Product Summary: AMA rates

Permanent closure of the vagina in the elderly who suffer from pelvic organ prolapse and who aren’t and never will be sexually active.

Why is it done?

Complete closure of the vagina

  • The aim of surgery is to relieve the symptoms of vaginal bulge and / or laxity.
  • Improve bladder function.
  • Used where women are elderly and have no desire to be sexually active again.
  • Vaginal prolapse is a common condition causing symptoms such as a sensation of dragging or fullness in the vagina, and difficulty emptying the bowel or bladder and back ache.
  • About 1 in 10 women need surgery for prolapse of the uterus or vagina.

Image Caption: Complete closure of the vagina


  • An informed consent is required from the patient and a pre-admission clinic will be arranged.
  • Patients may not eat or drink from midnight the previous evening.
  • Patients are to refrain from smoking before the procedure.
  • Patients allergic to IODINE / CHLORHEXIDINE should clearly state this at the pre-admission clinic as well as to theatre staff and Dr Schoeman.
  • Any anti-coagulants such as Warfarin or Aspirin must be stopped 7 days prior to surgery. This may be replaced by once daily Clexane injections.
  • Pre-operative blood tests are required 4 days prior to surgery.
  • Patients with cardiac illnesses require a cardiologist/ physician report.
  • A chest X-ray is required for patients with lung disease.
  • Be prepared for an 2-3 day stay.

How is it done?

  • This procedure is done under a spinal / general anaesthetic, as decided by the anaesthetist.
  • A large portion of the vaginal mucosa is removed on the bladder and rectal side, from the vault to the introits.
  • The edges of the front wall are sewn to the back wall, therefore occluding the whole urethra.
  • The sides of the vagina is not occluded to allow drainage of fluids.
  • A catheter is placed into the bladder at the end of surgery.
  • The catheter is removed the next day

What to expect after the procedure?

  • When you wake up from the anesthetics you will have a drip to give you fluids and may have a catheter in your bladder.
  • The catheter is usually removed the next morning.


There are also general risks associated with surgery:

  • Wound infection.
  • Urinary tract infection.
  • Rarely – Bleeding requiring a blood transfusion and Deep vein thrombosis (clots) in the legs, Chest infection.

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