Surgical repair of anterior wall vaginal defects

• Published in: International journal of gynecology and obstetrics 2007-08, Vol.98 (2), p.147-150
• Main Authors: Bai, S.W., Jung, H.J., Jeon, M.J., Chung, D.J., Kim, S.K., Kim, J.W.
• Format: Article
• Language: English
• Subjects: Anterior repair; Anterior repair with polypropylene mesh; Anterior wall defects; Biological and medical sciences; Female; Follow-Up Studies; Gynecologic Surgical Procedures - adverse effects; Gynecologic Surgical Procedures - methods; Gynecology. Andrology. Obstetrics; Humans; Internal anterior repair; Medical sciences; Obstetrics and Gynecology; Pelvic Floor - surgery; Postoperative Complications; Surgical Mesh - adverse effects; Uterine Prolapse - surgery
• ISSN: 0020-7292; 1879-3479
• DOI: 10.1016/j.ijgo.2007.04.019

Abstract Objective To compare the clinical efficacy of 3 surgical procedures for central types of anterior vaginal wall defect. Methods A total of 138 patients diagnosed with central types of anterior vaginal wall defect who underwent classic transvaginal repair ( n = 72), transvaginal repair with polypropylene mesh ( n = 28), and internal repair ( n = 38) were followed up for at least 1 year. Results There were no differences in development of fever, vaginal erosion, detrusor overactivity, and voiding difficulty among the 3 groups, but the incidence of postoperative urinary tract infections was significantly higher in the polypropylene mesh repair group. The difference in preoperative and postoperative hemoglobin levels and wound infection incidence were significantly higher in the internal repair group. Moreover, the recurrence rate of the anterior vaginal wall defect was significantly higher at 1 year in the internal repair group. Conclusion Transvaginal surgical repair seems to be more efficacious than internal surgical repair for central types of anterior vaginal wall defects.