Introduction

Vagina posterior repair, also known as posterior colporrhaphy, is a specialized surgical procedure aimed at correcting defects in the posterior vaginal wall, most commonly rectocele. This condition arises when the rectovaginal septum—the connective tissue between the rectum and the vagina—weakens or tears, causing the rectum to bulge into the vaginal canal. This bulging can cause a variety of physical and functional symptoms that affect a woman’s quality of life.

Posterior vaginal wall defects are a frequent manifestation of pelvic organ prolapse and are often related to childbirth trauma, aging, chronic pressure, or connective tissue disorders.

Women experiencing symptoms related to rectocele or posterior prolapse often benefit significantly from vaginal posterior repair, which restores anatomy, improves function, and alleviates discomfort.

Modern surgical techniques focus not only on anatomical restoration but also on minimizing complications, preserving sexual function, and promoting long-term pelvic floor health.

Vaginal Childbirth Injury: The most common cause is trauma or overstretching of the pelvic floor muscles and connective tissues during labor and delivery, especially with prolonged or assisted vaginal delivery.

Aging and Menopause: Declining estrogen levels lead to atrophic changes and decreased collagen production in pelvic tissues.

Chronic Intra-abdominal Pressure: Factors like chronic coughing, obesity, constipation, and heavy lifting can strain and weaken pelvic support.

Previous Pelvic or Abdominal Surgeries: Surgical trauma and scarring may compromise support structures.