About Posterior Vaginal Wall Prolapse
Key Highlights
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Effectively corrects the bulge or protrusion in the back wall of the vagina.Alleviates uncomfortable symptoms like pelvic pressure, difficulty with bowel movements, and a sensation of fullness.Can improve sexual function and comfort.Restores normal pelvic anatomy and support.Often performed using the patient's own tissue for reinforcement, minimizing foreign body reaction.Can be combined with other pelvic floor repairs (like anterior repair or hysterectomy) in a single surgery./ul
Who is this surgery for?
- Symptomatic posterior vaginal wall prolapse (rectocele) causing a noticeable vaginal bulge.
- Difficulty with bowel movements, often requiring manual pressure on the vagina or perineum to evacuate (splinting).li>
- Chronic sensation of pelvic pressure, fullness, or a dragging sensation.
- Lower backache associated with the prolapse.
- Discomfort or pain during sexual intercourse.
- Prolapse that is progressive or causes significant impact on daily activities and quality of life.
- Failure to improve with conservative management like pelvic floor physiotherapy.
How to prepare
- Complete a thorough medical evaluation, including a pelvic exam, to assess the prolapse stage.
- Discuss all medications with your doctor; you may need to stop blood thinners or supplements like aspirin or ginkgo biloba.
- Undergo pre-operative tests such as blood work, ECG, or a chest X-ray as advised.
- Maintain good bowel preparation as instructed, which may include a light diet, laxatives, or an enema before surgery.
- Arrange for transportation and post-operative support at home for the initial recovery period.
- Follow fasting instructions (typically no food or drink after midnight) before the scheduled surgery.
Risks & possible complications
- Common risks: Pain, bleeding, infection at the surgical site, or temporary urinary retention.
- Risks related to anesthesia, such as allergic reactions or breathing difficulties.
- Injury to nearby structures like the rectum or bladder, though rare.
- Formation of new or recurrent prolapse in the future.
- Dyspareunia (pain during intercourse) or changes in sexual sensation.
- If mesh is used: risk of erosion (mesh protruding into the vagina), pain, or infection requiring additional surgery.
- Rare risks include blood clots (deep vein thrombosis) or fistula formation (an abnormal connection between organs).
Recovery & hospital stay
- Hospital stay is typically 1-2 days for monitoring and initial pain management.
- Expect vaginal bleeding or discharge similar to a period for a few weeks.
- Manage pain with prescribed medications and use ice packs to reduce swelling.
- Avoid heavy lifting (more than 5-10 kg), strenuous exercise, and sexual intercourse for 6-8 weeks as advised by your surgeon.
- Maintain a high-fiber diet and stay hydrated to prevent constipation and straining.
- Follow-up appointments are crucial to monitor healing and address any concerns.
- Gradually resume normal activities; full recovery and return to all activities may take 2-3 months.
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Typical hospital stay: 1-2 days
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Expected recovery time: 6-8 weeks for initial recovery; 2-3 months for full activity
Frequently Asked Questions
If you are considering posterior vaginal wall prolapse in India, these questions and answers can help you make a confident, informed decision.
Popular choices for posterior vaginal wall prolapse in India include Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, Manipal Hospital Mukundapur, SIMS Hospital Vadapalani, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform posterior vaginal wall prolapse. MediFyr helps you compare obstetrics and gynaecologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for posterior vaginal wall prolapse compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 60 Thousand – 200 Thousand | 1-2 days | ~ 6-8 weeks for initial recovery; 2-3 months for full activity | Know More |
| Turkey | TRY 210 Thousand – 700 Thousand | 1-2 days | ~ 6-8 weeks for initial recovery; 2-3 months for full activity | Know More |
Top hospitals for Posterior Vaginal Wall Prolapse in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing posterior vaginal wall prolapse.
Sneha Patel, a 58-year-old retired school...
Sneha Patel, a 58-year-old retired school librarian, had a history of two vaginal deliveries and a hysterectomy for fibroids a decade ago. For the past three years, she experienced a persistent feeling of pressure and a bulge in her vagina, especially after long days on her feet. Simple tasks like grocery shopping or gardening became uncomfortable, and she felt a constant, dull ache in her lower back. She was embarrassed and stopped attending her weekly yoga class, fearing something might 'fall out'. Her gynaecologist diagnosed a Stage 2 posterior vaginal wall prolapse (rectocele). The doctor explained that the supportive wall between her vagina and rectum had weakened, and recommended a posterior colporrhaphy repair as conservative measures like pelvic floor physiotherapy hadn't provided sufficient relief. Sneha was anxious about surgery but opted for the procedure. The surgery, performed vaginally, went smoothly. The initial recovery involved managing swelling and discomfort with medication, and she had to avoid heavy lifting and straining for six weeks. Within three months, the dragging pressure and bulge sensation were completely gone. Her backache resolved. Emotionally, she moved from feeling broken and isolated to regaining her confidence. She returned to her yoga class and gardening, feeling like she had reclaimed her body and her active life.
Obstetrics and Gynaecologists for Posterior Vaginal Wall Prolapse
Explore experienced obstetrics and gynaecologists who regularly perform posterior vaginal wall prolapse and provide pre- and post-operative care in India.
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Miot Hospital Chennai, Chennai
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
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Manipal Hospital Old Airport Road, Bangalore