Skip to main content
SpringerLink
Log in

Evaluation and Management of Anterior Vaginal Wall Prolapse

  • Chapter
Female Urology

Part of the book series: Current Clinical Urology ((CCU))

  • 1399 Accesses

Abstract

Prolapse of the anterior vaginal wall is the most common presentation of pelvic organ prolapse. Studies suggested that, of the various segments of the vagina that may be involved in prolapse (anterior, posterior, or apical), the anterior vaginal wall is the segment most likely to demonstrate recurrent prolapse after reconstructive surgery. In addition, normal anterior vaginal support plays an important role in supporting the urethra, and loss of this support can contribute to the development of stress urinary incontinence. It is therefore important that the pelvic reconstructive surgeon understand the normal support mechanisms of the anterior vaginal wall and the full spectrum of techniques for correction of anterior vaginal prolapse and cystoceles.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Barber MD, Cundiff GW, Weidner AC, Coates KW, Bump RC, Addison WA. Accuracy of clinical assessment of paravaginal defects in women with anterior vaginal wall prolapse. Am J Obstet Gynecol 1999;181:87–90.

    Article  CAS  PubMed  Google Scholar 

  2. Bruce GR, El-Galley RES, Galloway NTM. Paravaginal defect repair in the treatment of female stress urinary incontinence and cystocele. Urology 1999;54:647–651.

    Article  CAS  PubMed  Google Scholar 

  3. Bump RC, Hurt WG, Theofrastous JP, et al. Randomized prospective comparison of needle colposuspension versus endopelvic fascia plication for potential stress incontinence prophylaxis in woman undergoing vaginal reconstruction for stage III or IV pelvic organ prolapse. Am J Obstet Gynecol 1996;175:326–333.

    Article  CAS  PubMed  Google Scholar 

  4. Cross CA, Cespedes RD, McGuire EJ. Treatment results using pubovaginal slings in patients with large cystoceles and stress incontinence. J Urol 1997;158:431–434.

    Article  CAS  PubMed  Google Scholar 

  5. Dmochowski RR, Zimmern PE, Ganabathi K, et al. Role of the four-corner bladder neck suspension to correct stress incontinence with mild to moderate cystocele. Urology 1997;49:35–40.

    Article  CAS  PubMed  Google Scholar 

  6. Elkins TE, Chesson RR, Videla F, Menefee S, Yordan R, Barksdale PA. Transvaginal paravaginal repair: a useful adjunctive procedure in pelvic relaxation surgery. J Pelvic Surg 2000;1:11–15.

    Google Scholar 

  7. Farrell SA, Ling C. Currycombs for the vaginal paravaginal defect repair. Obstet Gynecol 1997; 90:845–847.

    Article  CAS  PubMed  Google Scholar 

  8. Groutz A, Chaikin DC, Theusen E, Blaivas JG. Use of cadaveric solvent-dehydrated fascia lata for cystocele repair-preliminary results. Urology 2001;58:179–183.

    Article  CAS  PubMed  Google Scholar 

  9. Kelly HA. Incontinence of urine in women. Urol Cutaneous Rev 1913;17:291–293.

    Google Scholar 

  10. Kobashi KC, Mee SL, Leach GE. A new technique for cystocele repair and transvaginal sling: the cadaveric prolapse repair and sling (CAPS). Urology 2000;56:9–14.

    Article  CAS  PubMed  Google Scholar 

  11. Macer GA. Transabdominal repair of cystocele, a 20-year experience, compared with traditional vaginal approach. Am J Obstet Gynecol 1978;13:203–207.

    Google Scholar 

  12. Mallipeddi PK, Steele AC, Kohli N, Karram MM. Anatomic and functional outcome of vaginal paravaginal repair in the correction of anterior vaginal prolapse. Int Urogynecol J 2001;12:83–88.

    Article  CAS  Google Scholar 

  13. Migliari R, Usai E. Treatment results using a mixed fiber mesh in patients with grade IV cystocele. J Urol 1999;161:1255–1258.

    Article  CAS  PubMed  Google Scholar 

  14. Migliari R, De Angelis M, Madeddu G, Verdacchi T. Tension-free vaginal mesh repair for anterior vaginal wall prolapse. Eur Urol 2000;38:151–155.

    Article  CAS  PubMed  Google Scholar 

  15. Miyazaki FS, Miyazaki DW. Raz four-corner suspension for severe cystocele: poor results. Int Urogynecol J 1994;5:94–97.

