Transvaginal prolapse repair

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.