What Is Anterior Vaginal Wall Repair?
Anterior vaginal wall repair is a surgical procedure used to
correct a condition called vaginal
prolapse. “Prolapse” means to slip out of place. In the case of a vaginal
prolapse, your bladder or urethra slips down into your vagina. Your urethra is
the tube that carries urine out of your body.
Anterior vaginal wall repair surgery tightens the front wall
of your vagina. Tightening your muscles and soft tissues helps your bladder or
urethra stay in its proper position.
Symptoms of Prolapse
In many cases of vaginal prolapse, you may not have
symptoms. If you do have symptoms, they can include:
- pain during sexual intercourse
- a sense of fullness or discomfort in your vagina
- a sense of pulling or heaviness in your pelvic
- a low backache that gets better when you lie
- frequent urination
Speak with your doctor if you notice these symptoms. You may
have vaginal prolapse. They may recommend anterior vaginal wall repair.
Causes of Prolapse
A number of factors contribute to the formation of vaginal
prolapse. You’re more likely to develop a prolapse that requires anterior
vaginal wall repair if you:
- are pregnant
- deliver a baby vaginally
- are overweight
- strain during bowel movements
- participate in heavy lifting
- have a chronic cough
You can prevent prolapse by:
- maintaining a healthy weight
- treating a chronic cough
- treating chronic constipation
- lifting properly by bending your knees
Risks of Vaginal Surgery
Most often, the benefits of anterior vaginal wall repair outweigh
the risks. In some cases, you may experience the following after surgery:
- painful urination
- a frequent, sudden urge to urinate
- a leakage of urine
- damage to your urethra, vagina, or bladder
Discuss these risks with your doctor before having an anterior
vaginal wall repair.
Preparing for Surgery
Your doctor will probably ask you to fast for at least eight
hours before your surgery. You should also stop taking aspirin, ibuprofen, and
naproxen several days before your surgery. This will reduce your risk of
experiencing excessive bleeding. Ask your doctor about proper medication usage
if you take warfarin or other blood-thinning medications.
Anterior vaginal wall repair is performed under general or
spinal anesthetic. Under general anesthetic, you’re asleep and experience no
pain. Under a spinal anesthetic, you’re numb below your waist and unable to
feel pain, but you’re awake.
Your surgeon will make an incision in the front wall of your
vagina. They’ll reposition your bladder or urethra to its normal location
through the incision. Surgical stitches in the tissues between your vagina and
bladder will help hold your organs in place. Your surgeon may also remove
additional vaginal tissue. This can help tighten your muscles and ligaments
You’ll most likely remain in the hospital for several days
after anterior vaginal wall repair. Your bladder may be affected by the surgery,
and you may need to use a catheter for one to two days. A catheter is a small
tube that’s placed in your bladder to remove urine from your body.
It’s common to be on a liquid diet after this surgery. Once
you’re able to urinate and have normal bowel movements, you can resume a
Anterior vaginal wall repair is highly successful in most
cases. Many women who have surgery show long-term improvement of prolapse
symptoms. If you experience complications after your surgery, speak to your
doctor. Ask them about your treatment options and long-term outlook.