Anterior Colporrhaphy (Cystocele Repair) with or without Mesh
Anterior Colporrhaphy (Cystocele Repair) with or without Mesh
Anterior Colporrhaphy (Cystocele Repair) is the surgical repair of a defect in the vaginal wall, including a cystocele (when the bladder protrudes into the vagina) and a rectocele (when the rectum protrudes into the vagina). The anterior is (front) and/or posterior (back) walls of the vagina.
FAQS
Frequently asked questions about surgical procedures
Can I use my insurance and get these prices?
Payment is due 14 calendar days prior to your surgery date. If, after the cutoff, your account is not settled, your case must be postponed.
How quickly can I have surgery?
How will I meet my surgeon?
If I had a car or work accident, would you work with my employer or attorney for payment?
What if I get sick right before my surgery?
You could develop a respiratory infection, a urinary tract infection, COVID, or some other condition that may necessitate postponement. There is no penalty when this happens.
What’s Included:
- Facility fee
- Graft and hardware costs (if needed)
- Surgeon and assistant surgeon fees
- Anesthesiologist
- Time in the recovery unit (at no additional charge)
- Initial consultation visit
- One post-operative visit
*Please note: If you choose not to proceed with surgery after the initial consultation, or if you delay your procedure for more than 6 weeks, you will need to update your consultation at a cost of $375.
What’s not included:
- Lab testing before and after the surgery, as needed
- Electrocardiogram (EKG), depending on age. If you had one elsewhere in the past 6 months and it read “normal”, we can forego this expense.
- Imaging costs. X-rays and MRIs can be obtained anywhere.
- Physical therapy services
- Medications you’ll need (oral or IV antibiotic infusions if an infection arises)
- Wound care
- Bracing supplies
- Additional doctor visits (a pre-operative visit with the surgeon, in person, and any required post-op follow-ups after the suture removal to monitor your progress
- Additional surgical intervention if a complication arises
- Additional imaging or hospital care if a blood clot develops
Before the Procedure
Always tell your health care provider or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.
During the days before the surgery:
- You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.
- Ask your health care provider which drugs you should still take on the day of your surgery.
On the day of your surgery:
- You will very often be asked not to drink or eat anything for 6 – 12 hours before the surgery.
- Take the drugs your health care provider told you to take with a small sip of water.
- Your health care provider or nurse will tell you when to arrive at the hospital.
Patient Review
“Dr. Manning totally replaced my hip using the less invasive anterior approach. Just twelve hours after my surgery, I was walking stairs during physical therapy. I even went home the next morning. Best of all, my recovery was not as painful as I had anticipated. I wholeheartedly recommend and personally vouch for the integrity, skill, and professionalism of Dr. Manning and the entire SGSC staff.”
Surgical Repair
The Anterior Colporrhaphy (Cystocele Repair), the patient is first given general, regional, or local anesthesia. A speculum is inserted into the vagina to hold it open during the procedure. An incision is made into the vaginal skin, and the defect in the underlying fascia is identified. The vaginal skin is separated from the fascia, and the defect is folded over and sutured (stitched). Any excess vaginal skin is removed, and the incision is closed with stitches.
After the Procedure
A Foley catheter may remain for one to two days after surgery. The patient will be given a liquid diet until normal bowel function returns. The patient will be instructed to avoid activities for several weeks that will cause strain on the surgical site, including lifting, coughing, long periods of standing, sneezing, straining with bowel movements, and sexual intercourse.
Risks of the procedure
Anterior Colporrhaphy (Cystocele Repair) is a relatively safe procedure. However, all surgeries carry some risks. You will need to sign a consent form that explains the risks and benefits of the surgery.
- Damage to the urethra, bladder, or vagina
- Irritable bladder
- Changes in the vagina (prolapsed vagina)
- Urine leakage from the vagina or to the skin (fistula)
- Potential complications associated with anesthesia
- Infection
- Bleeding
- A fistula is a rare complication of colporrhaphy in which an opening develops between the vagina and bladder or the vagina and rectum.
There may be other risks, depending on your specific medical condition. Be sure to discuss any concerns with your surgeon before the procedure.
Can I Travel to St George for Surgery?
Yes, and we’ll help you make all your arrangements.
- We have arrangements to try to obtain free flights through a non-profit volunteer pilot organization. We can do this with 10 days’ advance notice in most cases.
- We have discount codes for the Holiday Inn in town. This hotel is 1.5 miles from the surgery center and 2 miles from our clinic.
- We’ll arrange to send your after-surgery medications to your hometown pharmacy for pickup before you leave.
What if I would rather drive to St George?
No problem, we can help with those plans as well. When you have surgery with us, we’ll need to make sure you’re safe and comfortable after surgery. We’ll arrange cold compression therapy that requires an AC/DC adaptor/transformer and frequent stops to stretch and refill the ice reservoir on the road.
We’ll ask about the vehicle you’ll travel in to ensure you have a way to elevate and stretch out in the vehicle on the road while someone else does the driving.
How are follow-up and initial consultations handled?
In-person and telehealth consultations are possible with the surgeon to whom your case is assigned. The initial visit is included in the surgical package and is valued at $375.
We can also obtain the flights from the volunteer pilot nonprofit if you’d like to come for initial and follow-up visits in person. One follow-up visit is included in the surgical package at a value of $175. Any additional visits are charged at the time of service to your credit or debit card.
Transparent Pricing Guide
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