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Incontinence

Cystocele/rectocele repair

12/09/2005

Question:

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

Answer:

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.

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Response by:

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