ObGynAI — Surgery Templates

DATE OF SURGERY: 05/23/2026 11:07 PM
PRE-OP DIAGNOSIS: Stress Urinary Incontinence
POST-OP DIAGNOSIS: Stress Urinary Incontinence
PROCEDURE: Colpocleisis
EBL: Minimal
SPECIMENS: None
CONDITION: excellent

Description of procedure

The patient was brought to the operating room and general endotracheal was initiated. The patient was then prepped and draped in the usual sterile fashion in the dorsal lithotomy position with . The time out safety protocol was called out by the surgeon and affirmed by all personnel present. Two Alice clamps were used to grasp the para urethral tissue, and the sub-urethral tissue was incised with a scalpel. The lateral urethral space was the exposed with blunt and sharp dissection. A trans-urethral stent was placed in a Foley catheter, and placed in the urethra for lateral deflection to reduce the chance of injury during trocar placement. The vaginal tape and trocars were assembled and prepared for placement. The trocar was then placed lateral to the urethra, and a stab incision on the mons pubis allowed passage of the trocar. The same was performed on the other side without difficulty. Cystoscopy was then performed to insure the bladder was intact. The trocars was then removed, leaving the tape under the urethra in a tension free position. The positioning was aided using the mayo scissors as a spacer under the urethra. The excess tape was trimmed on the mons. The skin incisions where reapproximated with . The vaginal mucosa was reapproximated using , and a Foley catheter was anchored. Good urethral support was confirmed. Two Alice clamps were used to grasp the anterior vaginal mucosa. Central injection with xylocaine and epinephrine was then performed. Strully scissors were used to create central incision, and dissect the vaginal mucosa away from the underlying tissue. Pratt clamps were used on the vaginal mucosa. The underlying tissue was then imbricated using interrupted 2-0 Vicryl. The excess vaginal mucosa was trimmed and sent to pathology. The mucosa was then reapproximated with a running locking stitch. Two alice clamps were used to grasp the posterior vaginal mucosa on each opposing side. Central injection with xylocaine and epinephrine was then performed. Strully scissors were used to create central incision, and dissect the vaginal mucosa away from the underlying tissue. Pratt clamps were used on the vaginal mucosa. The underlying tissue was then imbricated using interrupted 2-0 Vicryl, including plication of the levators. The excess vaginal mucosa was trimmed and sent to pathology. The mucosa was then reapproximated with a running locking stitch. Normal vaginal caliber and length were confirmed. The patient was then brought out of anesthesia, and transferred to the recovery room in excellent condition.

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