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Posterior Prolapse Repair: Our approach to achieving your comfort and peace of mind

A posterior prolapse can happen to all sorts of people, at any time. Most commonly however, it occurs in women following childbirth or the menopause. Pelvic organ prolapse is when one or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. It can be the uterus, bowel, bladder or top of the vagina.

Mrs Carla M Babicki  |  RGN

Last Updated On: March 13, 2023 | Published On: December 6, 2022


Medically reviewed by Mr Shivram Singh MBBS, FRCSI, FRCS (Plast), Medical Director & Lead,
Medical Advisory Committee for Manchester Private Hospital
Last Reviewed December 6th 2022

You can identify a posterior prolapse through a change in sensation in and around the vagina. It isn’t life threatening, though the discomfort can lead many patients to consider surgery.

How do you identify if you might need prolapse repair?

If a patient is in need of a prolapse repair, they might feel a sensation of ‘something coming down’, the feeling of not having fully emptied your bowel with the need to press on the back wall of your vagina to fully empty your bowel. If you experience discomfort during sex, or have trouble keeping a tampon in, these may also be signs you need to undergo prolapse repair.

You don’t have to have ever been pregnant to need prolapse repair, but it can increase the chances,

What does the procedure entail?

It’s important to note that this procedure goes by many names. It might be referred to as a vaginal prolapse repair, posterior repair or colporrhaphy posterior repair.

This procedure is designed to tighten the support tissues between the vagina and the bowel, removing a bulge in the vagina which is the cause of these uncomfortable sensations.

The surgeon makes a cut in the back wall of the vagina, which pushes the bowel back into place. Using stitches, they’ll tighten the support tissues along the back wall of the vagina.

In some cases, surgical mesh may be used. Any wounds will be closed using dissolvable staples.

The procedure is quick, taking around half an hour. It is performed under general anaesthetic.

What will recovery be like?

Recovery times can vary following a posterior prolapse repair. A slight discharge or bleeding is to be expected.

You may need to stay in hospital for up to three days, after which, a couple of weeks rest at home is necessary.

Sex should be avoided for about six weeks, or until any bleeding or discharge has subsided.

Pelvic floor exercises and gentle physical activity can be extremely beneficial to recovery. You’ll be given detailed information by the team at Manchester Private Hospital about how to get back to normal following your surgery.

What are the risks associated with posterior prolapse repair?

Like any surgery, there are risks associated with a vaginal repair operation. You’ll be taken through all the possible risks and side effects during your consultation with the surgeon at Manchester Private Hospital.

Risks specific to this surgery include damage to local organs such as the bladder or uterus, though this is extremely rare.

The risk of prolapse recurrence, meaning the prolapse returns, is 30%.

A change in bowel function can occur. It is often improved, but sometimes it causes constipation. You may also struggle to control the urge to urinate immediately after the surgery.

Some people report a decrease in sensation during intercourse too.

Immediately after the surgery

Many posterior prolapse repair patients return home the same day. If you stay in our facility, you will be encouraged to move around to reduce general well-being and reduce the chance of blood clots in your legs. It is possible that you could stay in the hospital for up to four days. You will not be able to drive immediately after your surgery.

Our expert team will be on hand to aid in your recovery. After the procedure it’s likely you’ll have a drip for hydration. It’s also likely you’ll have a bandage in the vagina, as well as a sanitary pad for bleeding. You may also have a catheter for a short while, to help with the draining of the bladder.

There may be some pain, which is manageable with pain relief.

Once you’ve returned home

After a short stay in our state-of-the-art recovery centre, you’ll be able to take time to recover at home. When you’re at home, there’s plenty of things you can do to ensure your recovery keeps moving in the right direction. These include:

– Frequent gentle movement, to prevent the development of DVT (Deep Vein Thrombosis).
– Avoid using tampons for six weeks, they can damage your stitches.
– After six weeks you can resume sexual intercourse if you wish. Using lubrication may make this more comfortable, or you may want to wait – until your stitches have dissolved entirely, at three to four months.
– We’ll schedule a follow-up appointment with you, for your peace of mind.
– You can avoid constipation by staying hydrated, and eating plenty of vegetables and roughage.

How much does it cost?

Like any private surgical procedure, costs can vary. In the UK you can expect to pay around £7000 to £9000

Posterior prolapse repair at Manchester Private Hospital

Opting for your pelvic floor repair or vaginal prolapse surgery at Manchester Private Hospital is facilitated by a team of dedicated and passionate professionals. We operate in a pressure-free environment, meaning you will be informed and in control at every stage from consultation to aftercare.

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