Evaluation and Management of Anterior Vaginal Wall Prolapse.

Prolapse of the anterior vaginal wall is the most common presentation of pelvic organ prolapse. Studies suggested that, of the various segments of the vagina that may be involved in prolapse (anterior, posterior, or apical), the anterior vaginal wall is the segment most likely to demonstrate recurrent prolapse after reconstructive surgery. In addition, normal anterior vaginal support plays an important role in supporting the urethra, and loss of this support can contribute to the development of stress urinary incontinence. It is therefore important that the pelvic reconstructive surgeon understand the normal support mechanisms of the anterior vaginal wall and the full spectrum of techniques for correction of anterior vaginal prolapse and cystoceles. [ABSTRACT FROM AUTHOR]