Anterior Colporrhaphy in Israel

Doctor Ran Keidar

Gynecologist, Reproductive Specialist

Vaginal 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 its prolapse (cystocele, CYSTOCELE) or the prolapse of the urethra into the vagina (urethrocele, URETHROCELE).

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30%

of diagnoses made in the 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 develop many years after childbirth due to additional factors such as:

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

Vaginal wall prolapse or other pelvic organ prolapse 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 anterior vaginal wall prolapse, the problem can be addressed with special pelvic floor strengthening exercises. 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 vaginal mucosa 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 vaginal wall
• the incision is closed

After the surgery, hospitalization for one to two days is necessary; sometimes a catheter is inserted into the bladder to facilitate urination. It is recommended to refrain from physical strain on the abdominal muscles for the next 6 weeks after the surgery.

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