Vaginal Surgery

Total vaginal hysterectomy (with or without bilateral salpingoophorectomy)
Removal of the entire uterus including the cervix with or without the tubes and ovaries vaginally. The removal of the uterus may be necessary when performing some BUT NOT ALL surgeries for pelvic organ prolapse.

Uterosacral ligament suspension
This procedure is performed vaginally to support the top of the vagina to the patient’s own uterosacral ligaments. A hysterectomy needs to be performed to perform this procedure adequately.

Sacrospinous vaginal vault suspension
This procedure is performed vaginally to support the top of the vagina to the patient’s own sacrospinous ligaments in the pelvis.

Illiococcygeal suspension
This procedure is performed vaginally to support the top of the vagina to the patient’s own fascial supportive tissue.

Total colpectomy
This procedure is performed vaginally and completely closes the vagina after the correction of the pelvic organ prolapse. Vaginal penetration is not possible after this procedure therefore it is not recommended in sexually active women.

Leforte colpocleisis
This procedure is performed vaginally and completely closes the vagina without removal of the uterus. Vaginal penetration is not possible after this procedure therefore it is not recommended in sexually active women.

Anterior colporrhaphy
This is a vaginal procedure to reestablish the supports between the bladder and vagina to fix a cystocele (dropped bladder). It may be performed using a synthetic or biologic graft for a longer lasting repair.

Posterior colporrhaphy (Rectocele repair)
This is a vaginal procedure to reestablish the supports between the rectum and vagina to fix a rectocele (rectum bulging into the back of vagina). It may be performed using a synthetic or biologic graft to achieve a longer lasting repair.

Paravaginal Repair
This procedure may be performed vaginally to support the lateral vaginal walls to fix a cystocele (dropped bladder).

Enterocele repair
This is a procedure that may be performed vaginally to close the space between the vagina and rectum to prevent or treat the small bowel from pushing into the vagina.