Vaginal tighting Total Cost
- Cost Vaginal tighting
The surgery can be performed under general, regional or even local anesthetic; your doctor will discuss which is best for you. There are many ways to perform a posterior repair. Below is a general description of a common repair method.
- An incision is made along the center of the back wall of the vagina starting at the entrance and finishing near the top of the vagina.
- The vaginal skin is then separated from the underlying supportive fascial layer. The weakened fascia is then repaired using absorbable stitches. These will absorb over 4 weeks to 5 months depending on the type of stitch (suture) material used.
- The perineal body may then be repaired by placing deep sutures into the underlying perineal muscles to build up the perineal body.
- The overlying skin is then closed with absorbable sutures. These dissolve after 4 to 6 weeks and do not need to be removed.
- A pack may be placed into the vagina and a catheter into the bladder at the end of surgery. If so, this is usually removed after 3 to 48 hours. The pack acts like a compression bandage to reduce vaginal bleeding and bruising after surgery.
- Commonly, posterior vaginal repair surgery may also be combined with other surgery such as vaginal hysterectomy, anterior vaginal wall repair or incontinence surgery.
- Anesthetic problems. With modern anesthetics and monitoring equipment, complications due to anesthesia are very rare, but can happen.
- Bleeding. Serious bleeding requiring blood transfusion is unusual following vaginal surgery (less than 1%).
- Post-operative infection. Although antibiotics are often given just before surgery and all attempts are made to keep surgery sterile, there is a small chance of developing an infection in the vagina or pelvis.
- Bladder infections (cystitis). Bladder infections occur in about 6% of women after surgery and are more common if a catheter has been used. Symptoms include burning or stinging when passing urine, urinary frequency and sometimes blood in the urine. Cystitis is usually easily treated by a course of antibiotics.
- Constipation is a common post-operative problem and your doctor may prescribe laxatives for this. Try to maintain a high fiber diet, drink plenty of fluids and use a stool softener. Remember constipation also contributes to forming a posterior wall prolapse and it is therefore important to avoid getting constipated.
- Some women develop pain or discomfort with intercourse. While every effort is made to prevent this from happening, it is sometimes unavoidable. Some women also find intercourse is more comfortable after their prolapse is repaired.
- Damage to the rectum during surgery is a very uncommon complication.
In the early post-operative period, you should avoid situations where excessive pressure is placed on the repair, i.e. lifting, straining, vigorous exercise, coughing and constipation. Maximal strength and healing around the repair occurs at 3 months and care with heavy lifting (>10kg/25lbs) needs to be taken until this time.
Your doctor can guide you as to time taken off from work, as this will depend on your job type and the exact surgery you have had.
You should be able to drive and be fit enough for light activities such as short walks shortly after surgery.
You should wait six weeks before attempting sexual intercourse. Some women find using additional lubricant during intercourse is helpful. Lubricants can easily be bought at supermarkets or pharmacies.