What are the indications for anterior and posterior vaginal wall repair?

A woman's vagina is very important because it is not only related to human health, but also to childbirth and married life. Therefore, every woman should protect her vagina in daily life and take proper care of it. You don’t have to clean your vagina every day; once every three or four days is enough. So, what are the indications for anterior and posterior vaginal wall repair?

Anesthesia and preoperative preparation

1. Anesthesia method

Epidural block.

2. Preoperative Preparation

(1) Patients with bladder and urethral infection should receive early treatment and surgery should be performed after the inflammation subsides.

(2) Strengthen the pelvic floor muscle exercises and increase their tension.

(3) Patients with chronic cough should undergo surgery only after their condition improves.

(4) Those with perineal dermatitis, eczema, or erosion should actively seek treatment and keep the skin dry.

(5) Before the operation, clean the inner thighs and vagina with soapy water and rinse the vagina for disinfection.

Indications

Anterior vaginal wall repair is suitable for patients with stress urinary incontinence accompanied by anterior vaginal wall prolapse and uterine prolapse.

Surgical procedures

1. Make a midline longitudinal incision on the anterior vaginal wall.

2. Free the anterior vaginal wall.

3. Fold the urethra.

4. Repair the anterior vaginal wall.

5. Suture the vagina.

Postoperative complications

Incision infection, bleeding, urinary fistula, urinary incontinence, and difficulty urinating.

Precautions

1. Remove the gauze from the vagina 12 hours after surgery.

2. Place an indwelling catheter to drain urine continuously and keep the catheter open to keep the bladder empty and avoid tearing of the suspension sutures. The urinary catheter was removed 5 to 7 days after the operation, and the urination situation was observed.

3. Keep bowel movements smooth to avoid tearing of the suspension sutures due to increased abdominal pressure during defecation.

4. Use antimicrobial drugs to prevent infection.

5. Rest in bed for 1 week and then do heavy physical work after 2 to 3 months.