What is anterior vaginal wall repair surgery?
Anterior vaginal wall repair surgery (anterior colporrhaphy) is an operation to fix a prolapsed bladder (cystocele) by strengthening the front wall of the vagina. It helps restore normal anatomy and relieve bulge, pressure, and urinary symptoms.
Detailed Medical Explanation
During anterior repair, the surgeon makes a small incision in the vaginal wall, tightens and reinforces the weakened tissues, and then closes the incision. This can be done using dissolvable stitches. Mesh is generally not used for primary repairs in the UK due to safety concerns. Surgery is usually a day case or overnight stay. (NHS: Prolapse surgery)
Clinical Context
Anterior repair is a common operation for cystocele. Most women recover quickly and see improvement in symptoms. Some may need additional support for more severe prolapse.
Evidence-Based Approaches
NHS and NICE guidelines recommend tissue repairs for most anterior wall prolapse cases. Mesh use is limited to select cases.