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Colporrhaphy – Surgical Repair of Vaginal Walls

Colporrhaphy is a surgical procedure aimed at restoring or strengthening the vaginal walls, typically after trauma or pathological changes such as prolapse or tissue damage following childbirth. This surgery is performed to correct vaginal defects and supporting structures, helping to improve organ function and the patient's quality of life.

Main Indications for Colporrhaphy:

Pelvic organ prolapse, including uterine, bladder, or rectal descent.
Tissue defects following trxfauma or childbirth, including vaginal tears.
Urinary or bowel dysfunction due to weakened supporting structures.
Improvement of sexual function when affected by vaginal wall weakness or deformation.

Types of Colporrhaphy:

Anterior colporrhaphy – focuses on correcting defects in the anterior vaginal wall, supporting the bladder.
Posterior colporrhaphy – used to repair the posterior vaginal wall, restoring rectal function and improving pelvic support.
Combined colporrhaphy – addresses both anterior and posterior vaginal wall defects.

Preparation for Surgery

Before undergoing colporrhaphy, the patient undergoes a thorough evaluation, including laboratory tests, pelvic ultrasound, and consultations with an anesthesiologist and gynecologist.
Doctors may recommend pre-surgical therapy, such as physiotherapy or specialized treatments, to strengthen pelvic floor muscles.

Postoperative Period

Recovery time may involve restrictions on physical activity.
Proper postoperative care and pelvic muscle-strengthening exercises are crucial to preventing recurrence and aiding healing.

This procedure plays a vital role in restoring vaginal support and normal function after trauma or other conditions.

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Consultation Process Before Colporrhaphy

A consultation before colporrhaphy includes several stages to assess the patient's condition, determine surgical indications, and select the most appropriate treatment method.

1. Initial Examination & Patient Interview

The gynecologist conducts a detailed interview to understand the patient's medical history and symptoms, including:

Complaints such as pain, heaviness, or organ prolapse.
Urinary or bowel issues.
Sexual dysfunction related to vaginal wall changes.
Previous childbirth or surgical history affecting vaginal tissue integrity.

2. Gynecological Examination

A physical examination of the vagina and uterus is performed. The doctor may palpate the pelvic organs through the abdominal wall or vagina to detect prolapse or tissue defects. The size and condition of the uterus and surrounding organs are also assessed.

3. Diagnostic Procedures

To confirm the diagnosis and evaluate the extent of tissue defects, additional tests may be required:

Pelvic ultrasound (USG) – to detect organ prolapse or tissue abnormalities.
Cystoscopy or rectosigmoidoscopy – for bladder and rectal assessment if defects are suspected.
Fluoropelvigraphy or other imaging techniques to evaluate pelvic anatomy.
Stress urinary incontinence test – to check for bladder dysfunction.

4. Discussion of Surgical Indications

If surgery is necessary, the doctor explains the indications for colporrhaphy, the different types (anterior, posterior, or combined), as well as the risks and benefits of each procedure in relation to the patient’s individual condition.

5. Treatment Plan Discussion

Medical Treatment: In some cases, hormone therapy or physiotherapy may be recommended before surgery to strengthen tissues.
Surgical Treatment: The doctor explains the surgical process, techniques used, and expected outcomes.
Preoperative Preparation: Guidelines on dietary restrictions, necessary tests, and an anesthesiologist consultation are provided.

6. Postoperative Care & Recovery

The doctor provides instructions on:

Post-surgical vaginal care and activity limitations.
The importance of rehabilitation exercises to strengthen pelvic floor muscles and prevent recurrence.
Possible complications and signs requiring medical attention.

7. Follow-Up Planning

A postoperative follow-up schedule is established to monitor healing progress and assess long-term results.

Consultation before colporrhaphy ensures a well-planned approach to treatment and provides the patient with clear guidance on preparation and recovery.