In this procedure, the vaginal walls that hold the bladder, the rectum and the small bowel in place are weak, and the provider must repair the areas in the wall to support these structures with sutures. This is a vaginal approach procedure and includes the repair of an enterocele, when the small intestines and perineum protrude into the vaginal canal. The provider may or may not perform cystourethroscopy, examination of the bladder and urethra with a lighted tubular instrument.
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