3 Questions Before Colpocleisis for Prolapse
Bladder & Pelvic FloorArticleDiscuss permanent vaginal closure, uterine assessment and the bladder plan before consenting.
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If the consultation moves quickly through operation names, ask the surgeon to pause at “vaginal closure.” Have them explain what that would mean for your body before you sign. You deserve time for that conversation.
1. Am I comfortable with permanent closure?
The decision includes your wishes about future vaginal intercourse, not only whether you have a partner now. IUGA describes the closure as irreversible and advises discussing other treatment options with the surgeon.1
A blank box beside “sexually active” cannot answer that question for you.
Ask for a diagram and an explanation in words you understand. Tell the clinician if you are unsure about future intimacy. Request another appointment if you want time to think or discuss the proposal with someone you trust.
2. What happens if I still have my uterus?
Colpocleisis can be performed with or without a uterus. If it stays, reaching it after healing becomes difficult. Assessment before surgery may include cervical testing, a uterine biopsy or pelvic ultrasound.1
Ask which tests your own history calls for and why. Bring previous test results if you have them, and tell the surgeon about bleeding you want assessed. Have the proposed operation written down, including whether removal of the uterus is part of it.
3. What is the separate plan for my bladder?
Bladder symptoms may need assessment before surgery, including urodynamic testing. A procedure for stress urinary leakage can sometimes be done at the same operation.1
Describe the urinary problem you most want changed. Ask which symptoms the prolapse operation is expected to address, whether another procedure is proposed and what its risks add. And ask how the team will check bladder emptying before you go home.
Leave with the aftercare contact
Ask for your recovery restrictions, follow-up date and a number to call in writing. After surgery, unpleasant-smelling discharge, fever or worsening pain needs a call to your doctor.1
Laugh, Sneeze, Jump includes a three-day bladder log and appointment prep sheet. Use them to organize urinary observations and the questions you want answered alongside the surgeon’s plan. Explore the bladder and pelvic floor playbook.
This article is for general educational purposes only and is not medical advice. It isn't a substitute for diagnosis or treatment from a qualified healthcare professional who knows your health history. Please don't ignore professional advice or delay getting care because of something you read here. If you think you may be having a medical emergency, call 911 or your local emergency number right away. Girl Playbook does not endorse any specific product, test, or provider.
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