Will anterior prolapse repair improve vaginal tightness?

An anterior prolapse repair, also known as anterior colporrhaphy, is primarily aimed at addressing the prolapse itself by supporting the bladder and restoring its normal position. While the main goal of the surgery is to correct the prolapse, many patients do report an improvement in vaginal tightness following the procedure. This is because the repair often involves reinforcing the vaginal wall, which can help reduce the feeling of laxity.

However, the degree to which vaginal tightness is improved can vary from person to person, and it is important to have realistic expectations. The surgery may not entirely restore the vaginal tightness to what it was prior to the prolapse, but it can help improve the overall support and function.

Regarding concerns about sexual function and confidence, many women find that addressing the prolapse improves their confidence and comfort during sexual activity. It is important to discuss your specific concerns and goals with your surgeon prior to the procedure, as they can provide more personalized information based on your condition and the surgical approach they will use.

Additionally, pelvic floor exercises, either before or after surgery, can further enhance pelvic support and improve outcomes. A consultation with a pelvic floor physical therapist can be beneficial in addressing these concerns.

Thank you for your questionWhen patients complain of vaginal laxness, The majority of of the problem is in the posterior or rectovaginal side the vagina along with the posterior vaginal opening. Fixing the cystocele (anterior side) can result in some narrowing may help minimally, but doesn't typically address or affect the problem of laxness.

Cystocele repair will not tighten your vagina. It will simply reducing the bulging that occurs when your bladder is loose and sagging. There is no way to tell if your vagina will feel open or larger after a cystocele repair without examining you. However, a mild bladder prolapse is unlikely to have any effect on vaginal tightness in general.