Bladder and Rectal Repair
(Known as anterior and posterior colporrhaphy)
These procedures are done vaginally to help repair hernias in the bladder and rectum.  These procedures can be done with an overnight hospitalization. They are usually performed with hysterectomies and will take on all the risk of hysterectomies and require a longer hospital stay.
Risks
Risk includes but are not limited to the following:
- Most common is urinary retention with prolonged catheter use can even be sent home with catheter in place.
- Infection.
- Bleeding.
- Back pain if sacrospinous suspension is performed.
- Nerve damage and muscle weakness if sacrospinous ligament suspension is performed.
- Transfusion (with risk of HIV and hepatitis.)
- Damage to bladder, ureters and major blood vessels.
- Open incision with hospital stay.
- Hysterectomy if needed to control life threatening bleeding.
- Possible colostomy if bowel injury occurs.
- Wound breakdown with prolonged wound packing.
- Long term pain with intercourse.
- Rectal and bladder fistulas with incontinence of urine and/or feces.
- Anesthesia risk.
- Death.
These procedures work very well but you do take a risk of still having pain that was previously being experienced and may have to be on daily medications to help with bladder or bowel spasms.