Anterior Colporrhaphy in Israel

Dr. Ran Keidar

Gynecologist, reproductive specialist

Pelvic Wall Prolapse - Treatment in Israel

In what cases is anterior colporrhaphy performed?

Anterior colporrhaphy (ANTERIOR COLPORRHAPHY/ANTERIOR VAGINAL WALL REPAIR) is a surgery to strengthen the anterior wall of the vagina to prevent pressure from the bladder on the vagina and prolapse into it (cystocele, CYSTOCELE) or prolapse of the urethra into the vagina (urethrocele, URETHROCELE).

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30%

of diagnoses made in CIS countries are found to be incorrect at Top Ichilov Clinic

82%

successful cases of treatment with conservative methods

1230

procedures using the modern "da Vinci" system

Typically, cystocele occurs after multiple childbirths, but it can appear many years after childbirth under the influence of additional factors such as:

• hormonal changes
• constant increased pressure in the abdominal cavity, for example, during chronic diarrhea or as a result of lifting heavy weights

Pelvic wall prolapse or prolapse of other pelvic organs is a problem most common among overweight women who do not engage in exercises that strengthen the pelvic floor muscles.

Main symptoms of cystocele:

• sensation of heaviness in the vagina
• sensation of a foreign body protruding from the vagina
• difficulties in urination
• incomplete urination
• involuntary urination

In cases of mild prolapse of the anterior wall of the vagina, the problem can be solved with special exercises to strengthen the pelvic floor. An additional method is the insertion of special rings into the vagina. In more serious cases of vaginal wall prolapse, appropriate surgery is performed.

Anterior Colporrhaphy: Stages of the Surgery

The surgery is performed under general or local anesthesia (epidural or spinal injection).

• a cut is made in the anterior wall of the vagina
• excess mucous membrane of the vagina is removed
• the bladder and urethra are returned to their natural position
• stitches made of self-dissolving materials are applied to the muscles of the anterior wall of the vagina
• the cut is sewn up

After the surgery, hospitalization is required for one to two days, sometimes a catheter is inserted into the bladder to facilitate urination. In the first 6 weeks after the surgery, it is recommended to refrain from physical strain on the abdominal muscles.

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