Vaginal posterior repair

What is the recovery time for a posterior repair? What can I expect after posterior repair? What to expect after rectocele surgery?

A posterior vaginal repair is surgery to fix a rectocele or vaginal hernia. How do I prepare for surgery?

Your healthcare provider will talk to you about how to prepare for surgery. A perineorrhaphy is the term used for the operation that repairs the perineal body. The perineal body (the supporting tissue between vaginal and anal openings) also helps to support the back wall of the vagina. Posterior repair is used to tighten the back (posterior ) wall of the vagina. It is used when the rectum drops out of its normal position and bulges into the back of the vagina , causing the back wall of the vagina to sag , which may result in bowel dysfunction.

This condition is known as posterior wall prolapse, rectocele or fallen rectum. Posterior and vault repair: An incision is made to the posterior wall of the vagina.

Dissection below the vagina identifies the rectovaginal fascia and opens the space between the rectum and the pelvic floor muscle to the sacrospinous ligaments. Defects in the fascia are corrected by centrally plicating the fascia using sutures. A Posterior Repair (Rectocele) is a bulging of the rectum into the vagina. It happens when the tissues that support the rectum and vagina are weakened and torn.

Vaginal childbirth, chronic constipation, and heavy lifting all increase your risk of rectocele, as they can damage the tissue that supports the rectum and vagina. Since most of these surgeries are performed under general anesthesia, the patient will likely feel groggy as she wakes up. Posterior Vaginal Repair A prolapse of the back wall of the vagina (posterior) is usually due to a weakness in the strong tissue layers that divides the vagina from the lower part of the bowel.

Vaginal repairs are know by various names including prolapse repairs, vaginal rejuvenation and vaginoplasty. This type of prolapse can protrude and bulge from the vagina when it’s severe. Rectocele is the most commonly occurring form of posterior vaginal prolapse. The other type is called enterocele and occurs when the small bowel bulges into the vagina.

Many women with posterior vaginal prolapse also experience prolapse of other pelvic organs , such as the bladder , uterus or — for women who have had surgery to remove the uterus (hysterectomy ) — the top of the vagina. When to see a doctor. In fact, you may not even know you have posterior vaginal prolapse.

But sometimes moderate or severe posterior vaginal prolapses can be bothersome or uncomfortable.

A vaginal pessary is a plastic or rubber ring inserted into your vagina to support the bulging tissues. A pessary must be removed regularly for cleaning. Surgical repair might be needed if: The posterior vaginal prolapse protrudes outside your vagina and is especially bothersome. The Vaginoplasty or Vaginal Rejuvenation or Vaginal Tightening or Posterior Vaginal Repair is a surgical procedure performed to fix Vaginal Relaxation. Women with vaginal relaxation often complain they no longer feel the same amount of friction during intercourse.

Anterior Posterior Vaginal Repair is one of the most complex and meticulous cosmetic surgeries performed today. It requires extensive experience, precision, and accuracy to create the optimal the patient desire and deserve. Many surgeons have little to no experience with this type of advanced urogynecology surgery. The surgery which is used to repair the perineal body is called a perineorhaphy. Why is this type of surgery carried out?

An anterior colporrhaphy treats a cystocele or urethrocele, while a posterior colporrhaphy treats a rectocele. Surgery is generally not performed unless the symptoms of the prolapse have begun to interfere with daily life. Your surgeon will use a speculum to widen the vagina and hold it open.

This will show the damage in the front vaginal wall, particularly in the supporting tissues. He or she will make an incision through the skin of your vagina. I had vaginal posterior and anterior repair done weeks ago. Tuesday morning it was uncomfortable and when I stood up it felt like a heavy pressure down below rather than pain.

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