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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.
Rectoceles, in which the anterior wall of the rectum protrudes into the posterior wall of the vagina, require posterior colporrhaphy, also known as repair of the vaginal wall. [29] Though pelvic floor dysfunction is more common in women, there are also proven methods to assist men.
Colpocleisis is a procedure involving closure of the vagina, used to treat vaginal prolapse. [1] [2]In women who are no longer sexually active, a simple procedure for reducing prolapse is a partial colpocleisis.
In vaginoplasty repairs, a modified anterior and/or high posterior colporrhaphy and/or the excision of lateral vaginal mucosa are used to remove sections of the mucosa from the vaginal fornices. [21] The goal of this procedure is to tighten a rather lax upper vagina. [21]
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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]
The surgery to repair the anterior vaginal wall may be combined with other procedures that will repair the other points of pelvic organ support such as anterior-posterior repair and anterior colporrhaphy. [12] Treatment of cystocele often accompanies the more invasive hysterectomy. [32]
No prolapse anterior and posterior points are all −3 cm, and C or D is between −TVL and −(TVL−2) cm. 1 The criteria for stage 0 are not met, and the most distal prolapse is more than 1 cm above the level of the hymen (less than −1 cm).