Colporrhaphy (plastic surgery of the anterior vaginal wall)

Colporrhaphy is a surgical intervention aiming at suturing the walls of the vagina. It is one of the varieties of vaginoplasty. The necessity of the procedure arises because of the prolapse of the uterus below the physiological boundaries after childbirth, the stretching of the vagina as a result of repeated childbirth or because of age-related changes. The decision about plastic surgery is made on the basis of anatomical defects which cause problems in the intimate life of a woman, or because of the medical reasons.

The abnormal location of the organ provokes the weakening of the ligaments, fascia and muscle fibers that hold it.

The causes of prolapse:

• weakening of pelvic muscles during pregnancy;

• heredity;

• long and difficult labor or delivery of a large fetus;

• congenital displacement of the uterus;

• tumors in the pelvic organs;

• obesity;

• surgeries;

• lack of estrogen (in particular, in the menopause);

• neurological disorders;

• dysplasia of the connective tissue;

• constant constipation;

• regular weight lifting.

Lack of treatment leads to diseases of the renal pelvis, bladder, to proctological problems, inflammation of the vagina and cervix. 

Colporrhaphy is carried out in the hospital clinic. Previously the patient undergoes a complete physical examination with the purpose to identify contraindications and establish the nature of anatomical abnormalities. All manipulations during plastic surgery are carried out through the vagina. The cervix is fixed with clamps for maximum access to the vagina. The surgeon excises the stretched tissues, sutures and fixes the underlying muscles, after that the cut tissues are sutured.

Contraindications for colporrhaphy are: blood clotting disorders, diseases of the cardiovascular system, chronic diseases, mental disorders, diabetes, inflammatory processes of the genitourinary system. Plastic is not prescribed to women who have recently suffered a stroke or heart attack, in the post-traumatic and postpartum period, with cancer and venereal diseases.

Vaginal plastic surgery in the "Oxford medical" clinic in Kiev is preceded by a gynecologist’s consultation and examination. After that the doctor announces the plan of the upcoming surgery. The day before the procedure the patient is hospitalized and begins preoperative preparation.  Surgeons of the Oxford Medical clinic perform all three types of plastic surgery of the uterine walls. What kind of operation will be carried out is determined by the type and complexity of the problem. Type of anesthesia used is general anesthesia.

The first 4 days after the surgery, the patient is ordered to bed rest and constant monitoring by the medical staff.