Major proceduresFree in the app
Anterior & posterior colporrhaphy
Symptomatic anterior or posterior vaginal wall prolapse.
Source: RCOG Consent AdviceAnterior repair
- Lithotomy; Allis clamps on anterior wall; hydrodissection.
- Midline incision; dissect epithelium off fascia each side.
- Plicate pubocervical fascia with interrupted delayed-absorbable sutures (no routine mesh).
- Trim excess epithelium and close.
Posterior repair
- Triangular perineal incision, midline up posterior wall.
- Dissect off rectum; plicate rectovaginal fascia (avoid levator plication — dyspareunia).
- Perineorrhaphy; rectal exam at the end; pack/catheter per unit.
Consent risks
| Bladder | 2 per 1000 |
|---|---|
| Bowel | 5 per 1000 |
| Transfusion | ~2 per 100 |
| Death | 37 per 100,000 |
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.