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Posterior Vaginal Repair


A posterior vaginal repair is surgery to fix a rectocele or vaginal hernia.


The week before your surgery:

  • Write down the correct date, time, and location of your surgery.
  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.
  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.
  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

The night before your surgery:

Ask caregivers about directions for eating and drinking.

The day of your surgery:

  • Ask your caregiver before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Caregivers will check that your medicines will not interact poorly with the medicine you need for surgery.
  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.
  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.


What will happen:

An incision will be made in the middle of the back wall of your vagina. 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 will place stitches in the septum (tissue between your vagina and rectum) to stop the bulging. He may also put in a graft or mesh to make the repair stronger. He may need to put some absorbable stitches into nearby muscles. He will then close your vaginal skin over the septum with stitches. The stitches will be absorbed by your body, so you do not have to get them removed. A bandage is placed inside your vagina to reduce bleeding. A catheter may be placed to remove urine from your bladder. Healthcare provider will remove it as soon as possible after surgery.

After your surgery:

You will be taken to a room to rest until you are fully awake. Healthcare providers will monitor you closely for any problems. Do not get out of bed until your healthcare provider says it is okay. When your healthcare provider sees that you are okay, you will be taken to your hospital room.


  • You cannot make it to your surgery.
  • You have a fever.
  • You get a cold or the flu.
  • You have questions or concerns about your surgery.


  • You may bleed more than expected or get an infection. Damage to your rectum may occur. You may get a bladder infection if a urinary catheter is used. The bulging may come back, or you may need more surgery. You may have trouble having a bowel movement after the surgery. You may have discomfort when you have sex. A mesh put in during surgery may damage the vaginal tissues and cause bleeding or discharge.
  • Without treatment, symptoms such as straining to pass a bowel movement may get worse. The bulging may increase and even come out through your vaginal opening. You may feel a dragging sensation in your vagina. You may have trouble emptying your bowel completely, or your bowel may leak at the anus.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.