Surgery

• Burch procedure
• TVT procedure
• Fascial sling procedure

• Sacral nerve stimulation (Interstim implantation)

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). 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:

• Cystocele
  • Anterior colporrhaphy
  • Paravaginal repair
• Rectocele
  • Posterior colporrhaphy
• Uterine prolapse
  • Correction of uterine prolapse
• Vaginal vault prolapse
  • Sacrospinous vaginal vault suspension
  • Uterosacral vaginal vault suspension
  • Sacrocolpopexy
• Other prolapse operations
  • Urethrocele repair
  • Colpocleisis
  • Perineoplasty

• Anterior anal sphincteroplasty

• Urethrovaginal fistula repair
• Vesicovaginal fistula repair
• Rectovaginal fistula repair

• Vulvar vestibulectomy with vaginal advancement
• Excision of swollen glands and masses

• Reduction of enlargened labia or labial hypertrophy
• Excision of vaginal septum
• Hymenectomy
• Creation of new vagina