AP Vaginal Repair with Mesh

AP Vaginal Repair with Mesh

The Procedure

The appointment day for the A-P Repair with Mesh

  •  On the day you plan to have the treatment, you are going to meet Dr. Vitasna for discussion. You will be informed of the procedure details again. You may ask Dr. Vitasna for any additional information including consent forms and post-operative instruction form.
  • You may also be asked about your expectations of the treatment and if you have any allergies or any condition that wouldn’t make you a good candidate for the procedure, as well as other additional inquiries.
  • In case of uncertainty, doubt, worry, or not confident for the reason of not informing relatives or husband of the procedure, you should postpone the procedure appointment.
  • You have to refrain from drinking water or eating any food for at least 6 hours prior to the procedure in order to decrease the risk of aspiration during or after the procedure.

 The procedure processes of the A-P Repair with Mesh

  • The procedure is performed in our Operating Room for approximately 1-2 hours under general anesthesia by our board-certified anesthesiologist.
  • While the patient is asleep, Dr. Vitasna will open and remove some parts of an excessive anterior vaginal wall tissues (which bulging into the vagina) and supports the saggy tissues with synthetic mesh to recreate the strength of the anterior vaginal wall. --Then Dr. Vitasna will tighten and suture the wound edges with slowly absorbable sutures.
  • The suturing is done along the entire length of the anterior vaginal wall and the tightening is done alternatively with 2 or 3 layers, so the vaginal mucosa is closed and the mesh is unable to be seen and felt. ---Then Dr. Vitasna will perform the same procedure at the posterior vaginal wall.  Therefore, the Pelvic Organ Prolapse will recover and the vagina wall will become more strengthened.
  • Your vagina needs vaginal packing for 24 hours after the operation to prevent bleeding and needs to be urinary catheterized for 3-5 days after the operation.

 After the A-P Repair with Mesh procedure 

  • You will be monitored at the recovery room for 1 hour. When you are conscious with normal vital signs, the anesthesiologist will allow you to be monitored in the In-patient Building.
  • Nausea and vomiting may be experienced, as a side effect of the spinal injection or the general anesthesia, but which is noted to be relieved as soon as its effect wears off.
  • In the In-patient Building, you will be given antibiotics, anti-inflammatory drugs, pain reliever to lessen the wound pain and laxative drug. If the pain cannot be relieved from the oral medication, you should inform the nurse for an analgesic injection.
  • Urinary frequency or difficulty in urination may be noted due to the tension on the peri-vaginal opening muscle. A urinary catheter may be inserted to avoid urinary retention which may cause cystitis especially in the first 3-5 days after the surgery. When the tension disappears, you will be able to void by yourself.
  • Cleaning the surgical wound after fecal excretion may be done using water and toweling gently .The wound will be cleaned with antiseptic daily in the morning or in the evening. You are allowed to take a shower on the third day after the procedure or after the removal of the urinary catheter.

 3 days after the procedure, Dr. Vitasna will allow you to return home after the following things are checked…. 

  • 1) No abnormal bleeding occurs from the surgical wounds.
  • 2) You know and understand the post-operative instruction care.
  • 3) You can void by yourself after the removal of urinary catheter.

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