Indianapolis Location
8051 S. Emerson Ave., Suite 400
Indianapolis, Indiana 46237

317.865.3600


Mooresville Location
1205 Hadley Rd.
Mooresville, Indiana 46158

317.584.3454

Anterior/Posterior Repair

What is an Anterior or Posterior Repair?

Anterior repair: is a surgical procedure to repair or reinforce the fascial support layer between the bladder and vagina. An incision is made along the center of the front wall of the vagina. The vaginal skin is separated from the facial layer. The weakened fascia is then removed. Support material in the form of synthetic mesh or absorbable mesh may be used to repair the anterior vaginal wall. The surgery is to improve bladder functions.

Posterior repair: is a surgical procedure to repair or reinforce the fascial support layer between the rectum and the vagina. An incision is made along the center of the back wall of the vagina. The vaginal skin is separated from the underlying fascial layer. The weakened fascia is then removed. Support material in the form of synthetic mesh or absorbable mesh may be used to repair the posterior vaginal wall. The surgery is to improve or maintain bowl function.

Anterior and Posterior repairs are performed under general anesthesia. When performed alone in surgery the patients are released to go home shortly after surgery. A four week post-operative visit will be set at the time of scheduling surgery with your physician to determine if you are fully recovered after surgery.

Preparing for Surgery

Download the PDF file.

Getting to Surgery: Facility Information

Our Indianapolis Doctor’s schedule surgeries at the following locations:

Franciscan Surgery Center
5255 E. Stop 11 Road, Suite 100
Indianapolis, Indiana 46237
Phone: 317-528-5900
Fax: 317-528-5909
http://www.franciscansurgerycenter.com
View map, directions and facility information

St. Francis Hospital Indianapolis
8111 S. Emerson Avenue
Indianapolis, Indiana 46237
Phone: 317-528-5000
http://www.franciscanalliance.org/hospitals/indianapolis/pages/default.aspx
View map, directions and facility information

Community Surgery Center South
1550 E. County Line Road
Indianapolis, Indiana 46227
Phone: 317-887-7600
Fax: 317-887-7606
http://www.eCommunity.com
View map, directions and facility information

Community Hospital South
1402 E. County Line Road South
Indianapolis, Indiana 46227
Phone: 317-887-7000
http://www.ecommunity.com/s/communitysouth/community-hospital-south/
View map, direction and facility information

Our Mooresville Doctor’s Schedule surgery at the below facilities:

St. Francis Mooresville
1201 Hadley Road
Mooresville, Indiana 46158
Phone: 317-831-1160
http://www.franciscanalliance.org/hospitals/mooresville/pages/default.aspx
View map, directions and facility information

Ambulatory Surgery Center
1215 Hadley Road, Suite 100
Mooresville, Indiana 46158
Phone: 317-834-9900
Fax: 317-834-9501
http://www.stfrancismooresvillesurgerycenter.org

IU Health West Hospital
1111 N. Ronald Reagan Parkway
Avon, Indiana 46123
Phone: 317-217-3000
http://iuhealth.org/west/
View map, directions and facility information

Post-Operative Instructions: Anterior/Posterior Repair

Pain Control: Please use the narcotic pain medication prescribed only as needed. Narcotics will increase constipation and can exacerbate pain with bowel movements.  It is important to take a stool softener such as Colace while taking narcotic pain medication such as Percocet or Vicodin. Please purchase a stool softener before your surgery. You may take “over the counter” pain relievers that do not contain aspirin such as acetaminophen (Tylenol) or ibuprofen (Motrin or Advil). Do not exceed the daily recommended dose. If the pain is not relieved by pain medication, becomes worse, or you have difficulty breathing, call our office.

Nutrition: You may resume the diet you had prior to surgery.  Drink 6-8 glasses of water daily.

Urinary Function: For the first couple of days following surgery, you may experience discomfort with urination due to catheterization of your bladder during the procedure. It is normal to have trouble initiating your stream for a few days after the procedure due to swelling.  If you have persistent urinary urgency, pain with urination, or inability to empty your bladder, please call our office.

Bowel Function: It is important to prevent constipation and straining during the healing of your posterior repair.  Your doctor has prescribed stool softeners such as Colace as well as a laxative such as Miralax to keep stools soft during the first four weeks after recovery.  Please call our office if you are unable to move your bowels 48 hours after discharge.

Activity: You may gradually return to your normal activity after surgery. No vigorous exercise or activities that strain the incisions. Wear loose fitting clothing with cotton underwear and a panty liner. You should not do any heavy lifting, greater than 10 lbs., for six weeks after surgery or until cleared by your doctor. Do not drive while taking prescription pain medication or if your level of discomfort could inhibit your ability to operate a motor vehicle safely. You may shower the day after surgery. Do not soak in a bath tub for six weeks after surgery. Use a spray bottle with warm water to cleanse after using the restroom until the site is healed (approximately two weeks).

Vaginal Bleeding and Discharge: Light vaginal bleeding, spotting, or brown discharge are common for up to two weeks after surgery. Note: If you have heavy, bright red vaginal bleeding soaking one pad or more per hour, call our office.

Sexual Intercourse: Avoid placing anything in the vagina for eight weeks (i.e. tampons, douching, and sexual intercourse).

Call the office if you are experiencing:

  • A fever higher than 100.4 degrees F
  • Increasing pain not controlled by pain medication
  • Inability to eat or drink without vomiting
  • Shortness of breath
  • Inability to empty your bladder
  • Redness and tenderness at the incision site, or a large amount of drainage
  • Heavy, bright red vaginal bleeding or foul smelling discharge. You can expect to have a small amount of reddish-brown colored discharge for up to two weeks. Do not be alarmed by this.

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