Colporrhaphy and Colpoperineorrhaphy

Anesthesia Implications

Position: Lithotomy, arms at side on armboards
Time: 30-60 min (short)
Blood Loss: Very Low (5-10 ml)
Post-op Pain: Minimal (1-3)
Maintenance Paralytic: No

Also known as an anterior and/or posterior colporrhaphy, anterior and/or posterior vaginal wall repair, A/P repair, or A&P repair.

Patient is put in the lithotomy position, and surgeon works between the legs.

Stirrups are sometimes used. If used, ensure that the lateral portion of the knee leaning against the stirrup is cushioned. If not cushioned, the patient could suffer a peroneal nerve injury.

LMA is perfectly suitable for this procedure, if not contraindicated.

A colporrhaphy is the repair of a defect in the vaginal wall. This defect has begun to interfere with activities of daily living or it is typically not surgically corrected. An anterior colporrhaphy will be surgically correcting a defect due to a cystocele or urethrocele, and a posterior colporrhaphy is reserved for a rectocele.

A colpoperineorrhaphy is the repair of a defect in the perineum