Rectocele and distended perineum
Indications: difficult defecation with the need to press on the back wall of the vagina, a feeling of protrusion, gaping of the vaginal opening and decreased sensations after ruptures during childbirth. The surgeon dissects the posterior wall, sutures the defect of the rectovaginal septum, brings the levator crura closer together and restores the body of the perineum, narrowing the entrance to the vagina to normal. The operation is often performed as intimate plastic surgery after childbirth to restore the quality of sexual life. You cannot sit for the first 1–2 weeks; Preventing constipation is important.
Indications
- prolapse of the anterior vaginal wall with cystocele: foreign body sensation, difficulty or frequent urination, stress incontinence;
- prolapse of the posterior wall with rectocele: difficult defecation, feeling of incomplete emptying, protrusion;
- combined prolapse of the walls, gaping of the genital fissure after childbirth, decreased sensations during sexual activity;
- prolapse and prolapse of the uterus - in combination with uterine fixation or hysterectomy.
The essence of the operation
Prolapse of the vaginal walls occurs due to tears and stretching of the pelvic fascia and muscles after childbirth, with age and during hard work; plastic surgery (colporrhaphy) restores supporting structures with its own tissues: the fascia is sutured with a “duplication”, excess mucous membrane is removed, and during perineal plastic surgery, the muscles are stitched together, narrowing the entrance to the vagina. The operation is performed through the vagina without incisions on the abdomen, eliminates protrusion, improves urination and defecation, and restores anatomy for sexual activity. For severe and recurrent prolapse, mesh implants or laparoscopic sacrocolpopexy are used.
