Urogynaecology / Anterior repair

Too tight

Anterior repair resulting in the narrowing of the vagina

Success story

Nala presented with symptoms of vaginal prolapse and urinary incontinence in 2007. She underwent Anterior and Posterior Vaginal Repair a few months later. After this Nala complained that her vagina was too narrow, making intercourse impossible. A series of treatments over next four years were unsuccessful and pain and tenderness persisted. In 2011 she underwent a Vaginal Flap Operation. She alleged that the initial vaginal repair was negligent. PMS Expert Report concluded that the initial vaginal repair was probably conducted negligently. An excessive amount of tissue was removed and the levator ani muscles were sutured together too tightly. Furthermore, it was actually unnecessary to perform the anterior repair at all and this also contributed to narrowing of the vagina. As a result of the negligence, Nala was unable to have intercourse for four years, leading to the breakdown of her relationship and a worsening of her long term problems with anxiety and depression. She had to undergo three extra operations, and it was unclear whether the most recent one had actually cured the problem. The case settled, and Nala received compensation.

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