Culdeplasty

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What is culdeplasty?

Culdeplasty is a surgical technique that repairs an enterocele.  The physician will make an incision in the vagina, and will find the tissue that supports the bladder and the rectum.  The physician then sutures it to surrounding tissues to elevate and support the bladder and the vaginal apex. 

When is it used?

Culdeplasty is used to repair an enterocele or bulging in a patient’s vagina.

What are the risks associated with this procedure?

As with any medical procedure, there are risks. Please discuss with us any additional concern you may have. The following is a list of the risks associated with this specific procedure.

  • Damage to a vein or artery that could cause serious bleeding.
  • Making a hole in my bladder that could cause a tract (fistula) between my vagina and bladder.
  • Making a hole in my rectum that could cause a tract (fistula) between my vagina and rectum.
  • That any urine leakage that I have may not be improved.
  • That my enterocele may not improve or could return.
  • That I may have difficulty emptying my bladder.
  • Damage to my ureters, the tubes that carry urine from my kidneys to my bladder.
  • That I may develop infection in my incisions or my bladder.

I know that these problems are not likely to occur.  I know that other complications that are even less likely could occur, such as blood clots, nerve problems or even death.  Knowing all these risks, I have decided to have this operation.

How do I prepare for culdeplasty?

Follow your health care provider's instructions about not smoking before and after the procedure. Smokers heal more slowly after surgery. They are also more likely to have breathing problems during surgery. For this reason, if you are a smoker, you should quit at least 2 weeks before the procedure. It is best to quit 6 to 8 weeks before surgery. Also, your wounds will heal much better if you do not smoke after surgery.

Follow any other instructions your provider gives you. If you are to have general anesthesia, eat a light meal, such as soup or salad, the night before midnight. Do not eat or drink after midnight.  Do not even drink coffee, tea, or water.

What happens after the procedure?

You are likely to feel tired and need rest two or three times a day for a for three to four weeks. You will gradually improve. You can drive as soon as you can make an emergency stop without discomfort, generally after three weeks. You can start sexual relations before you return for the six-week check, if you feel comfortable enough, and you have no blood loss. You should be able to return to work after about six weeks.

Recovery:

Create a plan for your care and recovery after the operation, and allow plenty of time to rest. Try to find other people to help you with your day-to-day duties.

When should I call Greenville OB/GYN?

Call our emergency number at any time if:

  • You develop a fever over 100 F (37.8 C).

Call during regular office hours if:

  • You have questions about the procedure or its results.
  • You want to make another appointment.

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