GLOSSORY OF SURGICAL PROCEDURES TO CORRECT PROLAPSE

GLOSSORY OF SURGICAL PROCEDURES TO CORRECT PROLAPSE

Anterior colporrhaphy, Anterior Repair, Bladder Lift A vaginal procedure to reestablish the supports between the bladder and vagina to fix a cystocele. A synthetic mesh or organic graft material made be placed to reinforce this repair

Paravaginal repair (vaginal or abdominal approach) support the vaginal wall by attaching it to the pelvic sidewall to fix a cystocele. A synthetic mesh or organic graft material made be placed to reinforce this repair

Posterior colporrhaphy, Posterior Repair A vaginal procedure to reestablish the supports between the vagina and rectum to fix a rectocele. A synthetic mesh or organic graft material made be placed to reinforce this repair

Transvaginal enterocele repair Close the space between the vagina and rectum through a vaginal incision to prevent the small bowel from pushing the vagina out. This procedure will also resuspend the top of the vagina.

Total abdominal hysterectomy (with or without bilateral salpingo/oophorectomy)
Remove the uterus (including the cervix), tubes and ovaries through an abdominal incision.

Total Laparoscopic Hysterectomy removal of the uterus (including the cervix) and possibly the tubes and ovaries through a laparoscopic approach

Total vaginal hysterectomy (with or without bilateral salpingo/oophorectomy)
Remove the uterus (including the cervix), tubes and ovaries through a vaginal incision.

Bilateral salpingo/oophorectomy Removal of tubes and ovaries (performed eiter abdominally, vaginally or laparoscopically).

Uterosacral ligament suspension Suspend the top of the vagina to the uteroscral ligaments. this can be performed vaginally, abdominally or laparoscopically.

Sacrospinous vaginal vault suspension A vaginal procedure that attaches the top of the prolapsed vagina to a ligament in the pelvis

Sacral colpopexy A procedure (performed abdominally or laparoscopically or Robotic assisted) that attaches the top of the prolapsed vagina to the sacrum using either synthetic mesh or cadaveric material.

Illiococcygeal fascial attachment A vaginal procedure that attaches the top of the prolapsed vagina to pararectal supportive tissue.

Supracervical hysterectomy Removal of most of the uterus – leaving the cervix behind. This approach can be done abdominally or laparoscopically

Total colpectomy Complete closure of the vagina to correct prolapse. This procedure is only performed when the patient is ABSOLUTELY sure that she will never want to have intercourse again.

Total colpocleisis Closure of the vagina (similar to colpectomy) while leaving channels at the side for drainage from the uterus (which is not removed)

Overlapping anal sphincteroplasty Reattach divided muscle edges around anus to correct fecal incontinence