Anterior vaginal wall prolapse describes support abnormalities of the anterior wall of the vagina. Prolapse of the anterior wall typically coexists with prolapse at other anatomic sites (vaginal apex, posterior vaginal wall) [1-3]. The prevailing view is that a common pathogenesis underlies support defects at different sites of the vaginal wall, replacing a previous focus on isolated anatomic compartments. Procedures for surgical repair of anterior vaginal wall defects should include repair of apical prolapse, if present .
Pelvic organ prolapse (POP) affects millions of women; approximately 200,000 inpatient surgical procedures for prolapse are performed annually in the United States [5,6]. Eleven to 19 percent of women will undergo surgery for prolapse or urinary incontinence by age 80 to 85 years, and 30 percent of these women will require an additional prolapse or incontinence surgery .
Reconstructive procedures for prolapse of the anterior vaginal wall are reviewed here. Related topics regarding POP in women are discussed separately, including:
●Diagnosis and evaluation and conservative management (see "An overview of the epidemiology, risk factors, clinical manifestations, and management of pelvic organ prolapse in women" and "Vaginal pessary treatment of prolapse and incontinence")
●Choosing a primary surgical procedure (see "Pelvic organ prolapse in women: Choosing a primary surgical procedure")