Total hysterectomy and anterior vaginal wall suspension for concurrent uterine and bladder prolapses: Long-term anatomical results of additional vault.

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Presentation transcript:

Total hysterectomy and anterior vaginal wall suspension for concurrent uterine and bladder prolapses: Long-term anatomical results of additional vault and/or posterior compartment prolapse repair Dominic Lee, Benjamin E. Dillon, Karen Bradshaw, Philippe E. Zimmern Urological Science Volume 26, Issue 1, Pages 51-56 (March 2015) DOI: 10.1016/j.urols.2014.09.001 Copyright © 2015 Terms and Conditions

Fig. 1 Flowchart of two subgroup populations identified. Urological Science 2015 26, 51-56DOI: (10.1016/j.urols.2014.09.001) Copyright © 2015 Terms and Conditions

Fig. 2 (A) Stage 2 anterior compartment prolapse. (B) Cervix on traction with tenaculum revealing uterine descent. (C) Following anterior vaginal wall suspension (AVWS) for cystocele and hysterectomy, posterior compartment defect was noted, including weak apical support. (D) Vaginal repair of apicoposterior compartment defect with posterior colporrhaphy and enterocele closure with vault fixation [high midline levator myorrhaphy (HMLM)]. Urological Science 2015 26, 51-56DOI: (10.1016/j.urols.2014.09.001) Copyright © 2015 Terms and Conditions

Fig. 3 (A) Grade 2 (2–5 cm) cystocele with lateral height at 4 cm on voiding cystourethrogram using lower edge of symphysis pubis as reference point. (B) AP view indicates the level of pelvic floor defect (⇒). (C) Six months after anterior vaginal wall suspension procedure, anatomical correction of cystocele is documented on standing VCUG. AP = anteroposterior; VCUG = standing voiding cystourethrogram. Urological Science 2015 26, 51-56DOI: (10.1016/j.urols.2014.09.001) Copyright © 2015 Terms and Conditions