Anterior Colporrhaphy

Anterior Colporrhaphy in Dubai at Emirates Hospitals Group. Our team of best  gynaecologists in Dubai are leaders in treating pelvic floor disorders. One such condition is anterior compartment prolapse, often addressed through anterior colporrhaphy surgery. This procedure repairs a bulge in the anterior vaginal wall caused by a weakening of the pelvic floor muscles and tissues.

• Causes & Symptoms
• Treatment Modalities
• Benefits
• Recovery

Causes of Anterior Compartment Prolapse

Several factors contribute to anterior compartment prolapse, also known as cystocele:

• Childbirth: Vaginal delivery, particularly with complications or multiple births, can weaken the pelvic floor muscles that support the bladder.
• Chronic straining: Repetitive straining during activities like heavy lifting, constipation, or chronic coughing can weaken the pelvic floor muscles and contribute to cystocele.
• Menopause: Hormonal changes associated with menopause can lead to a decrease in muscle tone and strength, making the pelvic floor more susceptible to prolapse.
• Obesity: Excess weight puts additional strain on the pelvic floor muscles and organs, increasing the risk of cystocele.
• Connective tissue disorders: Conditions like Ehlers-Danlos syndrome can affect the strength and integrity of the pelvic floor tissues, making them more prone to prolapse.

Symptoms of Anterior Compartment Prolapse

Women with anterior compartment prolapse may experience a range of symptoms, including:

• Pelvic pressure or heaviness: This can feel like a bulge or sensation of something pressing down in the vagina.
• Urinary incontinence: Leakage of urine, especially during activities that increase pressure on the bladder, such as coughing, sneezing, or laughing.
• Incomplete bladder emptying: Difficulty emptying the bladder completely, leading to frequent urination or a feeling of residual urine.
• Urinary urgency: A sudden and intense need to urinate, often accompanied by difficulty holding urine.
• Pain during intercourse: Discomfort or pain during sexual intercourse.

Severity of Symptoms: The severity of symptoms can vary greatly from woman to woman. Some women may only experience mild pelvic pressure, while others may have significant urinary incontinence or difficulty emptying the bladder.

Treatment Modalities for Anterior Colporrhaphy

Treatment options for anterior compartment prolapse depend on the severity of symptoms and a woman’s individual needs. At Emirates Hospitals Group, our gynecologists offer a personalized approach:

• Conservative Measures: For mild cases, lifestyle modifications and pelvic floor muscle exercises (Kegels) can strengthen the pelvic floor and improve symptoms.
• Pessaries: These are vaginal inserts that provide support for the bladder and alleviate symptoms like pelvic pressure and urinary incontinence.
• Anterior Colporrhaphy Surgery: For moderate to severe cases, anterior colporrhaphy surgery is an effective way to restore the bladder’s proper position and enhance urinary function. Our gynecologists perform various surgical techniques depending on the specific needs, including minimally invasive approaches and traditional vaginal surgery.

Benefits of Anterior Colporrhaphy Surgery

Anterior colporrhaphy surgery offers several benefits:

• Improved Bladder Control: The surgery restores the bladder’s position and strengthens the pelvic floor, significantly reducing or eliminating urinary incontinence and urgency.
• Reduced Pelvic Pressure and Discomfort: Addressing the bladder prolapse alleviates the feeling of heaviness or pressure in the vagina.
• Enhanced Quality of Life: By restoring bladder function and reducing associated symptoms, anterior colporrhaphy surgery can significantly improve a woman’s quality of life and well-being.
• Minimally Invasive Options: Our gynecologists often utilize minimally invasive surgical techniques, resulting in smaller incisions, faster recovery times, and minimal scarring.

Recovery after Anterior Colporrhaphy Surgery

Recovery time following anterior colporrhaphy surgery varies depending on the specific procedure performed. Typically, it takes a few weeks to return to normal activities, with a longer period for complete healing. Our gynecologists provide detailed post-operative care instructions, including pain management strategies, activity restrictions, and pelvic floor muscle exercises to promote optimal healing and prevent complications.