Anterior and posterior repair

Anterior and posterior repair are surgical procedures used to correct pelvic organ prolapse involving the front (anterior) and back (posterior) walls of the vagina. These conditions occur when the supporting tissues of the pelvic organs weaken, allowing structures such as the bladder or rectum to bulge into the vaginal canal.

Dr. Amit Majumdar, Consultant Obstetrician and Gynaecologist with super-specialty expertise in urogynaecology, offers advanced anterior and posterior repair procedures. His approach focuses on restoring pelvic support, relieving symptoms, and improving long-term function and quality of life.

What is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when the muscles and connective tissues supporting the pelvic organs become weakened or damaged. This can happen due to:

• Childbirth and vaginal delivery
• Aging and hormonal changes
• Chronic straining (constipation, heavy lifting)
• Previous pelvic surgery

Depending on the area affected, prolapse may involve the bladder (anterior), rectum (posterior), or both.

Types of Repair

Anterior Repair (Cystocele Repair)

This procedure corrects prolapse of the bladder into the front wall of the vagina.

Symptoms may include:

• Feeling of pressure or fullness
• Difficulty emptying the bladder
• Frequent urination
• Urinary leakage

The weakened vaginal wall is repaired and strengthened to support the bladder in its normal position.

Posterior Repair (Rectocele Repair)

This procedure corrects prolapse of the rectum into the back wall of the vagina.

Symptoms may include:

• Difficulty with bowel movements
• Feeling of incomplete emptying
• Need for manual support during bowel movements
• Vaginal bulging

The posterior vaginal wall is reinforced to restore normal anatomy and function.

Who Needs Anterior and Posterior Repair?

Surgical repair may be recommended for patients who:

• Have moderate to severe prolapse
• Experience symptoms affecting daily life
• Do not improve with conservative treatments (such as pelvic floor exercises or pessary use)
• Have combined bladder and rectal prolapse

Dr. Amit evaluates each patient carefully to determine the most appropriate treatment plan.

What Happens During the Procedure?

Anterior and posterior repair are usually performed together when both compartments are affected.

Step-by-step overview:

1. Pre-operative assessment

• Detailed consultation and pelvic examination
• Review of symptoms and medical history
• Investigations if required

2. Anesthesia

• Performed under regional or general anesthesia

3. Surgical repair

• The vaginal wall is opened carefully
• Weakened tissues are tightened and reinforced
• Excess tissue may be removed if necessary
• The vaginal wall is reconstructed

4. Completion

• Sutures are placed
• Patient is monitored during recovery

The procedure is performed through the vaginal route, avoiding external incisions.

What Should Patients Expect?

Before Surgery

• Clear explanation of condition and procedure
• Pre-operative instructions
• Opportunity to discuss expectations

During Surgery

• Minimally invasive vaginal approach
• No visible scars
• Focus on restoring normal anatomy

After Surgery

• Short hospital stay
• Mild to moderate discomfort initially
• Gradual recovery

Recovery & Aftercare

Recovery is an important part of achieving long-term success.

Patients are advised to:

• Avoid heavy lifting for several weeks
• Maintain good bowel habits to avoid straining
• Follow hygiene and wound care instructions
• Attend follow-up appointments

Pelvic floor exercises may be recommended after recovery to maintain strength and support.

Benefits of Anterior and Posterior Repair

• Relief from vaginal bulging and pressure
• Improved bladder and bowel function
• Restoration of pelvic support
• Enhanced comfort in daily activities
• Long-term improvement in quality of life

Why Choose Dr. Amit Majumdar?

Patients choose Dr. Amit for:

✔ Super-specialty expertise in urogynaecology

✔ Extensive experience in pelvic floor surgery

✔ Minimally invasive vaginal surgical techniques

✔ Personalized treatment planning

✔ Compassionate, patient-centered care

His goal is not only to correct prolapse but also to restore normal function and improve overall wellbeing.

When to Seek Medical Advice

You should consider consultation if you experience:

• Vaginal bulging or pressure
• Difficulty with urination or bowel movements
• Symptoms worsening over time
• Discomfort affecting daily activities

Early evaluation allows for better treatment outcomes.

Book Your Consultation

If you are experiencing symptoms of pelvic organ prolapse, effective treatment options are available.

Schedule your consultation with Dr. Amit Majumdar to receive expert care and restore comfort and confidence.