FAQs about Anterior-Posterior Vaginal Repair 1
These details are basically put together to help and assist your personal understanding and perception of what exactly is associated with anterior and posterior vaginal repair. This is really meant to be a guide as well as not likely to include every single detail of the procedure.
What is meant by Anterior Vaginal Wall Repair or Posterior Vaginal Wall Repair?
- Both surgical procedures are done to correct prolapse of the vaginal walls. They are often performed independently, or possibly jointly together, in case the womb is positioned to prolapse, consequently needing to be removed (vaginal hysterectomy).
Anterior Vaginal Repair
- Anterior Vaginal Repair corrects prolapse or the sliding forward of the front wall of the vagina. The bladder is situated behind this and tends to be drawn sown along with it. This will likely bring about symptoms such as discomfort as well as feeling a bulge in the vagina.
- During the course of the surgery, the vaginal wall is cut and the bladder pushed and moved back up into its normal position. It is supported in its place and the excessive vaginal mucosa tissues are trimmed after which it is be stitched close. The suturing is done alternatively with 2 or 3 layers to avoid post-operative complications such as bleeding.
Posterior Vaginal Repair
- A posterior vaginal wall repair corrects prolapse or rather the sliding forward of the back wall of the vagina. The rectum can be found behind this and tends to be pulled down along with it. This will likely bring about a feeling of physical discomfort, bulge in the vagina, as well as troubles with opening up and perhaps controlling the bowels. This procedure will involve a very similar method to push the rectum back to its normal position.
Both of the surgical procedures are performed under Intravenous Sedation or under General Anesthesia. This will be discussed with you with Dr. Vitasna. All the stitches are absorbable and thus be noticed coming out from the sutured area after 4-6 weeks after the procedure. This is definitely not unusual.
Prior to the operation, you will be invited to a pre-operative consultation where you will be evaluated for surgery. You will be received by a member of the nursing staff in our Center who will make inquiries regarding your previous medical history as well as arrange for some medical tests, i.e. blood tests, ECG, and probably a chest X- Ray.
What should you do before visiting our Center?
- You should prepare and take with you any pills or treatment medications you are currently taking.
I have started my period. Can I have the surgery?
- It is best to undergo the surgery after your period. It is not advisable to do the surgery just before the period starts or during the period.
What are the things needed to take with me in the hospital?
- You can possibly have the surgery done on the day of your consultation depending on the availability of Dr. Vitasna’s schedule. Otherwise you may book for a possible surgery on the day of your consultation. This you may do through online pre-consultation and arrangement.
- You may need to bring along with you nightwear, loosely fitting daytime clothing, personal hygiene stuff, loose fitting underwear and sanitary pads.
What goes on before the surgery?
- It is advisable to have a bath or perhaps a shower before you come into the hospital.
- A staff nurse will usher you to a treatment room where Dr. Vitasna will give her preliminary examination as you express to her your areas of concern.
- After the examination and assessment, you will discuss with Dr. Vitasna about your expectations and concerns. She will then explain to you about the surgery and you may freely ask your questions.
- After you have chosen the best alternative for your case, prices and quotes will be written down with you.
This ends your consultation.
After the consultation, what happens next?
- You will be given consent forms to sign, which gives us permission to perform surgery on you. A staff nurse will guide you through the process of payment and will review the post-operative care you need to do after the surgery.
- Meeting the Anesthesiologist: You will be directed to the anesthesiologist who will administer the anesthesia during the surgery. Please tell him/her about your allergies to medications, your medical history, dental treatments, previous surgeries you have had, and any family history with anesthesia problems.
- Preparation for Surgery: As you arrive in the ward, a staff nurse is going to assess your vital signs or the basic tests such as your temperature, respiration, your blood pressure and your pulse. She will check your information (name, birth date), show you your bed, assist you to change into a gown, and provide you with an identity wristband.
- If you are wearing nail polish or makeup, you may be asked to remove it.
- Jewelries are also to be taken out. Should you be unable to remove some piece of jewelry, a protective tape will be placed over it.
- Contact lenses are to be removed as well as glasses and dentures.
After all these have been done, a staff member will accompany you to the operating theater and will hand you over the care of the anesthetic team.
What happens after the surgery?
- After the surgery, you will be wheeled to the recovery room. Expect to be conscious a minute or two after the surgery ends. However, it is very unlikely you will remember anything until you are cleared to go back to your room in the ward.
- You may expect a narrow tube on your hand inserted in your vein to replace lost fluids. You may find a catheter draining urine from your bladder. This will be taken off when you can go to the bathroom and void.