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Colporrhaphy is the surgical repair of a defect in the vaginal wall, including a cystocele (when the bladder protrudes into the vagina) and a rectocele (when the rectum protrudes into the vagina).
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How do you pronounce Colporrhaphy?
Colporrhaphy is pronounced kol-por-af-e.
What surgical procedure used to suture a weakness in the vaginal wall?
Colporrhaphy, usually done by pulling together the weakened area of the vaginal wall with sutures.
What type of anesthesia are used in colporrhaphy?
general, regional, or local anesthesia.
What is used to manipulate the vaginal mucosa during an anterior colporrhaphy?
A bivalve speculum is used to open and expose the cervix.
Any reaction for colporrhaphy?
While the side effect or reaction to every surgical procedure vary from person to person depending on their condition, risks associated with colporrhaphy include Vaginal bleeding, pain in your abdomen and/or vagina and post op infection. Other complications may occur during or after the operation.
What is the most common procedure to repair a central defect?
Anterior colporrhaphy is the most common procedure to repair a central defect
What is the morbidity rate of cystocele repair?
Anterior colporrhaphy is.a 0-20% rate of recurrence.Abdominal paravaginal repair results in a 5% chance of recurrence, while vaginal paravaginal repair has the highest recurrence rate (7-22%)
What is Sex Education in Islam?
At the time of the prophet, Muslims men and women were never too shy to ask the prophet about all affairs, including such private affairs as sexual life, so as to know the teachings and rulings of their religion concerning them. As Aisha, the wife of the prophet testified, "Blessed are the women of the Ansar (the citizens of Madina). Shyness did not stand in their way seeking knowledge about their religion." (All except Termizi). The way the ladies asked the prophet-directly or through his wives is a proof that sexual matters were not taboo but were fully acknowldged and respected. "Shyness is part of the faith" as the prophet taught, but he also taught "There is no shyness in matters of religion" even entailing the delicate aspects of sexual life. It is our firm belief that facts about sex should be taught to children in a way commensurate with their age as they grow up both by the family and the school. We emphasize that this should be done within the total context of Islamic ideology and Islamic teaching, so that the youth-beside getting the correct physiologic knowledge become fully aware on the sanctity of the sexual relation in Islam and the grave sin of blemishing such sanctity whether under Islamic law, or far more important in the sight of God. Provided the Islamic conscience is developed we see no reason to shun sex education (unfortunately the rule in many Muslim countries), and we believe it is better to give the correct teaching rather than leave this to chance and to incorrect sources and to the concomitant feeling of guilt by the hush-hush atmosphere in which this is done. Teaching about sex should also have its presence in the curricula of medical schools. We have done this in our medical school as part of the gynaecology and obstetrics program. We had no difficulty whatsoever with our religious and rather conservative men and women students, for the subject is given within an Islamic perspective. Sex is an important area of marital life, and when people are in trouble they have only the doctor to resort to: and unless the doctor has had some basic teaching of sex, he or she will be quite helpless to help out. Sexual problems may manifest as strained family relations, psychosomatic symptoms or infertility. Medical treatment may affect sex such as some antihypertensive or antidepressant drugs. Sexual counsel is often a neglected aspect of managing such varied diseases as coronary thrombosis, diabetes, incipient heart failure etc. The role of lack of sexual education in some cases of infertility is well known. Surgery may influence sex in men and women. A carelessly repaired episiotomy, or colporrhaphy may have a devastating effect on marital happinnes. The psychological premath and after-math of the operation of hysterectomy is only too well known. On top of all of this, Muslim women patients would wish to know the religious ruling on the multitude of gynaecological and obstetric situations relating to worship, and their reference is their doctor. It is therefore a religious, dictate that medical education preparing doctors who will cater for the needs of Muslim communities, should equip them with the knowledge necessary to answer this need.
Anterior vaginal wall repair?
DefinitionAnterior vaginal wall repair is surgery that tightens the front (anterior) wall of the vagina.Alternative NamesA/P repair; Vaginal wall repair; Anterior and/or posterior vaginal wall repair; Colporrhaphy- repair of vaginal wall; Cystocele repairDescriptionThis procedure may be done while you are under general or spinal anesthesia. Under general anesthesia, you will be asleep and unable to feel pain. With spinal anesthesia, you will be awake, but you will be numb from the waist down and you will not feel pain.You will be given medicines to help you relax.Usually, a surgical cut (incision) is made through the front wall of your vagina.Your bladder is moved back to its normal location.Your vaginal wall may be folded, or part of it may be cut away.Sutures (stitches) are made in the tissue between your vagina and bladder. These will hold the walls of your vagina in the correct position.Your doctor may place human-made (synthetic) material between your bladder and vagina.If needed, sutures attach the walls of the vagina to the tissue on the side of your pelvis.Sometimes, your doctor also makes a surgical cut in your belly. This may be up and down or across.Why the Procedure Is PerformedThis procedure is used to repair the sinking of the vaginal wall (prolapse) or bulging that occurs when the bladder or urethra sink into the vagina.Symptoms of prolapse that you may have include:You may not be able to empty your bladder completely.Your bladder may feel full all the time.You may feel pressure in your vagina.You may have pain when you have sex.You may leak urine when you cough, sneeze, or lift something.You may get bladder infections.This surgery by itself does not treat stress incontinence(leaking urine when you cough, sneeze, or lift). It may be performed along with other surgeries.Before doing this surgery, your doctor may have you learn pelvic floor muscle exercises (Kegel exercises), use estrogen cream in your vagina, or try a device called a pessary in your vagina to hold up the prolapse.RisksRisks for any surgery are:Infection at the site of the surgical cutOpening of the surgical cutBlood clots in the legs that may travel to the lungsBreathing problemsBleedingOther infectionRisks for this surgery are:Damage to the urethra, bladder, or vaginaIrritable bladderChanges in the vagina (prolapsed vagina)Urine leakage from the vagina or to the skin (fistula)Before the ProcedureAlways tell your doctor or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescriptionDuring the days before the surgery:You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.Ask your doctor which drugs you should still take on the day of your surgery.On the day of your surgery:You will usually be asked not to drink or eat anything for 6 to 12 hours before the surgery.Take the drugs your doctor told you to take with a small sip of water.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureYou may have a catheter to drain urine for 1 or 2 days after surgery.You will be on a liquid diet right after surgery. When your normal bowel function returns, you can return to your regular diet.Outlook (Prognosis)This surgery will usually repair the prolapse, and most times symptoms of prolapse will go away. This improvement will often last for years.ReferencesHerschorn S. Vaginal reconstructive surgery for sphincteric incontinence and prolapse. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 66.Jia X, Glazener C, Mowatt G, et al. Efficacy and safety of using mesh or grafts in surgery for anterior and/or posterior vaginal wall prolapse: systematic review and meta-analysis. BJOG. 2008 Oct;115(11):1350-61.
