Surgery to correct urinary “stress” incontinence

• Burch procedure

• TVT procedure

• Fascial sling procedure

 

Surgery to correct urinary “urge” incontinence, frequency, and retention

• Sacral nerve stimulation (Interstim implantation)

 

Surgery to correct pelvic organ prolapse

The vagina is divided into three compartments for the sake of identifying and correcting support defects: anterior, central, and posterior. Anterior compartment defects generally involve either the bladder (cystocele) and/or small intestine (enterocele). Central compartment defects typically involve the uterus (uterine prolapse) and/or small intestine (enterocele).  Importantly, uterine and/or ovarian preservation is almost always possible if desired for future fertility or other reasons.  Posterior compartment defects involve the rectum (rectocele) and/or small intestine (enterocele). Defects in one compartment can exist independent of or in combination with defects in one of the other compartments. For example, if the vagina is turned completely inside out, all three compartments have defects. Surgical correction of any given patient’s prolapse may include one or more of the following procedures:

• For cystoceles:

  • Anterior colporrhaphy

  • Paravaginal repair

• For rectoceles:

  • Posterior colporrhaphy

• For uterine prolapse:

  • Uterosacral vaginal vault suspension

  • Sacrocervicopexy

• For vaginal vault prolapse post-hysterectomy:

  • Sacrospinous vaginal vault suspension

  • Sacrocolpopexy

• For other prolapse operations

  • Urethrocele repair

  • Colpocleisis

 

Surgery to correct a vagina that is too tight or painful

• Perineoplasty

• Vaginoplasty

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Surgery to correct fecal incontinence

• Anterior anal sphincteroplasty

 

Surgery to correct fistulas (holes in the vagina)

• Urethrovaginal fistula repair

• Vesicovaginal fistula repair

• Rectovaginal fistula repair

 

Surgery for painful vulvar and vaginal conditions

• Vulvar vestibulectomy with vaginal advancement

• Excision of swollen glands and masses

 

Surgery for congenital vulvar and vaginal conditions

• Reduction of enlargened labia or labial hypertrophy

• Excision of vaginal septum

• Hymenectomy

• Creation of new vagina