title: A novel technique for anterior vaginal wall prolapse repair: anterior vaginal wall darn.
abstract: OBJECTIVE
  The aim of this study is to introduce a new technique, anterior vaginal wall darn (AVWD), which has not been used before to repair the anterior vaginal wall prolapse, a common problem among women.
  
  
  METHODS
  Forty-five women suffering from anterior vaginal wall prolapse were operated on with a new technique. The anterior vaginal wall was detached by sharp and blunt dissection via an incision beginning from the 1 cm proximal aspect of the external meatus extending to the vaginal apex, and the space between the tissues that attach the lateral walls of the vagina to the arcus tendineus fascia pelvis (ATFP) was then darned. Preoperation and early postoperation evaluations of the patients were conducted and summarized.
  
  
  RESULTS
  Data were collected six months after operation. Cough stress test (CST), Pelvic Organ Prolapse Quantification (POP-Q) evaluation, Incontinence Impact Questionnaire (IIQ-7), and Urogenital Distress Inventory (UDI-6) scores indicated recovery. According to the early postoperation results, all patients were satisfied with the operation. No vaginal mucosal erosion or any other complications were detected.
  
  
  CONCLUSIONS
  In this initial series, our short-term results suggested that patients with grade II-III anterior vaginal wall prolapsus might be treated successfully with the AVWD method.
authors.affiliation: Department of Urology, Faculty of Medicine, Sakarya University and Training and Research Hospital, 54100 Sakarya, Turkey. koseonk@yahoo.com.tr
authors.forename: Osman
authors.initials: O
authors.lastname: Köse
authors.forename: Hasan S
authors.initials: HS
authors.lastname: Sağlam
authors.forename: Sükrü
authors.initials: S
authors.lastname: Kumsar
authors.forename: Salih
authors.initials: S
authors.lastname: Budak
authors.forename: Öztuğ
authors.initials: Ö
authors.lastname: Adsan
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D013537:Sutures; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000517:prevention & control / Q000601:surgery; D014596:Uterine Prolapse / Q000473:pathology / Q000601:surgery*; D014621:Vagina / Q000473:pathology* / Q000601:surgery