Anterior vaginal repair or paravaginal repair
These vaginal procedures are often done in women when the bladder is bulging into the vagina. (Such a condition is called a cystocele). An anterior vaginal repair is done through a cut in the vagina, and a paravaginal repair may be done through a cut in the vagina or abdomen.
In an anterior repair, the supportive tissue between the vagina and bladder is folded and stitched together so the bladder and urethra are in proper position. In a paravaginal repair, the supportive tissue between the vagina and bladder is stitched to the tissue covering the pelvic floor muscles, so the bladder and urethra are supported. Studies have shown that the cure rate for stress urinary incontinence from these procedures is about 40-65%. Often, these procedures are done along with another procedure for stress incontinence such as a retropubic suspension.