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Colporrhaphy (also vaginal wall repair, anterior and/or posterior colporrhaphy, anterior and/or posterior vaginal wall repair, or simply A/P repair or A&P repair) is a surgical procedure in women that repairs a defect in the wall of the vagina.
When operating a pelvic organ prolapse, introducing a mid-urethral sling during or after surgery seems to reduce stress urinary incontinence. [13] Transvaginal repair seems to be more effective than transanal repair in posterior wall prolapse, but adverse effects cannot be excluded. [14] According to the FDA, serious complications are "not rare ...
Unfortunately, posterior vaginal wall prolapse occurred in some patients even though the anterior repair was successful. [39] In 1955, using mesh to support pelvic structures came into use. In 1970, tissue from pigs began to be used to strengthen the anterior vaginal wall in surgery.
In gynecology, a rectocele (/ ˈ r ɛ k t ə s iː l / REK-tə-seel) or posterior vaginal wall prolapse results when the rectum bulges into the vagina. [1] Two common causes of this defect are childbirth and hysterectomy. [2] Rectocele also tends to occur with other forms of pelvic organ prolapse, such as enterocele, sigmoidocele and cystocele. [1]
Uterine Prolapse, an example of pelvic organ prolapse (POP) Transvaginal mesh prevents pelvic organs, such as the bladder, uterus and rectum from sagging into the vagina due to weak pelvic muscles by acting as a hammock underneath. [3] Depending on the organs involved, it can be placed on the anterior, posterior, or top wall of vagina ...
Pelvic organ prolapse is often treated with one or more surgeries to repair the vagina. Sometimes a vaginoplasty is needed following the treatment or removal of malignant growths or abscesses to restore a normal vaginal structure and function. Surgery to the vagina is done to correct congenital defects to the vagina, urethra and rectum.
In women who are no longer sexually active, a simple procedure for reducing prolapse is a partial colpocleisis. The procedure was described by Le Fort [ citation needed ] and involves the removal of strip of anterior and posterior vaginal wall, with closure of the margins of the anterior and posterior wall to each other.
The rugae can disappear with anterior vaginal wall prolapse which can occur when supports to the portion located between the vagina and bladder are damaged and the bladder bulges into the vaginal lumen. Vaginal self-examination includes visualizing the presence of vaginal rugae. [8] Anatomists identified rugae of the vagina as early as 1824. [9]