Surgical Vaginal Prolapse Treatments
Surgical Vaginal Prolapse Treatments
There are both non-surgical and surgical treatment options available for vaginal prolapse. Options vary depending on the stage of prolapse. The surgical treatments are minimally invasive, and completed at our outpatient ambulatory center. Dr Erhard recommends the treatment measures that best fit your needs and correct the problem.
Surgical treatment options include:
Anterior colporrhaphy
An anterior colporrhaphy repairs the wall between the vagina and the bladder. A pliable piece of material called a “graft” can be placed between the vagina and bladder to strengthen the repair. There are many types of grafts available.
Paravaginal defect repair
A paravaginal defect repair is a type of surgery to repair an anterior vaginal wall prolapse. This surgery reattaches the sides of the vagina to their normal attachments in the pelvis. This procedure can be performed vaginally or abdominally.
Posterior colporrhaphy
A posterior colporrhaphy repairs the wall between the vagina and the rectum. As with an anterior colporrhaphy, graft material can be used to strengthen this type of repair. This procedure is performed vaginally.
Perineorrhaphy
A perineorrhaphy is the surgical repair of a weakened perineum (the area between the vaginal opening and the anus). This procedure is sometimes done at the same time as a posterior repair.
Vaginal vault suspension
A vaginal vault suspension is the surgical repair of a vaginal vault prolapse by attaching the top of the vagina to ligaments in the pelvis with permanent sutures or graft material. This procedure can be performed vaginally or abdominally.
Hysterectomy
A hysterectomy is the surgical removal of the uterus. This is the surgery done to repair a severe uterine prolapse. A hysterectomy can be done through a vaginal or abdominal incision.