Posterior Repair: Prolapse Operation

What Is a Posterior Repair (Prolapse Operation)?

When patients suffer from a prolapsed rectum (called a rectocele) that puts pressure on the vagina, causing a bulge or weakness, they often require a posterior repair (prolapse operation).  The prolapse usually happens when tissue supporting the vagina and rectum do not return to normal after being stretched during pregnancy.  Many women do not recognize the problem until they are post-menopausal.  A posterior repair operation tightens the supports, removing the bulge in the vagina.   

The patient receives general anesthesia for the prolapse operation and typically remain in the hospital for approximately 6 days post surgery.  During the operation, the surgeon makes an incision through the back lining of the vagina and shortens the rectum’s supports using stitches.  Additionally, the bulging section of the vagina is cut away to repair the weakness.  The surgeon then sutures shut the wound in the vagina.  After the surgery, the patient receives salt, sugar, water, and sometimes blood through a drip.  Painkillers are usually necessary for the first 4 days.  A catheter in the patient’s bladder drains urine into a collection bag for 2 days, after which it is removed.  If no catheter is in place, the patient should urinate within 6 hours of the posterior repair operation.