Early results of a novel technique for anterior vaginal wall prolapse repair: anterior vaginal wall darn

Abstract

Background: The aim of this study was to describe the results of a 1-year patient follow-up after anterior vaginal wall darn, a novel technique for the repair of anterior vaginal wall prolapse.

Methods: Fifty-five patients with anterior vaginal wall prolapse underwent anterior vaginal wall darn. The anterior vaginal wall was detached using sharp and blunt dissection via an incision beginning 1 cm proximal to the external meatus and extending to the vaginal apex. The space between the tissues that attach the lateral vaginal walls to the arcus tendineus fasciae pelvis was then darned. Cough Stress Test, Pelvic Organ Prolapse Quantification, seven-item Incontinence Impact Questionnaire, and six-item Urogenital Distress Inventory scores were performed 1-year postoperatively to evaluate recovery.

Results: One-year postoperatively, all patients were satisfied with the results of the procedure. No patient had vaginal mucosal erosion or any other complication.

Conclusions: One-year postoperative findings for patients in this series indicate that patients with stage II-III anterior vaginal wall prolapse were successfully treated with the anterior vaginal wall darn technique.

Figure 1

Bites were taken from alternate sides of the arcus tendineus fasciae pelvis using continuous locking 2–0 polypropylene suture, and the tissue edges were slightly approximated.

Figure 2

The suture was extended continuously to the distal aspect to form a darn.

Figure 3

Surgical view of the ends of the suture. (Consent was obtained from the patient to publish this image. A copy of the written consent is available for review by the Editor of this journal).