Anterior vaginal wall suspension – description of the technique
Authors:
O. Gulpinar 1; P. Zimmern 2
Authors‘ workplace:
Department of Urology, University of Ankara, Ankara, Turkey
1; Department of Urology, UT Southwestern Medical Center, Dallas, USA
2
Published in:
Urol List 2014; 12(3): 17-20
Overview
The anterior vaginal wall suspension is a native tissue repair procedure done vaginally to correct stress urinary incontinence secondary to urethral hypermobility and any associated degree of anterior vaginal wall compartment prolapse. The procedure is ideally suited for women with lateral defect cystocele (stages I and II). The procedure can be applied for more advanced degrees of cystocele, but additional repairs will be necessary including vault suspension and posterior compartment repairs (enterocele, rectocele). The technique of the procedure is reported herein, along with our early experience which has been favorable so far. The procedure is short (around one hour), with limited morbidity and no impact on voiding function. Vaginal depth and size are not compromised; so sexual activity can be resumed once the vaginal suture lines have healed. Long‑term data at 15 years has been reported at the last SUFU and AUA meetings by Dr Zimmern from UT Southwestern Medical Center in Dallas.
Key words:
stress urinary incontinence, female, vaginal surgery, native tissue repair
Sources
1. Poon CI, Zimmern PE. Surgery for urinary incontinence: Transvaginal surgery for stress urinary incontinence owing to urethral hypermobility. In: Zimmern PE, Norton PA, Haab F et al (eds).Vaginal surgery for incontinence and prolapse. London: Springer-Verlag London Limited 2006.
2. Wilson TS, Zimmern PE. Anterior vaginal wall suspension. In: Vasavada SP, Appell RA, Sand PK, Raz (eds). Female urology, urogynecology, and voiding dysfunction. New York: Marcel Dekker 2005: 283–290.
3. Takacs EB, Zimmern PE. Role of needle suspensions. In: Raz S, Rodriguez L (eds). Female Urology. Philadelphia: Saunders Elsevier 2008.
4. Zimmern P, Christie A, Xie XJ et al. Fifteen years experience with the anterior vaginal wall suspension procedure, a native tissue vaginal repair for stress urinary incontinence with early stage anterior compartment prolapse. AUA 214; abstract 14–189.
5. Coskun B, Lavelle RS, Alhalabi F et al. Anterior vaginal wall suspension procedure for moderate bladder and uterine prolapse as a method of uterine preservation. J Urol 2014. doi: 10.1016/j.juro.2014.06.027.
Labels
Paediatric urologist UrologyArticle was published in
Urological Journal
2014 Issue 3
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