A woman is scheduled for an anterior and posterior colporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which of the following descriptions would be most appropriate to include?
A) "This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position.".
B) "Your uterus will be removed through your vagina, helping to relieve the organ that is putting the pressure on your bladder.".
C) "This is a series of exercises that you will learn to do so that you can strengthen your bladder muscles.".
D) "These are plastic devices that your physician will insert into your vagina to provide support to the uterus and keep it in the proper position.".
A
Feedback:
An anterior and posterior colporrhaphy tightens the anterior and posterior vaginal wall, and the supportive tissue between the vagina and bladder is folded and sutured to bring the bladder and urethra into proper position. Removal of the uterus through the vagina refers to a vaginal hysterectomy. Exercises to strengthen the bladder muscles are called Kegel exercises. Plastic devices inserted to provide support are called pessaries.
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