    Article  Google Scholar 

  16. Nguyen JK, Bhatia NN. Transvaginal repair of paravaginal defects using the capio suturing device: a preliminary experience. J Gynecol Tech 1999;5:51–54.

    Google Scholar 

  17. Porges RF, Smilen SW. Long-term analysis of the surgical management of pelvic support defects. Am J Obstet Gynecol 1994;171:1518–1528.

    CAS  PubMed  Google Scholar 

  18. Raz S, Klutke CG, Golombe J. Four-corner bladder and urethral suspension for moderate cystocele. J Urol 1989;142:712–715.

    CAS  PubMed  Google Scholar 

  19. Richardson AC, Lyon JB, Williams NL. A new look at pelvic relaxation. Am J Obstet Gynecol 1976; 126:568–571.

    CAS  PubMed  Google Scholar 

  20. Richardson AC, Edmonds PB, Williams NL. Treatment of stress urinary incontinence due to paravaginal fascial defects. Obstet Gyencol 1981;57:357–362.

    CAS  Google Scholar 

  21. Safir MH, Gousse AE, Rovner ES, et al. 4-defect repair of grade 4 cystocele. J Urol 1999;161:587–594.

    Article  CAS  PubMed  Google Scholar 

  22. Scotti RJ, Garely AD, Greston WM, Flora RF, Olson TR. Paravaginal repair of lateral vaginal wall defects by fixation to the ischial periosteum and obturator membrane. Am J Obstet Gynecol 1998;179:1436–1445.

    Article  CAS  PubMed  Google Scholar 

  23. Shull BL, Baden WF. A six-year experience with paravaginal defect repair for stress urinary incontinence. Am J Obstet Gynecol 1989;160:1432–1439.

    CAS  PubMed  Google Scholar 

  24. Shull BL, Benn SJ, Kuehl TJ. Surgical management of prolapse of the anterior vaginal segment: an analysis of support defects, operative morbidity and anatomic outcomes. Am J Obstet Gynecol, 1994;171:1429–1439.

    CAS  PubMed  Google Scholar 

  25. Smilen SW, Saini J, Wallach SJ, Porges RF. The risk of cystocele after sacrospinous ligament fixation. Am J Obstet Gynecol 1998;179:1465–1472.

    CAS  PubMed  Google Scholar 

  26. Stanton SL, Hilton P, Norton C, Cardozo L. Clinical and urodynamics effects of anterior colporrhaphy and vaginal hysterectomy for prolapse with or without incontinence. Br J Obstet Gynaecol 1982;89: 459–463.

    CAS  PubMed  Google Scholar 

  27. Walter S, Olesen KP, Hald T, et al. Urodynamic evaluation after vaginal repair and colposuspension. Br J Urol 1982;54:377–380.

    Article  CAS  PubMed  Google Scholar 

  28. Weber AM, Walters MD, Piedmonte MR, Ballard LA. Anterior colporrhaphy: a randomized trial of three surgical techniques. Am J Obstet Gynecol 2001;185:1299–1306.

    Article  CAS  PubMed  Google Scholar 

  29. White GR. Cystocele. JAMA 1909;21:1707–1710.

    Google Scholar 

  30. Young SB, Daman JJ, Bony LG. Vaginal paravaginal repair: one-year outcomes. Am J Obstet Gynecol 2001;185:1360–1367.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Section of Female Urology and Voiding Dysfunction, The Glickman Urological Institute, The Cleveland Clinic, Cleveland, OH

    Sandip P. Vasavada MD

  2. Section of Urogynecology and Reconstructive Pelvic Surgery, The Cleveland Clinic, Cleveland, OH

    Matthew D. Barber MD, MHS

Authors
  1. Sandip P. Vasavada MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Matthew D. Barber MD, MHS
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Section of Female Urology and Voiding Dysfunction The Glickman Urological Institute, The Cleveland Clinic, Cleveland, Ohio

    Howard B. Goldman MD  & Sandip P. Vasavada MD  & 

  2. Department of Urology and Reproductive Biology, CASE School of Medicine, Cleveland, Ohio

    Howard B. Goldman MD

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Vasavada, S.P., Barber, M.D. (2007). Evaluation and Management of Anterior Vaginal Wall Prolapse. In: Goldman, H.B., Vasavada, S.P. (eds) Female Urology. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-368-4_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-368-4_19

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-701-3

  • Online ISBN: 978-1-59745-368-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation