Transvaginal Cystocele and Rectocele Repair, Using a New Very Simple Suturing DE-ALWIS TECHNIQUE

The purpose of this exercise is to introduce a very simple new technique of epithelial closure, in this case the vaginalwall. The new technique (the de Alwis method) has been used by us for decades. Proplapse of the uterus or several pelvicorgans has been a problem for centuries and a most embarrassing experience for many. Different surgical and nonsurgicalmeasures have been performed over centuries. The de Alwis method of vaginal epithelial wall approximation is shown tobe cosmetically most accepted in our unit and has had no adhesions nor granulation tissue formation.Purpose: A different technique of vaginal repair with the de Alwis suturing technique of epithelium approximation, over atwenty-year period.Method: This is a retrospective review of 41 patients who underwent vaginal repairs with the de Alwis method suturingtechnique, for over a decade. In many, the Baden-Walker halfway classification was used before and during follow-up.Four elderly frail patients, with vaginal vault prolapsed and who were not sexually active, opted for Le Forts’ colpocleisis.Transvaginal vaginal repair followed by vaginal epithelial closure using the de Alwis surgical technique, had no granulationtissue formation, and was cosmetically satisfying.