The fornices of the vagina (sing. fornix of the vagina or fornix vaginae) are the superior portions of the vagina , extending into the recesses created by the vaginal portion of cervix. The word fornix is Latin for arch. The human vagina is an elastic, muscular canal that extends from the vulva to the cervix. The opening of the vagina lies in the urogenital triangle.
The urogenital triangle is the front triangle of the perineum and also consists of the urethral opening and associated parts of the external genitalia. The vaginal canal travels upwards and backwards, between the urethra at the front, and the.
When this happens, tissues or structures just behind the vaginal wall — in this case, the rectum — can bulge into the vagina. A perineorrhaphy is the term used for the operation that repairs the perineal body. A diagnosis of posterior vaginal prolapse generally occurs during a pelvic exam of your vagina and rectum.
During the pelvic exam your doctor is likely to ask you: To bear down as if having a bowel movement. Bearing down may cause the posterior vaginal prolapse to bulge, so your doctor can assess its size and location. What do I need to know about posterior vaginal repair?
How do I prepare for surgery? Your healthcare provider will talk to you about how to prepare for surgery.
A posterior vaginal repair is surgery to fix a rectocele or vaginal hernia. He or she may tell you not to eat or drink anything after midnight on the day of your surgery. 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. Vaginal prolapse Surgery of posterior wall 3D Operative Gynecology.
Unsubscribe from Operative Gynecology? A 42-year-old multi para, presented with a mass protruding from vagina since year. The mass was cystic in nature arising from the posterior vagina l wall. It was insidious in growth, gradually increasing in size to 8×cm.
Surgical excision of the cyst was done by sharp and blunt dissection. Correct defects in the rectovaginal fascia separating rectum and vagina while allowing bowel function to be maintained or corrected without interfering with sexual function. Prolapse of the posterior , or back wall of the vagina , occurs because of a weakening of the fascia, which is the layer of tissue that divides the vagina and the lower section of the bowel, known as the rectum. Posterior Vaginal Repair and Perineoplasty.
The rectum (bowel) bulges through the vagina (Figure 1). The perineum is the area between the vagina and the back passage. The lower one-third of the vagina is fused with the perineal body (Fig. 1), which is the attachment between the perineal membranes on either side.
This connection prevents downward descent of the rectum in this region.
Childbirth and other processes that put pressure on pelvic tissues can lead to posterior vaginal prolapse. DISCHARGE INSTRUCTIONS: Call your healthcare provider if: You feel something is bulging out into your vagina or rectum and not going back in. You soak a sanitary pad with blood every hour for hours. In the top image, the posterior vagina of a mare tract has been cut open. You can see the vulva to the left side of the image.
The second image is an enlargement showing the right hand side. These prolapses happen when the tissue between your vagina and rectum (the end of your large bowel) stretches or separates from the bones in your pelvis.
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