Vaginal and Minimally Invasive Procedures continued
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.
fig. 1
Skin Incision – The skin overlying
the cystocele is out.
fig.2
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.
Fig.3
Repairing Defect – The break in the pubocervical fascia (support layer) is repaired.
Fig.4
Closing the Vagina – The covering layer known as the vaginal epithelium or skin is closed using suture.
