Re: anterior repair/posterior repair

From: Robert Brenner (robbrenner@earthlink.net)
Sat Jan 25 12:12:46 1997


At 07:32 PM 1/22/97 -0600, you wrote: >Dear List,
>
>Do you think it is necessary to also perform a posterior repair along with
>an anterior repair (for a cystocele), even though there is no evident
>rectocele?
>Why?
>
>I don't know if this might sound 'stupid' or too irrational, but I would
>like some confirmation/refutation about this approach, which is advocated
>by many gynecologists around here.
>
>Thanks for your reply(ies).
>
>Sing-Hung Chang, MD

First, you have to define terms. First, if there is a rectocele, then the operation to perform is a posterior colporrhaphy. If the perineal body is attenuated, then the operation to perform is a perineorrhaphy. If both are present, then the operation is a posterior colpoperineorrhaphy.

Now to answer your question. If the patient does not have a rectocele then she does not need a colporrhaphy. However, if this same patient does have an attenuated perineal body then she needs a perineorrhaphy. Perhaps this is what the attendings at your hospital are advocating.

--
Robert Brenner MD FACOG
Baltimore MD
Robbrenner@earthlink.net

>





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