Anterior Vaginal Wall Repair: A Specialist's Solution for Vaginal Prolapse
A specialist in gynecology or urogynecology, often a gynecologist with additional training in pelvic reconstructive surgery, performs Anterior Vaginal Wall Repair. This procedure tightens the front wall of the vagina, helping the bladder or urethra stay in its proper position, correcting vaginal prolapse.
Vaginal prolapse, where the bladder or urethra slips down into the vagina, can be caused by factors such as pregnancy, vaginal childbirth, being overweight, straining during bowel movements, heavy lifting, and chronic cough. Symptoms may include pain during intercourse, a sense of fullness or discomfort in the vagina, a sense of pulling or heaviness in the pelvic region, low backache, frequent urination, and stress incontinence.
The surgical procedure involves an incision in the front wall of the vagina under general or spinal anesthetic. The bladder or urethra is repositioned and secured with stitches. After surgery, patients may stay in the hospital for several days, use a catheter for one to two days, and follow a liquid diet initially. Risks include painful urination, frequent urge to urinate, urine leakage, and damage to the urethra, vagina, or bladder. Despite these risks, the procedure is highly successful in most cases, providing long-term improvement of prolapse symptoms.
Preparation for surgery may involve fasting, stopping certain medications, and discussing proper medication usage with the doctor if taking blood-thinning medications. Preventive measures for prolapse include maintaining a healthy weight, treating chronic cough and constipation, and lifting properly by bending the knees.
Anterior Vaginal Wall Repair, performed by a specialist, is an effective solution for vaginal prolapse. While there are risks involved, the procedure has a high success rate, improving prolapse symptoms in the long term. Proper preparation and preventive measures can help ensure a successful outcome.
