Surgical repair of anterior wall vaginal defects.
OBJECTIVE
To compare the clinical efficacy of 3 surgical procedures for central types of anterior vaginal wall defect.


METHODS
A total of 138 patients diagnosed with central types of anterior vaginal wall defect who underwent classic transvaginal repair (n=72), transvaginal repair with polypropylene mesh (n=28), and internal repair (n=38) were followed up for at least 1 year.


RESULTS
There were no differences in development of fever, vaginal erosion, detrusor overactivity, and voiding difficulty among the 3 groups, but the incidence of postoperative urinary tract infections was significantly higher in the polypropylene mesh repair group. The difference in preoperative and postoperative hemoglobin levels and wound infection incidence were significantly higher in the internal repair group. Moreover, the recurrence rate of the anterior vaginal wall defect was significantly higher at 1 year in the internal repair group.


CONCLUSIONS
Transvaginal surgical repair seems to be more efficacious than internal surgical repair for central types of anterior vaginal wall defects.
Bai
S W
SW
Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Shinchon-dong, 134 Seodaemun-gu, Seoul 120-752, Korea. swbai@yumc.yonsei.ac.kr
Jung
H J
HJ
Jeon
M J
MJ
Chung
D J
DJ
Kim
S K
SK
Kim
J W
JW
D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D017773:Pelvic Floor / Q000601:surgery*; D011183:Postoperative Complications; D013526:Surgical Mesh / Q000009:adverse effects; D014596:Uterine Prolapse / Q000601:surgery*