posterior colporrhaphy
Pronunciation: kol-POR-ah-fee
A surgical procedure to repair the posterior vaginal wall and strengthen pelvic floor support, typically performed for posterior vaginal prolapse or rectocele.
Full Definition
Posterior colporrhaphy is a reconstructive pelvic surgery that addresses posterior vaginal wall prolapse by excising redundant vaginal mucosa and reconstructing the rectovaginal septum and levator ani muscles. The procedure is performed through a transvaginal approach under regional or general anesthesia, typically as part of comprehensive pelvic organ prolapse repair. The surgery involves careful dissection of the rectovaginal space, identification and repair of fascial defects, and plication of the levator ani muscles to restore anatomical support. Posterior colporrhaphy may be performed as an isolated procedure or in combination with other prolapse repairs such as anterior colporrhaphy or apical suspension procedures. The goal is to restore normal anatomy, improve pelvic floor function, and alleviate symptoms such as pelvic pressure, bowel dysfunction, or sexual dysfunction related to posterior compartment prolapse.
Usage
Usage note: Should be distinguished from perineorrhaphy, which specifically addresses the perineal body, and from general 'rectocele repair' which may involve different surgical approaches.
In Context
- "The patient underwent posterior colporrhaphy with levator plication for grade 3 posterior vaginal wall prolapse and symptomatic rectocele." — Operative report
- "Postoperative examination following posterior colporrhaphy showed excellent anatomical correction with no evidence of residual prolapse." — Follow-up note