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Anterior Compartment

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Vaginal Surgery for Incontinence and Prolapse

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Abstract

The goal of repair is to restore pelvic anatomic support of the anterior vaginal wall. This is rarely an independent surgery. Often, surgery entails addressing incontinence as well as prolapse of the uterus and posterior compartment. The end result must restore anatomy and function by restoring normal vaginal axis and depth while preserving urinary, bowel, and sexual function. Treatment of cystocele must address all defects of the pelvic floor. In the anterior compartment, we must correct urethral hypermobility, weakness of lateral bladder support (paravaginal), perivesical fascia (central), and cardinal-sacrouterine ligament complex. Options for surgical treatment include abdominal, laparoscopic, or vaginalapproaches. This chapter focuses on the various vaginal techniques popularized to repair cystoceles and introduces our new technique that addresses all the defects of the anterior compartment.

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Author information

Authors and Affiliations

  1. Department of Urology, University of California–San Francisco, San Francisco, CA, USA

    Donna Y. Deng MD

  2. Department of Urology, Columbia University, College of Physicians and Surgeons, New York, NY, USA

    Matthew P. Rutman MD

  3. Reconstructive and Female Urology, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, CA, USA

    Larissa V. Rodriguez MD & Shlomo Raz MD

Authors
  1. Donna Y. Deng MD
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  2. Matthew P. Rutman MD
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  3. Larissa V. Rodriguez MD
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  4. Shlomo Raz MD
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Editor information

Editors and Affiliations

  1. Department of Urology, The University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA

    Philippe E. Zimmern MD, FACS (Professor of Urology, Jane and John Justin Distinguished Chair in Urology In honor of Claus Roehrborn, MD) (Professor of Urology, Jane and John Justin Distinguished Chair in Urology In honor of Claus Roehrborn, MD)

  2. University of Utah School of Medicine, Salt Lake City, UT, USA

    Peggy A. Norton MD, FACOG (Professor of Obstetrics and Gynecology, Chief of Urogynecology and Reconstructive Pelvic Surgery) (Professor of Obstetrics and Gynecology, Chief of Urogynecology and Reconstructive Pelvic Surgery)

  3. Urology Department, Tenon Hospital, Paris, France

    François Haab MD (Professor of Urology) (Professor of Urology)

  4. Department of Urology, The Royal Hallamshire Hospital, Sheffield, UK

    Christopher C. R. Chapple BSc, MD, FRCS (Urol), FEBU (Consultant Urological Surgeon) (Consultant Urological Surgeon)

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© 2006 Springer-Verlag London Limited

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Deng, D.Y., Rutman, M.P., Rodriguez, L.V., Raz, S. (2006). Anterior Compartment. In: Zimmern, P.E., Norton, P.A., Haab, F., Chapple, C.C.R. (eds) Vaginal Surgery for Incontinence and Prolapse. Springer, London. https://doi.org/10.1007/978-1-84628-346-8_11

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  • DOI: https://doi.org/10.1007/978-1-84628-346-8_11

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-912-8

  • Online ISBN: 978-1-84628-346-8

  • eBook Packages: MedicineMedicine (R0)

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