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DEE E. Fenner is Harold A. Furlong Professor of obstetrics and gynecology, director of gynecology, and associate chair for surgical services, department of obstetrics and gynecology, University of Michigan, Ann Arbor, Mich.
Anterior and posterior repair are minimally invasive procedures used to correct pelvic organs that have dropped out of their normal positions. When the tissues that support the pelvic organs become weak, stretched or damaged, due to age or childbirth for example, the organs can slip out of place, dropping down and pressing against the walls of the vagina. This is known as pelvic organ prolapse.
When the tissues that support the pelvic organs become weak, stretched, or damaged, due to age or childbirth for example, the organs can slip out of place, dropping down and pressing against the walls of the vagina. These sagging organs create a bulge in the vagina, causing pressure, pain, discomfort, and urinary and bowel dysfunction, among other symptoms. Anterior and posterior repair are used to tighten the support tissues that hold these organs in place, restoring their normal position and function.
Vaginal Rectocele Repair is typically done to correct bulging of the bottom wall of the vagina. This bulging can cause symptoms such as the sensation of sitting on a ball, incomplete emptying of the rectum, and pelvic discomfort. The surgery is usually done through a vaginal approach, but in some circumstances a combined abdominal and vaginal approach to the repair is made.
The treatment of recurrent pelvic organ prolapse is challenging. The pelvic floor symptom needs to be treated, a high quality of life has to be ensured and complications have to be minimized. There is a wide range of surgical options that may be used.
What the evidence and the experts say about the various approaches for prolapse repair. For these reasons, POP repair is not a one-size-fits all procedure. In this article, experts in minimally invasive prolapse repair offer their perspectives on 3 surgical approaches: use of native tissue Drs.
A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of fibrous tissue that separates the rectum from the vagina weakens. When this happens, tissues or structures just behind the vaginal wall — in this case, the rectum — can bulge into the vagina. A posterior vaginal wall prolapse occurs when the thin wall of tissue that separates the rectum from the vagina weakens, allowing the vaginal wall to bulge. Posterior vaginal prolapse is also called a rectocele REK-toe-seel.
There are several ways to surgically treat pelvic organ prolapse. There is no one right answer for all patients. We suggest a consultation with one of our doctors, to determine which option is best for each patient.