Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013:2013:198542.
doi: 10.1155/2013/198542. Epub 2013 Feb 12.

A novel technique for anterior vaginal wall prolapse repair: anterior vaginal wall darn

Osman Köse  1 , Hasan S Sağlam, Sükrü Kumsar, Salih Budak, Öztuğ Adsan
Affiliations

A novel technique for anterior vaginal wall prolapse repair: anterior vaginal wall darn

Osman Köse et al. ScientificWorldJournal. 2013.

Abstract

Aim: The aim of this study is to introduce a new technique, anterior vaginal wall darn (AVWD), which has not been used before to repair the anterior vaginal wall prolapse, a common problem among women.

Materials and methods: Forty-five women suffering from anterior vaginal wall prolapse were operated on with a new technique. The anterior vaginal wall was detached by sharp and blunt dissection via an incision beginning from the 1 cm proximal aspect of the external meatus extending to the vaginal apex, and the space between the tissues that attach the lateral walls of the vagina to the arcus tendineus fascia pelvis (ATFP) was then darned. Preoperation and early postoperation evaluations of the patients were conducted and summarized.

Results: Data were collected six months after operation. Cough stress test (CST), Pelvic Organ Prolapse Quantification (POP-Q) evaluation, Incontinence Impact Questionnaire (IIQ-7), and Urogenital Distress Inventory (UDI-6) scores indicated recovery. According to the early postoperation results, all patients were satisfied with the operation. No vaginal mucosal erosion or any other complications were detected.

Conclusion: In this initial series, our short-term results suggested that patients with grade II-III anterior vaginal wall prolapsus might be treated successfully with the AVWD method.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Slightly approximating continuous locking 2/0 polypropylene suture was placed inside the arcus tendineus fascia pelvis.
Figure 2
Figure 2
The suture was extended continuously to the distal aspect to form a darn.
Figure 3
Figure 3
Surgical view of the ends of the suture.
See this image and copyright information in PMC

References

    1. Subak LL, Waetjen LE, van den Eeden S, Thom DH, Vittinghoff E, Brown JS. Cost of pelvic organ prolapse surgery in the United States. Obstetrics and Gynecology. 2001;98(4):646–651. - PubMed
    1. Melville JL, Fan M, Rau H, Nygaard IE, Katon WJ. Major depression and urinary incontinence in women: temporal associations in an epidemiologic sample. The American Journal of Obstetrics and Gynecology. 2009;201(5):490–e1. - PubMed
    1. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstetrics and Gynecology. 1997;89(4):501–506. - PubMed
    1. Weber AM, Walters MD. Anterior vaginal prolapse: review of anatomy and techniques of surgical repair. Obstetrics and Gynecology. 1997;89(2):311–318. - PubMed
    1. Maher C, Baessler K, Glazener CMA, Adams EJ, Hagen S. Surgical management of pelvic organ prolapse in women. Cochrane Database of Systematic Reviews. 2007;(3)CD004014 - PubMed

LinkOut - more resources