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Simulation

Anterior and Posterior Colporrhaphy

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Anterior Colporrhaphy

Posterior Colporrhaphy

Postoperative Care for Anterior and Posterior Colporrhaphy

  • Pelvic rest
  • Avoid heavy lifting
  • Avoid constipation
  • Sitz baths
  • Catheterization with short-term urinary retention
  • Do not need to continue antibiotics after procedure prophylaxis

Contributing Authors

  • Chi Chiung Grace Chen, MD Associate Professor Johns Hopkins University
  • Michael Fialkow, MD, MPH Associate Professor University of Washington School of Medicine
  • Christine Vaccaro, DO Assistant Professor Madigan Army Medical Center Uniformed Services University of Health Sciences

References

  1. Barber MD, Cundiff GW, Weidner AC, Coates KW, Bump RC, Addison WA. Accuracy of clinical assessment of paravaginal defects in women with anterior vaginal wall prolapse. Am J Obstet Gynecol 1999;181:87–90.
  2. Carey M, Higgs P, Goh J, Lim J, Leong A, Krause H, et al. Vaginal repair with mesh versus colporrhaphy for prolapse: a randomised controlled trial. BJOG. 2009;116:1380–6.
  3. Hoffman BL, Schorge JO, Schaffer JI, Halvorson LM, Bradshaw KD, Cunningham FG. Williams Gynecology, 2nd edition. Surgeries for Pelvic Floor Disorders, 2012.
  4. Maher C, Feiner B, Baessler K, Schmid C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2013 Apr 30;4:CD004014.
  5. Maher CF, Qatawneh AM, Baessler K, Schluter PJ. Midline rectovaginal fascial plication for repair of rectocele and obstructed defecation. 2004;104:685–89.
  6. Marks BK, Goldman HB. What is the gold standard for posterior vaginal wall prolapse repair: mesh or native tissue? Curr Urol Rep 2012;13:216–21.
  7. Muir TW. “Surgical Treatment of Rectocele and Perineal Defects” in Walters MD and Karram MM, editors. Urogynecology and Reconstructive Surgery, 3rd Edition. Philadelphia, 2007:246–61.
  8. Paraiso MF, Barber MD, Muir TW, Walters MD. Rectocele repair: a randomized trial of three surgical techniques including graft augmentation. Am J Obstet Gynecol 2006;195:1762–71.
  9. Rooney K, Kenton K, Mueller ER, FitzGerald MP, Brubaker L. Advanced anterior vaginal wall prolapse is highly correlated with apical prolapse. Am J Obstet Gynecol. 2006;195:1837–40.
  10. Sung VW, Rogers RG, Schaffer JI, Balk EM, Uhlig K, Lau J,et al. Society of Gynecologic Surgeons Systematic Review Group. Graft use in transvaginal pelvic organ prolapse repair: a systematic review. Obstet Gynecol. 2008;112:1131–42.
  11. Walters MD. “Surgical Correction of Anterior Vaginal Wall Prolapse” in Walters MD and Karram MM, editors. Urogynecology and Reconstructive Surgery, 3rd Edition. Philadelphia, 2007:234–45.

Developed in collaboration with Advancing Female Pelvic Medicine and Reconstructive Surgery
Version 1.0
Posted October 2017