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Cystocele/rectocele repair



I am 55 / post menopausal. I have a 3+ cystocele and a rectocele.My doctor has recommended vaginal surgery to repair those and in the process to do a complete hysterectomy. What are the advantages and disadvantages of having a complete hysterectomy at this point? Could all of the above been done laprascopically instead? Thank you


A hysterectomy is not necessary when performing a cystocele repair.  Though it is occasionally needed based on the degree of the cystocele oftentimes it is not.  I suggest you discuss this with your surgeon.

Though there are laparoscopic approaches, the vaginal approach at this time seems to be the most reliable and durable over time.

For more information:

Go to the Incontinence health topic, where you can:

Response by:

Martin I Resnick, MD Martin I Resnick, MD
Formerly, Professor of Urology
School of Medicine
Case Western Reserve University