These are vaginal procedures, principally developed to treat utero-vaginal prolapse, which develops following childbirth. An Anterior repair corrects a cystocele (bladder prolapse), a posterior repair (a rectocele), and either a Manchester repair or vaginal hysterectomy will correct a uterine prolapse.
Up to 50% – 60 % of women will develop a vaginal prolapse following childbirth. This type of vaginal surgery will successfully treat vaginal and uterine prolapse, and symptoms of weakness and feeling exposed.
Surgery will therefore improve vaginal function, can reverse constipation, improve urinary symptoms of urge and frequency. A posterior repair (or vaginal tightening) can correct the symptoms of feeling exposed, and may improve sensation.
A Vaginal hysterectomy is performed to treat a significant uterine prolapse, where the cervix is in the lower part of the vagina. The Manchester repair is an alternative to this, and is not as radical, and only the cervix is removed, and this procedure can be performed as day case.
