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Anterior repair (bladder repair) surgery

The aim of anterior repair (bladder repair) is to tighten the support tissues of your bladder and remove any bulge in your vagina.

What is an anterior prolapse?

An anterior prolapse is a bulge of the vagina caused by the bladder dropping down. It is caused by weakness of the support tissues between the vagina and bladder.

What are the main symptoms of a anterior prolapse?

An anterior prolapse can cause a sensation of 'something coming down', the need to pass urine more frequently and the feeling of not having fully emptied your bladder. It can also cause discomfort when having sex and difficulty keeping a tampon in.

An anterior prolapse is usually caused by childbirth. However, sometimes the problem can happen in women who have never been pregnant. Usually you only notice the problem after the menopause.

It is possible to have more than one type of prolapse at the same time – the support tissues of your womb or back passage may also be weak.

What are the benefits of an anterior repair?

The aim of surgery is to tighten the support tissues of your bladder and remove any bulge in your vagina.

Are there any alternatives to an anterior repair?

If you only have a mild prolapse, your doctor will usually recommend that you have an anterior repair only after you have tried simple treatments such as pelvic-floor exercises or inserting a pessary.

What does the operation involve?

An anterior repair is usually performed under a general anaesthetic. The operation usually takes about half an hour.

Your gynaecologist will make a cut in the front (anterior) wall of your vagina so they can push your bladder and urethra back into place. Your gynaecologist will stitch the support tissues together to provide better support for your bladder and urethra. They will cut away a small part of the vaginal wall to remove tissue left over from the repair.

What complications can happen?

General complications of any operation:

  • Pain
  • Sickness or feeling sick
  • Bleeding
  • Blood clots
  • Infection of the surgical site (wound)

Specific complications of this operation:

  • Incontinence
  • Urine infection
  • Difficulty passing urine
  • Developing a haematoma
  • Damage to the bladder

How soon will I recover?

You should expect a slight discharge or bleeding from your vagina but you should let a member of the healthcare team know if this becomes heavy.

You will usually be able to go home after two to three days. For the first two weeks at home you should rest, relax and continue to do the exercises that you were shown in hospital.

It is best not to have sex for about six weeks or at least until any bleeding or discharge has stopped.

Avoid standing for too long and do not lift anything heavy. You can go back to work once your doctor has said you are well enough to do so (usually after six to eight weeks).

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, you should ask a member of the healthcare team or your GP for advice.

You should continue your pelvic-floor exercises as soon as possible after the operation and keep doing them for life. This will help to prevent the prolapse coming back and reduce the risk of you becoming incontinent.

Anterior repair summary

An anterior repair is a major operation usually recommended after simpler treatments have failed. If the operation is successful, your bladder will be better supported and you will no longer have a bulge in your vagina.

Paying for your procedure

Anterior repair costs are covered by most medical insurance policies, but please check with your insurer first. If you are paying for your own procedure the cost will be explained and confirmed in writing when you book the procedure. Ask the hospital for a quote beforehand, and ensure that this includes the surgeon’s fee, the anaesthetist’s fee and the hospital charge for your procedure.

Acknowledgements Author: Mr Jeremy Hawe MBChB MRCOG Illustrations: Medical Illustration Copyright © 2010 Nucleus Medical Art. All rights reserved. This document is intended for information purposes only and should not replace advice that your relevant health professional would give you. Copyright © 2010 Nucleus Medical Art. This information is produced by EIDO Healthcare Ltd and is licensed by BMI Healthcare. You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use. The information should not replace advice that your relevant health professional would give you.

Please be aware that the following prices are a guide price. Your final price will be confirmed in writing following your consultation and any necessary diagnostic tests.

The cost of surgery for anterior vaginal wall repair & repair of bladder prolapse 

Patient pathway Initial consultation Diagnostic Investigations Main treatment Post discharge care Guide price
Hospital fees N/A Not included £6,468 Included £6,468
Consultants fees from £200 N/A Included Included £200
Guide price £6,668

Please be aware that the following prices are a guide price. Your final price will be confirmed in writing following your consultation and any necessary diagnostic tests.

The cost of anterior vaginal wall repair with hysterectomy & repair of bladder prolapse 

Patient pathway Initial consultation Diagnostic Investigations Main treatment Post discharge care Guide price
Hospital fees N/A Not included £8,614 Included £8,614
Consultants fees from £200 N/A Included Included £200
Guide price £8,814

Please be aware that the following prices are a guide price. Your final price will be confirmed in writing following your consultation and any necessary diagnostic tests.

Posterior vaginal wall repair

Patient pathway Initial consultation Diagnostic Investigations Main treatment Post discharge care Guide price
Hospital fees N/A Not included £4,253 Included £4,253
Consultants fees from £200 N/A Included Included £200
Guide price £4,453

Specialists offering Anterior repair (bladder repair) surgery

Mr Christopher Lee

Consultant Obstetrician & Gynaecologist

MBBS, MRCOG, BSc, DFFP, BSCCP/RCOG colposcopy accreditation

BMI The Sloane Hospital 1 more BMI Chelsfield Park Hospital

View profile Book online

Mr Daniel Selo-Ojeme

Consultant Gynaecologist

MBBS, MBA, FWACS, FMCOG, FRCOG

BMI The Cavell Hospital 1 more BMI The Kings Oak Hospital

View profile Book online

Mr Adeyemi Ogunremi

Consultant Gynaecologist

MBBS, FRCOG, MFFP

BMI Chelsfield Park Hospital 1 more BMI The Sloane Hospital

View profile Book online

Mr Javaid Muglu

Consultant Obstetrician & Gynaecologist

MBBS, MRCOG, FACOG

BMI The Blackheath Hospital

View profile Book online

Mr Daniel Peter Webster

Consultant Gynaecologist

MBChB, BSc, MRCOG

BMI The Harbour Hospital

View profile Book online

Mr Osama Abughazza

Consultant Obstetrician & Gynaecologist

MD, MRCOG, MSc

BMI Mount Alvernia Hospital

View profile Book online

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