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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.
For posterior vaginal repair, the use of mesh or graft material does not seem to provide any benefits. [14] Compared to native tissue repair, transvaginal permanent mesh likely reduces the perception of vaginal prolapse sensation, the risk of recurrent prolapse, and of having repeat surgery specifically only for prolapse.
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]
Comparison between the vaginal condition before and after conducting perineoplasty. Perineorrhaphy is a common technique that is involved in the procedure, which aims to repair the perineum (i.e. the area between the vagina and anus) surgically. [24] It can be performed with or without levator ani plication to tighten the pelvic floor muscles. [24]
Vaginal shrinkage occurred was documented in 2–10% of those treated. Stricture, or narrowing of the vaginal orifice was reported in 12–15% of the cases. Of those reporting stricture, 41% underwent a second operation to correct the condition. Necrosis of two scrotal flaps has been described. Posterior vaginal wall is a rare complication.
The absence of vaginal rugae seen in the normal vagina of a healthy woman may be an indication of a prolapsed bladder (cystocele) or rectocele. [13] [12] An enterocele, or bulging of the bowel into the vagina can also cause vaginal rugae to disappear. [16] The absence of vaginal rugae may also be an indicator of pelvic organ prolapse.
Doctors began performing episiotomies regularly in the 1920s, as they believed that it would be easier to repair, and cause less trauma and damage overall, than a natural vaginal tear.
The vaginal support structures are those muscles, bones, ligaments, tendons, membranes and fascia, of the pelvic floor that maintain the position of the vagina within the pelvic cavity and allow the normal functioning of the vagina and other reproductive structures in the female.