Anterior Colporrhaphy
Surgical repair of the front vaginal wall to correct a cystocele — restoring normal bladder support, relieving urinary symptoms, and improving pelvic floor function in women with anterior compartment prolapse.
What is Anterior Colporrhaphy?
Anterior colporrhaphy is the surgical repair of the anterior (front) vaginal wall to correct a cystocele — a prolapse of the bladder into the vaginal canal. It involves plicating (folding and tightening) the pubocervical fascia beneath the vaginal skin to restore normal anatomical support to the bladder base and anterior vaginal wall. It effectively relieves the sensation of vaginal bulge, urinary frequency, incomplete bladder emptying, and stress urinary incontinence associated with anterior prolapse. Dr. Ashwani Narla performs this repair at Lux Hospitals, Hyderabad.
Suitable for women with symptomatic anterior compartment prolapse (cystocele) causing a vaginal bulge, urinary symptoms, or discomfort — either as a standalone procedure or combined with vaginal hysterectomy and posterior repair.
How the Procedure Works
Anaesthesia & Positioning
General or spinal anaesthesia is administered. The patient is positioned in the lithotomy position and the anterior vaginal wall is exposed and infiltrated.
Vaginal Wall Incision
A midline incision is made in the anterior vaginal wall from the vaginal apex to near the bladder neck, carefully separating the vaginal skin from the underlying fascia.
Fascial Plication
The pubocervical fascia is identified on both sides and plicated in the midline with absorbable sutures, restoring support to the bladder base.
Trimming & Closure
Excess vaginal skin is trimmed if necessary. The vaginal wall is closed with continuous absorbable sutures, leaving a smooth, well-supported anterior wall.
Recovery
A vaginal pack and urinary catheter are placed for 24 hours post-operatively. Hospital stay is one to two days with pelvic floor physiotherapy commencing early.
Outcomes
Who Needs This Treatment?
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Corrects anterior vaginal wall prolapse and restores normal bladder support
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Relieves symptoms of vaginal bulge, urinary frequency, and incomplete emptying
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Vaginal approach — no abdominal incisions required
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Can be combined with posterior repair and vault suspension in the same operation
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Well-established native tissue repair with a strong long-term evidence base
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Pelvic floor physiotherapy post-operatively enhances and maintains repair durability
Restoring the anterior wall gives the bladder its foundation back. A well-executed colporrhaphy, combined with physiotherapy, can give a woman decades of comfortable, confident function.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Anterior Colporrhaphy Cost in Hyderabad
The cost of anterior colporrhaphy in Hyderabad can vary depending on the severity of cystocele, the extent of pelvic floor weakness, diagnostic evaluations, surgical complexity, and post-operative care. Anterior colporrhaphy is a surgical procedure used to repair a weakened anterior vaginal wall and provide support to the bladder when it has prolapsed. The estimated cost generally ranges from ₹60,000 to ₹1,30,000, with an approximate average cost of ₹95,000.
| Procedure | Approximate Cost Range |
|---|---|
| Anterior Colporrhaphy for Uterine Prolapse – Cystocele Repair | ₹60,000 – ₹1,30,000 |
The actual treatment cost may vary depending on the severity of cystocele, pre-operative investigations, surgical technique, anesthesia charges, hospital stay, medications, follow-up care, and any additional pelvic floor procedures that may be required.
Factors That Influence Anterior Colporrhaphy Cost
Several factors can affect the overall cost of cystocele repair:
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Severity of cystocele: The extent of bladder prolapse and weakness of the anterior vaginal wall may influence the complexity of repair.
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Pre-operative evaluation: Pelvic examination, imaging, blood tests, and other assessments may be recommended before surgery.
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Surgical complexity: The extent of vaginal wall repair and the surgical technique used can affect the overall treatment expenses.
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Anesthesia and hospital care: Anesthesia, hospital admission, medications, monitoring, and post-operative care may contribute to the total cost.
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Additional pelvic floor procedures: If other prolapse-related repairs are required during the same surgery, the overall treatment cost may increase.
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Follow-up care: Post-operative consultations, medications, and recovery monitoring may also contribute to the final expenses.
Is Anterior Colporrhaphy Covered by Insurance?
Anterior colporrhaphy may be covered by health insurance when it is medically necessary for the treatment of cystocele or pelvic organ prolapse. Coverage depends on the patient's policy terms, inclusions, exclusions, and pre-authorization requirements. The hospital's insurance support team can assist with documentation and guide patients through the cashless or reimbursement process.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla is a Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad. She provides evaluation and treatment for various gynecological conditions, including pelvic floor disorders and uterine prolapse. During the consultation, Dr. Ashwani Narla will review the patient's symptoms, medical history, pelvic examination findings, and diagnostic reports. She will assess the severity of cystocele and determine whether anterior colporrhaphy is an appropriate treatment option. She will also discuss suitable surgical approaches, expected recovery, and the estimated treatment cost based on the patient's individual condition
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