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Does Anterior Wall Repair Affect Intercourse

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Anterior vaginal wall repair

Nov 03, 2019 • February 22, 2020 • 4 minute read
Anterior vaginal wall repair
Photograph by Adam Health

Alternative names: A/P repair; Vaginal wall repair; Colporrhaphy — repair of vaginal wall; Cystocele repair — vaginal wall repair; Stress urinary incontinence — vaginal wall repair

Definition: Anterior vaginal wall repair is a surgical procedure. This surgery tightens the front (inductive) wall of the vagina.


Description

The anterior vaginal wall tin can sink (prolapse) or burl. This occurs when the bladder or the urethra sink into the vagina.

The repair may be done while you lot are under:

  • Full general anesthesia: You volition be asleep and unable to feel pain.
  • Spinal anesthesia: You will be awake, but y'all will exist numb from the waist down and you volition not feel hurting. Y'all will exist given medicines to help y'all relax.

Your surgeon will:

  • Make a surgical cut through the forepart wall of your vagina.
  • Move your bladder back to its normal location.
  • May fold your vagina, or cut away function of it.
  • Put sutures (stitches) in the tissue betwixt your vagina and bladder. These will hold the walls of your vagina in the right position.
  • Place a patch between your bladder and vagina. This patch tin be fabricated of man-made material (constructed pare) or commercially available biological material (such as pig or cow skin or cadaveric tissue).
  • Attach sutures to the walls of the vagina to the tissue on the side of your pelvis.

Sometimes, the surgeon will also brand a surgical cutting in your abdomen. This cut may be up and down or beyond.


Why the Procedure Is Performed

This procedure is used to repair sinking or bulging of the vaginal wall.

Symptoms of anterior vaginal wall prolapse include:

  • You may not be able to empty your bladder completely.
  • Your bladder may experience full all the time.
  • You may feel pressure in your vagina.
  • Y'all may be able to experience or see a bulging at the opening of the vagina.
  • You may have pain when you take sexual practice.
  • You may leak urine when y'all cough, sneeze, or elevator something.
  • You may get float infections.

This surgery by itself does not care for stress incontinence. Stress incontinence is the leaking of urine when y'all cough, sneeze, or lift. It may be performed along with other surgeries.

Before doing this surgery, your wellness care provider may take you:

  • Learn pelvic flooring muscle exercises (Kegel exercises)
  • Utilize estrogen cream in your vagina
  • Endeavor a device chosen a pessary in your vagina to hold upwards the prolapse


Risks

Risks for anesthesia and surgery in general are:

  • Reactions to medicines
  • Animate bug
  • Bleeding, blood clots
  • Infection

Risks for this process include:

  • Impairment 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
  • Lasting pain
  • Complications from the cloth used during surgery (mesh/grafts)


Before the Process

Ever tell your provider what drugs you are taking. Too tell the provider nearly 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 arrive hard for your blood to clot.
  • Inquire your provider which drugs you lot should still take on the day of your surgery.

On the twenty-four hours of your surgery:

  • You very often will be asked not to beverage or consume annihilation for 6 to 12 hours before the surgery.
  • Take the medicines your provider told you to take with a pocket-size sip of water.
  • Your provider will tell you lot when to go far at the hospital.


After the Procedure

Yous may accept a catheter to bleed urine for 1 or 2 days subsequently surgery.

You will be on a liquid nutrition right after surgery. When your normal bowel part returns, you can return to your regular diet.

You should not insert anything in the vagina or have sex until your surgeon says it is OK.


Outlook (Prognosis)

This surgery volition very oftentimes repair the prolapse and the symptoms volition go away. This improvement will oftentimes last for years.

  1. None

    Inductive

  2. Asthma

  3. General anesthesia

  4. Spinal and epidural anesthesia

  5. Stress urinary incontinence

  6. Urinary catheters

  7. Urinary incontinence

  8. Uterine prolapse

  9. None

    Vagina

References

Kirby AC, Lentz GM. Anatomic defects of the abdominal wall and pelvic floor: intestinal hernias, inguinal hernias, and pelvic organ prolapse: diagnosis and direction. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Comprehensive Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 20.

Walters Medico, Barber MD. Surgical treatment of anterior vaginal wall prolapse. In: Walters MD, Karram MM, eds. Urogynecology and Reconstructive Pelvic Surgery. quaternary ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 23.

Winters JC, Smith AL, Krlin RM. Vaginal and intestinal reconstructive surgery for pelvic organ prolapse. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 83.

Source: https://montrealgazette.com/surgery/anterior-vaginal-wall-repair

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