General Notes and Precautions
Things you should know about the A-P Repair with Mesh
- The A-P Vaginal Repair with Mesh is a surgery that uses mesh and other synthetic materials to support the vaginal wall and to recreate the strength of the tissue protruding into the anterior and posterior vaginal wall, as well as to revive the prolapse of the bladder and rectum.
- This is performed by a skilled physician fixing the vaginal wall by substituting the sagging tissues with the mesh, thus anchoring the Pelvic Organ Prolapse and strengthening the vaginal wall, because of the traditional surgery such as AP Vaginal Repair is unlikely to provide a long-term cure.
- The operation involves replacement of tissues with mesh to recreate strength. The vaginal mucosa is closed and the mesh is unable to be seen or felt. After the surgery, the vaginal packing is donned to encourage the vaginal mucosa to stick to the mesh and prevent any bleeding inside the surgical wound.
- The A-P Vaginal Repair with Mesh has limitations and cannot guarantee 100% results and satisfaction because there are many factors affecting the surgery's success. It is recommended that you obtain the approval of your spouse before surgery, as marriage problems and misunderstanding may occur due to abstinence from sexual intercourse.
- In case of unexpected surgical results or complications, corrective surgery is an option and will be discussed between you and the surgeon.
Before the A-P Repair with Mesh procedure
- Dr. Vitasna will conduct a health history, general check-up and internal check-up. If you have vaginal fungal or bacterial infection, you should completely undergo treatment before the procedure to avoid wound infection.
- However, it is not allowed for those with immunodeficiency, and you must not become pregnant nor plan to become pregnant in the next 3 months despite no research about the disadvantage to the pregnancy and the newborn.
- In case of existing diseases or drug allergies, please inform Dr. Vitasna or our staff before the procedure.
- Dr. Vitasna will educate you with the methods of the procedure and some potential post-operative complications prior to decision-making.
- One of the most important preparations you should know is that you should take a rest (refraining from work) and be still for at least 5-7 days after the procedure to enable the wound to heal faster, avoid constipation to reduce pressure on the vaginal wall, have as least movement as possible in the first 1-2 weeks after the procedure to avoid wound disruption.
- You should refrain from some types of exercise affecting pelvic muscle movement, such as speed running, yoga, swimming, sit-ups and weight training for lower part of the body for 6 weeks after the procedure.
- In our center, this surgery is recommended only for the older women--(not in sexually active women)--that obtains the approval of their spouse before surgery, as marriage problems and misunderstanding may occur due to abstinence from sexual intercourse after the surgery.