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Anterior and posterior repair are minimally invasive procedures used to correct pelvic organs that have dropped out of their normal positions. When the tissues that support the pelvic organs become weak, stretched, or damaged, due to age or childbirth for example, the organs can slip out of place, dropping down and pressing against the walls of the vagina. This is known as pelvic organ prolapse. These sagging organs create a bulge in the vagina, causing pressure, pain, discomfort, and urinary and bowel dysfunction, among other symptoms.

Anterior and posterior repair are used to tighten the support tissues that hold these organs in place, restoring their normal position and function.

Anterior repair is used to tighten the front (anterior) wall of the vagina. It is used when the bladder drops out of its normal position and bulges into the front of the vagina, causing the front wall of the vagina to sag. This condition is known as anterior wall prolapse, cystocele, or dropped bladder. 

During the surgery, the bladder is pushed back into its normal position, and the support tissue between the front of the vagina and the bladder is tightened and reinforced. The procedure is also called an anterior vaginal wall repair or anterior colporrhaphy.

Posterior repair is used to tighten the back (posterior) wall of the vagina. It is used when the rectum drops out of its normal position and bulges into the back of the vagina, causing the back wall of the vagina to sag, which may result in bowel dysfunction. This condition is known as posterior wall prolapse, rectocele, or fallen rectum.

During the surgery, the rectum is pushed back into its normal position, and the support tissue between the back of the vagina and the rectum is tightened and reinforced. The procedure is also called a posterior vaginal wall repair or posterior colporrhaphy.

Preparing for Surgery

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Indiana Urogynecology

Dr. Brent Suozzi
Dr. Brent Suozzi is a female pelvic surgeon who specializes in complex pelvic floor disorders including urinary incontinence, overactive bladder, urinary retention, pelvic organ prolapse, fecal incontinence, and constipation.

His focus is on improving and restoring quality of life. Treatment options are individualized to the patients goals. This can vary from conservative management (pelvic floor physical therapy, pharmacological treatment, pessaries) to surgery.

8051 S. Emerson Ave. (Entrance #8)
Suite 400
Indianapolis, Indiana 46237
Office: (317) 790-3355
Fax: (317) 790-3002

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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
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Franciscan Health Indianapolis
8111 S. Emerson Avenue
Indianapolis, Indiana 46237
Phone: 317-528-5000
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Community Surgery Center South
1550 E. County Line Road
Indianapolis, Indiana 46227
Phone: 317-887-7600
Fax: 317-887-7606
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Community Hospital South
1402 E. County Line Road South
Indianapolis, Indiana 46227
Phone: 317-887-7000
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Our Mooresville Doctor’s Schedule Surgeries at the below facilities:

Franciscan Health Mooresville
1201 Hadley Road
Mooresville, Indiana 46158
Phone: 317-831-1160
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Mooresville Ambulatory Surgery Center
1215 Hadley Road, Suite 100
Mooresville, Indiana 46158
Phone: 317-834-9900
Fax: 317-834-9501

IU Health West Hospital
1111 N. Ronald Reagan Parkway
Avon, Indiana 46123
Phone: 317-217-3000
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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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ATTENTION: Please be advised that beginning Monday, October 28th, the Indianapolis campus’ elevator modernizations are scheduled to begin for the two passenger cabs! We will do one elevator at a time and each one will take approximately 10-12 weeks to complete. During this process, we ask that you please use the freight elevator and the open elevator cab while the modernizations are being done. We apologize for any inconvenience during this process but it will be well worth it once the cabs are completed!