How is an anterior repair done?

Anterior vaginal wall repair is a procedure performed to improve urinary continence. The pubocervical fascia is folded and stitched to bring the bladder and urethra into the proper position. A cystocele is an downward outpocketing or hernia of the bladder towards the vaginal opening.

What is an anterior repair?

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.

What is an anterior colporrhaphy repair?

Cystocele repair (anterior colporrhaphy) repairs the hernia of the wall between the bladder and vagina. This procedure can ease chronic discomfort from a bulging vagina and difficulty emptying the bladder.

What is Kelly’s repair?

The Kelly procedure (also called a soft tissue reconstruction of the bladder neck) uses existing muscle and soft tissue to create a ring of muscle that acts like a sphincter. This holds urine in the bladder allowing it to stretch and gain more capacity and also helps form a strong stream of urine when weeing.

How long does an anterior repair last?

The weakened fascia is then repaired using absorbable stitches, which will absorb over 4 weeks to 5 months depending on the type of stitch (suture) material used. Sometimes excessive vaginal skin is removed and the vaginal skin is closed with absorbable sutures, these usually take 4 to 6 weeks to fully absorb.

How successful is anterior repair?

Success rates for anterior repair are 70-90%, however there is a chance that the prolapse may recur or another part of the vaginal wall may prolapse.

How successful is anterior colporrhaphy?

Success rate of the surgery is about 85 – 90%. Serious complications are rare with this type of surgery. However, no surgery is without risk and the main potential complications are listed below. 5-15% women will develop recurrent prolapse.

What is Perineorrhaphy repair?

Perineorrhaphy means suturing of the perineum, and is sometimes used synonymously with perineoplasty, which means surgical repair of the perineum.

Can your bladder fall after a hysterectomy?

A fallen bladder, also known as cystocele or prolapsed bladder, is common after hysterectomies. It involves the bladder falling into the vaginal canal.

What can you not do after anterior repair?

Healing takes around 3 months, so during this time you should avoid any task that can put pressure on the repair i.e. lifting, straining, vigorous exercise, coughing and constipation. You should plan to take 6 weeks off work, but this all depends on the type of role you have.

Is colporrhaphy major surgery?

Colporrhaphy is a minimally invasive surgical procedure that repairs and strengthens the vaginal wall after a pelvic organ prolapse (POP).

How long does anterior colporrhaphy surgery take?

It involves making a cut on the front wall of the vagina and repairing the wall between the bladder and vagina, this cures the bulge in the vaginal wall. The operation normally takes around 30 minutes to complete.

Is pelvic organ prolapse a cause of pelvic or low back pain?

Discussion. Therefore, based on the data from this study, we are unable to conclude that pelvic organ prolapse is a cause for pelvic or low back pain. It is our experience that patients with pelvic organ prolapse present with a pulling or pressure sensation accepting the fact that this association has yet to be proven.

What is cervical Atlas?

The atlas is one of the two upper cervical vertebrae, also known as C1, which is the topmost vertebra of the spinal column. It is the vertebra that is in contact with the occipital bone, a flat bone located at the back portion of the head.

What is pelvic sling surgery?

Pelvic Slings. A sling procedure — the most common surgery to treat stress incontinence — uses strips of your body’s tissue or synthetic material such as mesh to create a pelvic sling or hammock around your bladder neck and the tube (urethra) that carries urine from the bladder.

What is pelvic mass surgery?

Surgery for pelvic mass is performed following the results of investigations (e.g. scans) or a discussion with your consultant. This type of operation is called a laparotomy. This involves cutting the abdomen, starting at the top of the pubic hairline and going up to and sometimes beyond the belly button in an up and down cut.