Posterior Vaginal Wall Repair

Posterior Vaginal Wall Repair

What is Posterior Vaginal Wall Repair?

Women with Posterior Vaginal Wall prolapse often complain they no longer feel the same amount of friction during intercourse. The women will often describe vaginal looseness as a decrease in a woman’s ability to attain vaginal orgasms.

  • Many women want to tighten the vagina for sexual gratification. The main component of the lack of friction is the relaxation of the posterior inner vaginal wall. The cause of posterior vaginal wall relaxation is a weakening of the pelvic support structures and thinning of the recto-vaginal septum in the posterior vaginal wall.  (see the illustration below)
  • Posterior Vaginal Wall Repair is a surgical procedure designed to address Posterior Vaginal Wall Prolapse ( ‘repair’ rectovaginal fascia that separate the rectum and vagina). When the rectum protrudes or herniates into the vagina and the perineum (area between the entrance of the vagina and anus) becomes faulty, rectum prolapse (rectocele) occurs.
  • This procedure removes excess posterior vaginal mucosa to correct any defects found in the posterior vaginal wall and in the vaginal opening as a result of the bowel pushing the vaginal wall. This way, bowel function can be maintained and corrected without affecting sexual functions.
  • Recently, Laser has been applicable to Posterior Vaginal Repair, consequently benefits of Laser Vaginal Rejuvenation includes : more precision and accuracy as a result of the surgical wound control, less blood loss, less risk of vessel and tissue damages and quicker recovery time thus bringing about better results than using the old conventional scalpel procedure.

Symptoms of Posterior Vaginal Wall Prolapse:

  • dyspareunia
  • constipation
  • rectal pressure
  • Pain in the lower back
  • flatulence incontinence
  • rectal pain and vaginal bulge
  • failure to completely empty the bowel
  • pain or discomfort after bowel movements

Causes of the Prolapse

  • Multiple or prolonged deliveries
  • The use of forceps or other assisted methods of delivery.
  • A history of constipation and straining with bowel movements.
  • Perineal tears or an episiotomy into the rectum or anal sphincter muscles.
  • Aging, occasionally likely in younger women or in those that have not delivered children.
  • This problem may be preceded by hysterectomy because it is involved in damaging different structures supporting pelvic organs and ligaments and tissues around cervix supporting the anterior vaginal wall.

There are 3 methods of correcting prolapse of the vagina as follows.

1) THE KEGEL EXERCISE

  • The kegel exercise is safe but would have to take 6 months until results would show , and does not guarantee full effectiveness.

2) The ANTERIOR AND POSTERIOR VAGINAL REPAIR 

  • A-P Vaginal Repair is the surgical repair of pelvic prolapse by entailing the surgical removal of the excessive anterior and posterior vaginal tissues as well as bladder and rectum prolapse, thereby correcting the prolapse, at the same time tightening the vagina.

3) The POSTERIOR VAGINAL REPAIR

  • Posterior vaginal repair is the procedure to narrow the diameter of the vagina which results to a smaller and tighter vaginal canal and opening. However, this procedure also has its limitations to the patients with multiple deliveries. 

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