BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuAnterior vaginal wall repairVaginal wall repair; Colporrhaphy - repair of vaginal wall; Cystocele repair - vaginal wall repairAnterior vaginal wall repair is a surgical procedure. This surgery tightens the front (anterior) wall of the vagina.AnteriorAnterior means "in front of" or "the front surface of. " It usually refers to the front side of the body. For example, your knee caps are on the ant...ImageRead Article Now Book Mark Article Description The anterior vaginal wall can sink (prolapse) or bulge. This occurs when the bladder or the urethra sink into the vagina.The repair may be done while you are under:General anesthesia: You will be asleep and unable to feel pain. General anesthesiaGeneral anesthesia is treatment with certain medicines that puts you into a deep sleep so you do not feel pain during surgery. After you receive the...Read Article Now Book Mark Article 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.Spinal anesthesiaSpinal and epidural anesthesia are procedures that deliver medicines that numb parts of your body to block pain. They are given through shots in or ...Read Article Now Book Mark Article Your surgeon will:Make a surgical cut through the front wall of your vagina. VaginaThe vagina is the female body part that connects the womb (uterus) and cervix to the outside of the body.ImageRead Article Now Book Mark Article Move your bladder back to its normal location. May fold your vagina, or cut away part of it. Put sutures (stitches) in the tissue between your vagina and bladder. These will hold the walls of your vagina in the correct position. Place a patch between your bladder and vagina. This patch can be made of commercially available biological material (cadaveric tissue). FDA has banned use of synthetic material and animal tissue in the vagina to treat anterior vaginal wall prolapse. Attach sutures to the walls of the vagina to the tissue on the side of your pelvis. Why the Procedure Is Performed This procedure is used to repair sinking or bulging of the anterior vaginal wall.Symptoms of anterior vaginal wall prolapse include:Anterior vaginal wall prolapseUterine prolapse occurs when the womb (uterus) drops down and presses into the vaginal area.ImageRead Article Now Book Mark Article You may not be able to empty your bladder completely. Your bladder may feel full all the time. You may feel pressure in your vagina. You may be able to feel or see a bulging at the opening of the vagina. You may have pain when you have sex. You may leak urine when you cough, sneeze, or lift something. You may get bladder infections. This surgery by itself does not treat stress incontinence. Stress incontinence is the leaking of urine when you cough, sneeze, or lift. Surgery to correct stress urinary incontinence may be performed along with other surgeries.Stress incontinenceStress urinary incontinence occurs when your bladder leaks urine during physical activity or exertion. It may happen when you cough, sneeze, lift so...ImageRead Article Now Book Mark Article Before doing this surgery, your health care provider may have you:Learn pelvic floor muscle exercises (Kegel exercises) Kegel exercisesKegel exercises can help make the muscles under the uterus, bladder, and bowel (large intestine) stronger. They can help both men and women who have...Read Article Now Book Mark Article Use estrogen cream in your vagina Try a device called a pessary in your vagina to strengthen the muscle around the vagina Risks Risks for anesthesia and surgery in general are:Reactions to medicines Breathing problems Bleeding, blood clots InfectionRisks for this procedure include: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) Worsening urinary incontinence Urinary incontinenceUrinary (or bladder) incontinence occurs when you are not able to keep urine from leaking out of your urethra. The urethra is the tube that carries ...ImageRead Article Now Book Mark Article Lasting pain Complications from the material used during surgery (mesh/grafts) Before the Procedure Always tell your provider what drugs you are taking. Also tell the provider about the drugs, supplements, or herbs you bought without a prescription.During the days before the surgery:You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot. Ask your provider which drugs you should still take on the day of your surgery. On the day of your surgery:You very often will be asked not to drink or eat anything for 6 to 12 hours before the surgery. Take the medicines your provider told you to take with a small sip of water. Your provider will tell you when to arrive at the hospital. After the Procedure You may have a catheter to drain urine for 1 or 2 days after surgery.CatheterA urinary catheter is a tube placed in the body to drain and collect urine from the bladder.Read Article Now Book Mark Article You will be on a liquid diet right after surgery. When your normal bowel function returns, you can return to your regular diet.You should not insert anything in the vagina, lift heavy items, or have sex until your surgeon says it is OK. Outlook (Prognosis) This surgery will very often repair the prolapse and the symptoms will go away. This improvement will often last for years.Open ReferencesReferencesKirby AC, Lentz GM. Anatomic defects of the abdominal wall and pelvic floor: abdominal hernias, inguinal hernias, and pelvic organ prolapse: diagnosis and management. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Comprehensive Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 20.Winters JC, Krlin RM, Halllner B. Vaginal and abdominal reconstructive surgery for pelvic organ prolapse. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 124.Wolff GF, Winters JC, Krlin RM. Anterior pelvic organ prolapse repair. In: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Hinman's Atlas of Urologic Surgery. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 89.AllVideoImagesTogAnterior vaginal wall repair - illustration During anterior vaginal wall repair, the pubocervical fascia is folded and stitched to bring the bladder and urethra into the proper position.Anterior vaginal wall repairillustrationCystocele - illustration A cystocele is an downward outpocketing or hernia of the bladder towards the vaginal opening. The weakening of the muscular wall in this condition can cause urine to leak from the bladder when there is an increase in internal abdominal pressure such as in sneezing or coughing. CystoceleillustrationAnterior vaginal wall repair (surgical treatment of urinary incontinence) - seriesPresentation Anterior vaginal wall repair - illustration During anterior vaginal wall repair, the pubocervical fascia is folded and stitched to bring the bladder and urethra into the proper position.Anterior vaginal wall repairillustrationCystocele - illustration A cystocele is an downward outpocketing or hernia of the bladder towards the vaginal opening. The weakening of the muscular wall in this condition can cause urine to leak from the bladder when there is an increase in internal abdominal pressure such as in sneezing or coughing. Cystoceleillustration Anterior vaginal wall repair (surgical treatment of urinary incontinence) - seriesPresentation Related Information Anterior(Special Topic)Vagina(Special Topic)Urinary catheters(Special Topic)Stress urinary incontinence(Condition)Artificial urinary sphincter(Surgery)Urinary incontinence - injectable implant(Surgery)Urinary incontinence - retropubic suspension(Surgery)Urinary incontinence - urethral sling procedures(Surgery)Urinary incontinence - tension-free vaginal tape(Surgery)Urinary incontinence surgery - female - discharge (Discharge)When you have urinary incontinence(Self-Care)Kegel exercises - self-care(Self-Care)Urine drainage bags(Self-Care)Self catheterization - female(Self-Care)Suprapubic catheter care(Self-Care)Urinary incontinence products - self-care(Self-Care)Urinary incontinence(In-Depth) Review Date: 5/15/2020 Reviewed By: Sovrin M. Shah, MD, Assistant Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. 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