Posterior colporrhaphy is performed through the vagina by making an incision in the posterior wall of the vagina in order to identify the weaknesses in the fibromuscular layer.

How is a posterior repair performed?

A posterior repair involves repairing the weakened connective tissue which lies underneath the back wall of the vagina, between the vagina and the rectum. The repair is performed through a cut in the back wall of the vagina and uses dissolvable stitches. The aim of the operation is to get rid of the prolapse bulge.

How is anterior and posterior colporrhaphy done?

During the surgery, the bladder is pushed back into its normal position and the support tissue between the front of the vagina and the bladder is tightened and reinforced. The procedure is also called an anterior vaginal wall repair or anterior colporrhaphy.

Is posterior repair major surgery?

A posterior repair is a major operation usually recommended after simpler treatments have failed. If the operation is successful, your bowel will be better supported and you will no longer have a bulge in your vagina.

Is prolapse surgery considered major surgery?

Vaginal prolapse surgery is a major surgery with serious risks and potential complications. You may have less invasive treatment options depending on your circumstances. Consider getting a second opinion about all of your treatment choices before having vaginal prolapse surgery.

RECTOCELE REPAIR | Posterior Colpopperiniorrhaphy | Site specific repair | Dr Deeksha Pandey

What is a Colporrhaphy procedure?

Colporrhaphy, also known as vaginal wall repair, is a surgical procedure performed to correct defects in the vaginal wall, or pelvic-organ prolapse, including cystoceles and rectoceles.

Is a pessary better than surgery?

Although POP surgery has several advantages over pessary treatment, the risk of complications is higher and it might be less cost-effective. Since previous studies have shown promising results with pessary treatment, it might be an equivalent option in the treatment of POP, probably with less risk and lower cost.

How long does a colporrhaphy take?

The surgical procedure takes approximately 30 minutes to perform. If performed by itself, it is an outpatient procedure and does not require an overnight stay. However, it is often performed with other types of prolapse surgeries to address all the areas of prolapse.

What is a posterior colporrhaphy?

Rectocele repair (posterior colporrhaphy) removes your bowel hernia from the vagina. This procedure can help ease chronic discomfort and difficulty having bowel movements. Advantages of vaginal reconstructive procedures include: Small vaginal incision, no abdominal incision.

Can I have a bath after a posterior repair?

It is important to wash around the outside of the vagina but not inside. After four weeks you may use the bath but avoid soaking for long periods of time. Avoid using perfumed products in the bath water for three months. It is recommended you do not go swimming for six weeks after your surgery.

How do you do posterior colporrhaphy?

To begin the posterior colporrhaphy, Allis clamps are placed bilaterally on the posterior perineum. A triangular incision is made in the perineal body, and the overlying perineal skin is removed. The vaginal epithelium is undermined and divided in the midline with Mayo scissors, as in anterior colporrhaphy.

What is involved with an anterior colporrhaphy?

During the surgery, the bladder is pushed back into its normal position and the support tissue between the front of the vagina and the bladder is tightened and reinforced. The procedure is also called an anterior vaginal wall repair or anterior colporrhaphy.

How long does it take for stitches to dissolve after prolapse surgery?

Post Surgery

The stitches take approximately 4-8 weeks to dissolve. As long as they are there you will notice occasional vaginal bleeding or spotting. You may also see some brownish and yellowish discharge that does have a strong odor to it. This is normal for approximately 4-6 weeks.

Is Rectocele surgery painful?

Surgical repair may relieve some, but not all, of the problems caused by a rectocele or enterocele. If pelvic pain, low back pain, or pain with intercourse is present before surgery, the pain may still occur after surgery.

How long does Rectocele repair last?

It remains important not to become overtired or to perform any heavy lifting, strenuous exercise or physically demanding duties for a total of six weeks from the date of operation. Healing is not complete for 12 weeks (3 months) from the time of surgery.

How is Perineorrhaphy done?

Procedure. The surgeon makes a V-shaped incision starting from the top of the vaginal floor, cutting through the vaginal mucosa and the perineum. The incision is continued laterally on both sides of the hymenal ring and vaginal opening and ends just above the anal area.

Why is colporrhaphy performed?

The colporrhaphy procedure aims to effectively restore prolapsed organs back to their normal position and relieve symptoms such as urinary incontinence and pelvic pain.

Who performs Rectocele surgery?

This is the traditional approach to rectocele repair by urologists and gynecologists. A rectocele can also be repaired by a colorectal surgeon through a transanal repair.

How long do you stay in hospital after prolapse surgery?

Depending on the extent of your surgery , the hospital stay usually lasts one to four days. Many women have difficulty urinating immediately after the surgery and have to go home with a catheter in place to drain the bladder.

How do you feel after prolapse surgery?

You can expect to feel better and stronger each day. But you may get tired quickly and need pain medicine for a week or two. You may need about 4 to 6 weeks to fully recover from open surgery and 1 to 2 weeks to recover from laparoscopic surgery or vaginal surgery.

What can you eat after Rectocele surgery?

High-fiber foods, such as fruits, vegetables, and whole grains, soften bowel movements. This helps bowel movements pass more quickly through your colon. Slowly add fiber into your diet to avoid bloating, stomach pain, and gas.

When should Cystocele be repaired?

Treatment depends on whether you have symptoms, how severe your anterior prolapse is and whether you have any related conditions, such as urinary incontinence or more than one type of pelvic organ prolapse. Mild cases — those with few or no obvious symptoms — typically don't require treatment.

What is the downside of a pessary?

A pessary can occasionally cause some complications: Foul-smelling discharge. This could be a sign of a condition called bacterial vaginosis, which is an imbalance in the natural bacteria found in your vagina. Irritation and even damage inside the vagina.

Can a pessary affect bowel movements?

Pessary use creates the ability for a patient to forgo or to extend their time for a surgical intervention due to pelvic organ prolapse. Looking at the dynamics of the pessary, it may block bowel movement emptying.

How many years can a pessary be used?

Silicone pessaries can last for up to five years. A pessary does have a number of potential drawbacks and risks, although many women who use pessaries do not have any problems.