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The wall of the vagina is cut open to reveal an opening in the supporting structures, or fascia (B).The defect is closed (C), and the vaginal skin is repaired (D). Any excess vaginal skin is removed and the incision is closed with stitches.
The goals of cystocele repair are to relieve a patient's symptoms, to improve or maintain urinary and sexual function, to return pelvic structures to their original position, and to prevent the formation of new defects.
Urinary incontinence is the most common symptom of a cystocele.
Surgery is generally not performed unless the symptoms of the prolapse have begun to interfere with daily life.
The patient is first given general or regional anesthesia.
A speculum is inserted into the vagina to hold it open during the procedure.