Posterior Colporrhaphy
Surgical repair of the back vaginal wall to correct a rectocele — restoring normal bowel support, relieving constipation and incomplete evacuation, and improving pelvic floor function in women with posterior compartment prolapse.
What is Posterior Colporrhaphy?
Posterior colporrhaphy is the surgical repair of the posterior (back) vaginal wall to correct a rectocele — a prolapse of the rectum into the vaginal canal. It involves plicating the rectovaginal fascia in the midline, restoring the natural barrier between the rectum and vagina. The procedure relieves symptoms including a vaginal bulge at the back, difficulty with bowel movements, incomplete rectal evacuation, and the need to splint the vagina to defecate. Dr. Ashwani Narla performs posterior colporrhaphy at Lux Hospitals, Hyderabad.
Suitable for women with symptomatic posterior compartment prolapse (rectocele) causing a vaginal bulge, bowel difficulties, or discomfort — either as a standalone procedure or combined with anterior repair and vaginal hysterectomy.
How the Procedure Works
Anaesthesia & Positioning
General or spinal anaesthesia is administered. The patient is in the lithotomy position. The posterior vaginal wall and perineum are exposed and infiltrated.
Posterior Wall Incision
A midline incision is made in the posterior vaginal wall from the vaginal apex to the perineal body, developing the plane between vaginal skin and rectovaginal fascia.
Fascial Plication
The rectovaginal fascia is plicated in the midline with absorbable sutures, restoring the posterior support layer and correcting the rectocele.
Perineorrhaphy
The perineal body is repaired and reinforced where necessary to restore perineal bulk and strength at the vaginal introitus.
Closure & Recovery
The vaginal wall is closed with absorbable sutures. A pack is placed for 24 hours. Hospital stay is one to two days with early pelvic floor physiotherapy.
Outcomes
Who Needs This Treatment?
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Corrects posterior vaginal wall prolapse and restores normal rectal support
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Relieves symptoms of vaginal bulge, incomplete bowel evacuation, and splinting
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Vaginal approach — no abdominal incisions required
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Can be combined with anterior repair and vault suspension in the same operation
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Perineal reinforcement restores vaginal support at the introitus
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Pelvic floor physiotherapy post-operatively enhances long-term repair outcomes
The posterior wall is often the most symptomatic for women — the difficulty with bowel function, the bulge, the splinting. Correcting it well restores function and dignity in a profound way.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Posterior Colporrhaphy Cost in Hyderabad
The cost of posterior colporrhaphy in Hyderabad can vary depending on the severity of rectocele, the extent of pelvic floor weakness, diagnostic evaluation, surgical complexity, and post-operative care. Posterior colporrhaphy is a surgical procedure used to repair weakness in the posterior vaginal wall and provide support when the rectum bulges into the vagina. The estimated cost generally ranges from ₹60,000 to ₹1,30,000, with an approximate average cost of ₹95,000.
| Procedure | Approximate Cost Range |
|---|---|
| Posterior Colporrhaphy for Uterine Prolapse – Rectocele Repair | ₹60,000 – ₹1,30,000 |
The actual treatment cost may vary depending on the severity of rectocele, 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 Posterior Colporrhaphy Cost
Several factors can affect the overall cost of rectocele repair:
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Severity of rectocele: The extent of posterior vaginal wall weakness and rectal bulging may influence the complexity of the 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 tissue repair and surgical technique used can influence 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 final cost.
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Additional pelvic floor procedures: If other pelvic organ prolapse 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 contribute to the overall expenses.
Is Posterior Colporrhaphy Covered by Insurance?
Posterior colporrhaphy may be covered by health insurance when it is medically necessary for the treatment of rectocele 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 rectocele and determine whether posterior colporrhaphy is an appropriate treatment option. She will also discuss suitable treatment approaches, expected recovery, and the estimated treatment cost based on the patient's individual condition.
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