your bladder is moved back to its normal location.
• Your vaginal wall may be folded, or part of it may be cut away.
• Sutures (stitches) are made in the tissue between your vagina and bladder. These will hold the walls of your vagina in the correct position.
• Your doctor may place human-made (synthetic) material between your bladder and vagina.
• If needed, sutures attach the walls of the vagina to the tissue on the side of your pelvis.

Sometimes, your doctor also makes a surgical cut in your belly. This may be up and down or across.

Risks of Anterior vaginal wall repair

Risks for any surgery are:

• Infection at the site of the surgical cut
• Opening of the surgical cut
• Blood clots in the legs that may travel to the lungs
• Breathing problems
• Bleeding
• Other infection

Risks for this surgery are:

• Damage to the urethra, bladder, or vagina
• Irritable bladder
• Changes in the vagina (prolapsed vagina)
• Urine leakage from the vagina or to the skin (fistula)

Anterior vaginal wall repair	Cystocele	Anterior vaginal wall repair (Surgical treatment of urinary incontinence) - series

Review Date: 6/17/2010
Reviewed By: David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Scott Miller, MD, Urologist in private practice in Atlanta, Georgia.

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