Repair of cystocele and rectocele without the use of mesh is most often done by imbricating the tissue around the bladder and pulling the pelvic sidewall muscle across the rectum. This is most often called an A&P repair.
The success of these procedures varies with failure rates as high as 50% for cystocele repairs and painful intercourse has been reported with this type of rectocele repair.
"Site Specific Repairs" where defects in the supporting tissues are repaired have shown mixed results as well.
Depending on the degree and severity of the cystocele and rectocele these procedures may be appropriate. Your surgeon should be able to give you guidance regarding your choices.
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