An anterior prolapse is a bulge of the vagina caused by the bladder dropping down. It is caused by weakness of the support tissues between the vagina and bladder.
It can lead to the need to pass urine more regularly and can be uncomfortable when having sex.
The usual cause of an anterior prolapse is childbirth, however the problem can also happen in women who have never been pregnant. Usually the problem is only noticed after menopause.
Surgery is not required in all cases and your consultant may advise on a course of pelvic floor exercises or the insertion of a pessary.
There is also another surgical procedure available that involves replacing the support tissues with a mesh.
The operation to tighten the support tissues of the bladder is usually performed under a general anaesthetic and will take approximately half an hour.
A cut will be made in the anterior (front) wall of the vagina so the bladder and urethra can be put back into place. The support tissues will then be carefully stitched together to provide support for the bladder and urethra. Your surgeon will then cut away a small part of the vaginal wall to remove the excess tissue left over from the repair.
You will be allowed home 2 to 3 days after the procedure and should rest for a further 2 weeks at home. The team will explain prior to you leaving what exercises you should perform regularly whilst at home to aid the healing process.
You may experience a slight bleeding from the area following the operation, however if it seems to be getting too heavy it is important to let the team know at the hospital.
We advise that intercourse should be avoided for a period of 6 weeks after the procedure.
You may return to work 6 to 8 weeks after the operation and should consult your consultant with any questions you may have.
Pelvic floor exercises should be continued even after returning to work. This will help to prevent the prolapse returning and reduce the risk of incontinence.
This procedure will normally be covered by the medical insurance policy but patients are advised to check with the provider prior to any treatment.
If you are paying for your own treatment all costs will be discussed and explained prior to any treatment taking place. This will be confirmed in writing along with any surgeon fees, anaesthetist fees and hospital charges prior to admission.