Transvaginal prolapse repair

Nitya E. Abraham, Howard Brian Goldman

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Transvaginal pelvic floor reconstruction can be divided by compartment: Anterior repair, posterior repair, and apical repair. Approaches can be restorative, utilizing native tissue to fix defects; compensatory, utilizing biologic or synthetic graft material to fix defects; and obliterative. The presence of prolapse alone is not an indication for treatment. Only symptomatic patients should be treated. The transvaginal approach to pelvic floor reconstruction offers the potential benefits of decreased morbidity, convalescence, and cost compared to the transabdominal approach. However, long-term outcomes can vary and an informed discussion with the patient and consideration of surgeon expertise should guide the approach used for pelvic floor reconstruction.

Original languageEnglish (US)
Title of host publicationFemale Pelvic Surgery, Second Edition
PublisherSpringer International Publishing
Pages65-81
Number of pages17
ISBN (Electronic)9783030283193
ISBN (Print)9783030283186
DOIs
StatePublished - Jan 1 2020

Keywords

  • Anterior colporrhaphy
  • Anterior vaginal wall
  • Apical prolapse
  • Posterior vaginal wall
  • Sacrospinous ligament

ASJC Scopus subject areas

  • Medicine(all)

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