Christopher Maher Urogynaecologist 

Phone: (07) 3876 7272

ANTERIOR AND/OR POSTERIOR VAGINAL REPAIR

(COLPORRHAPHY)


INDICATIONS:


Anterior repair: treatment for prolapse of bladder (bladder bulges forward into the vagina; cystocele) or urethra.


Posterior repair:
correction of bowel prolapse (rectum bulges forward into the vagina; rectocele) Vault repair: treat prolapse of upper vagina


Depending on the side of the defect, the repair can either be anterior, posterior, vault or total. The repair is achieved by the placement of permanent mesh that may result in a stronger repair.

 

Surgical technique

The procedure can be performed under regional or general anaesthesia.

Anterior vaginal repair:



Posterior and vault repair:

Success rate of the surgery is about 85 - 90%. Serious complications are rare with this type of surgery. However, no surgery is without risk and the main potential complications are listed below.

In hospital and recovery
You can expect to stay in hospital between 3-6 days. The vaginal pack is removed on the first day and the bladder catheter after the first few days. In the early postoperative period you should avoid situations where excessive pressure is placed on the repair ie lifting, straining, coughing and constipation. Maximal fibrosis around the repair occurs at 3 months and care needs to be taken during this time. If you develop urinary burning, frequency or urgency you should see your local doctor. You will see Dr Maher at 6 weeks for a review and sexual activity can usually be safely resumed at this time. You can return to work at approximately 4-6 weeks depending on the amount of strain that will be placed on the repair at your work and on how you feel.
Avoiding heavy lifting (>15kg), weight gain and smoking can minimize failure of the procedure in the long term. If you have any questions about this information, you should speak to Dr. Maher or his team before your operation.


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