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Gynaecology - Anterior & Posterior Colpoperineorrhaphy

Home Gynaecology – Anterior & Posterior Colpoperineorrhaphy

Introduction

For various health conditions and consequences, women are referred to gynecologists. Gynecology consists of treating several types of health issues that women usually face. This includes general health, maternity issues, reproductive and fertility issues, and other exterior health problems, such as vaginal infections.

At Smiles Institute of Gastroenterology LLP, we are dedicated to providing the best gynecological treatment to women, helping them optimize their health at every stage of life. Our gynecological experts offer routine checkups to female patients through general gynecology care for complicated disorders related to the female reproductive system.

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What is Anterior And Posterior Vaginal Wall Prolapse In Gynaecology?

One of the common issues that most women face is posterior and anterior vaginal wall prolapse. This situation refers to an organ protruding inside the vaginal canal. However, the anterior and posterior vaginal wall prolapse are two different conditions.

The anterior vaginal wall prolapse is also known as the urethrocele or cystocele, which means the urethra or bladder is involved. The posterior vaginal wall prolapse is known as the enterocele when the peritoneum and small intestine are involved.

What are the Symptoms of Anterior And Posterior Vaginal Wall Prolapse?

Common symptoms of the vaginal wall prolapse include pressure, vaginal or pelvic fullness, a sensation of organs falling out, etc. The organs may get bulged into the vaginal opening during cough or straining. Other than that, a woman may face difficulties in defecating and urinating.

What are the Severity And Risk Factor of Anterior & Posterior Colpoperineorrhaphy?

The risk factors for vaginal wall collapse depend on factors such as obesity, age, and vaginal delivery. The severity of such a condition is graded by the Baden Walker system based on the protrusion level. This is classified in grades based on the condition of the prolapse. Currently, gynecologists classify it on the basis of the POP-Q system or the Pelvic Organ Prolapse Quantification System. This includes stages where they detect the condition of the prolapse in certain stages.

What are the Treatment Associated with Colporrhaphy Vaginal Wall Prolapse?

To treat vaginal wall prolapse, gynecologists mostly suggest the surgical treatment of colporrhaphy. This is a surgical procedure performed to correct the defects in the pelvic organ and prolapse in the vaginal wall, including the rectoceles and cystoceles. This surgical procedure aims to restore the prolapsed organs to their normal state and position. It also helps patients get relief from symptoms such as pelvic pain and urinary incontinence.

The treatment is further subdivided into Anterior repair and Posterior repair. These are minimally invasive procedures performed mainly to correct the pelvic organ that has fallen out of its normal position.

  • Anterior Repair: The anterior repair is done to tighten the anterior or front wall of the vagina. It is used when the bladder bulges out into the front from its normal position of the vagina. This causes the vagina’s front wall to sag. During the surgical procedure, the bladder gets pushed back to its normal position. The supporting tissues and the bladder get reinforced and tightened. This procedure is also known as anterior colporrhaphy.
  • Posterior Repair: In posterior repair, the back wall of the vagina is tightened during the surgical procedure. It is performed when the rectum drops out and bulges into the vagina’s back, thus moving it from its normal condition. This causes the back wall of the vagina to sag. This results in bowel movement dysfunction, resulting in constipation. This fallen rectum condition is treated during surgery by pushing the rectum back to its normal position. The supporting tissues of the vagina, along with the rectum, get reinforced and tightened. This procedure is also known as the posterior colporrhaphy.

Since colporrhaphy is a minimally invasive treatment, it can be performed under both local and general anesthesia, depending on the severity of the patient’s condition. During the colporrhaphy surgical process, a speculum is inserted into the vaginal area to keep it open while an incision is made to separate the fascia skin from the lesion, which is then sutured and folded over in place. Other approaches may also be taken by the surgeon to correct the vaginal defect while performing the colporrhaphy surgical process.

What are the Side Effects and Recovery Associated with Colporrhaphy?

The colporrhaphy surgical procedures might have associated risks. This may include bleeding, infection, recurrent prolapse, injury to other pelvic structures, urine leakage, anesthesia-related complications, etc.

After a colporrhaphy procedure, patients might require a catheter for several days, depending on their condition. They would also be required to consume only a liquid diet until normal bowel function is restored. The doctor will also give specific instructions to patients to ensure a quick recovery and effective results from the surgical procedure. In normal cases, patients generally recover within four weeks of surgery. Also, the side effects of the surgery subside with time.

Smiles Institute of Gastroenterology LLP is one of the best medical institutes renowned for its best-in-class gynecological services. To make an appointment with our gynecological experts, connect with us today.

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FAQ's

Is Posterior Colporrhaphy a Major Surgery?

The posterior repair might be a major surgery when minor treatments have failed.

What happens When the Prolapse is not Treated on Time?

If the prolapse is left untreated, it might lead to various complications such as bleeding and ulceration.

How Long Does the Bladder Lifting Process Last?

The colporrhaphy treatment typically has a high success rate, and the bladder lift lasts for several years. However, the issue of urine leakage might cause trouble at times.

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