Surgical Technique of Cystocele Repair (Midline Defect only)
The following illustrate a sequence of events in the repair of a midline defect cystocele. The patient has a cystocele due to a midline break in the pubocervical fascia.
Ambulatory Procedures Figure: 1
Ambulatory Procedures Figure: 2
Skin Incision - The skin overlying the cystocele is out.
Identifying Midline Defect - The break in the pubocervical pascia, the supporting layer of the bladder, is identified. Note - one can identify the bladder wall because the supportive floor (fascia) is defective.
Ambulatory Procedures Figure: 3
Ambulatory Procedures Figure: 4
Repairing Defect - The break in the pubocervical fascia (support layer) is repaired.
Closing the Vagina - The covering layer known as the vaginal epithelium or skin is closed using suture.
