what is vaginal wall prolapse

What is a vaginal wall repair?

Due to obesity, strenuous childbirth or the dreaded menopause, vagina muscles can become weakened and overstretched over time. As a result of the stress on the body, the vagina may move from its original position and become prolapsed. The bladder or anus can bulge into the vagina causing a feeling of fullness, pressure on the bladder or anus, leaking, incontinence, pain during intercourse and recurrent bladder infections. The effect of the prolapse can be felt on the front and back walls of the vagina.

A vagina wall repair can help fix some of the problems associated with prolapse. Depending on the location of the damage, Mr Broome can recommend repair surgery which will last for years. There are two different types of repair.

Anterior repair focuses on the front wall of the vagina, when the bladder prolapses and bulges in the front. Under a general anaesthetic, Mr Broome will push back the bladder to its original position while tightening the front to support the vagina.

Posterior repair focuses on the rectum and the back wall of the vagina. Again, under a general anaesthetic, the bowel is pushed back to its original position to prevent bowel dysfunction and sagging in the vagina. The tissue between the anus and vagina will be tightened in a similar way to the anterior repair.

The vagina wall repair can be combined with other complimentary treatments such as pelvic floor muscle exercises, post baby exercises and oestrogen cream to lubricate the vagina. The key to looking after your prolapse is to book a consultation and look out for the danger signs:

• Feeling rectal or bladder pressure or fullness
• The need to press on a bulge in your vagina to push stool
• Seeing a bulge at the opening of the vagina
• Pain during intercourse
• Stress incontinence, leaking urine during strenuous activities

Recurrent bladder infections

Mr Broome is experienced with all manner of prolapse and he can advise the most suitable course of treatment or surgery for you. Please email or ring us for further information.

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