News for Your Practice

Anterior vaginal wall prolapse: The challenge of cystocele repair

Author and Disclosure Information

 

References

The gold standard, for now

Prolapse of the anterior vaginal wall remains a challenge for the gynecologic surgeon. Careful preoperative and intraoperative evaluation and identification of support defects should guide repairs.

Randomized, controlled trials of midline versus paravaginal repair, as well as use of various graft materials, are greatly needed. These studies should not only address recurrence of prolapse symptoms, but the impact of surgery on sexual and lower urinary tract function.

At this time, the traditional anterior colporrhaphy with attention to apical suspension remains the gold standard.

The authors report no financial relationships relevant to this article.

Pages

Recommended Reading

Bathroom visit linked to infant’s brain damage
MDedge ObGyn
Was patient told of abnormal Pap result?
MDedge ObGyn
Colon, ileum damage follow hysterectomy
MDedge ObGyn
Was additional testing for rectal cancer required?
MDedge ObGyn
Appendectomy leads to preterm birth
MDedge ObGyn
Was cesarean indicated for dystocia?
MDedge ObGyn
Necrotizing fasciitis, death follow tubal ligation
MDedge ObGyn
Was fistula repair performed too soon?
MDedge ObGyn
Missed oligohydramnios blamed for cerebral palsy
MDedge ObGyn
New insight on an enduring enigma
MDedge ObGyn