Skip to main content
SpringerLink
Log in

Transvaginal Prolapse Repair

  • Chapter
  • First Online:
Female Pelvic Surgery

  • 855 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Swift SE. The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol. 2000;183(2):277–85.

    Article  CAS  Google Scholar 

  2. Marchese K. Improving evidence-based practice: use of the POP-Q system for the assessment of pelvic organ prolapse. Urol Nurs. 2009;29(4):216–23.

    PubMed  Google Scholar 

  3. Hendrix SL, Clark A, Nygaard I, et al. Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gyencol. 2002;186:1160–6.

    Article  Google Scholar 

  4. Jelovsek JE, Maher C, Barber MD. Pelvic organ prolapse. Lancet. 2007;369(9566):1027–38.

    Article  Google Scholar 

  5. Machin SE, Mukhopadhyay S. Pelvic organ prolapse: review of the aetiology, presentation, diagnosis and management. Menopause Int. 2011;17(4):132–6.

    Article  Google Scholar 

  6. Dietz HP. Why pelvic floor surgeons should utilize ultrasound imaging. Ultrasound Obstet Gynecol. 2006;28(5):629–34.

    Article  CAS  Google Scholar 

  7. Colaiacomo MC, Masselli G, Polettini E, Lanciotti S, Casciani E, Bertini L, et al. Dynamic MR imaging of the pelvic floor: a pictorial review. Radiographics. 2009;29(3):e35.

    Article  Google Scholar 

  8. Wolf JS Jr, Bennett CJ, Dmochowski RR, Hollenbeck BK, Pearle MS, Schaeffer AJ. Best practice policy statement on urologic surgery antimicrobial prophylaxis. J Urol. 2008;179(4):1379–90.

    Article  Google Scholar 

  9. Muffly T, Barber MD. Insertion and removal of vaginal mesh for pelvic organ prolapse. Clin Obstet Gynecol. 2010;53(1):99–114.

    Article  Google Scholar 

  10. Abraham N, Goldman HB. Surgical techniques for pelvic floor reconstruction: review of the recent literature. Minerva Ginecol. 2013;65(1):29–39.

    CAS  PubMed  Google Scholar 

  11. Weber AM, Walters MD, Piedmonte MR, Ballard LA. Anterior colporrhaphy: a randomized trial of three surgical techniques. Am J Obstet Gynecol. 2001;185(6):1299–304. discussion 304–6.

    Article  CAS  Google Scholar 

  12. Chmielewski L, Walters MD, Weber AM, Barber MD. Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success. Am J Obstet Gynecol. 2011;205(1):69 e1–8.

    Article  Google Scholar 

  13. Jacquetin B. Traditional native tissue vs mesh-augmented pelvic organ prolapse repairs: providing an accurate interpretation of current literature. Comment. Int Urogynecol J. 2013;24(1):181–2.

    Article  CAS  Google Scholar 

  14. Carey M, Higgs P, Goh J, Lim J, Leong A, Krause H, et al. Vaginal repair with mesh versus colporrhaphy for prolapse: a randomised controlled trial. BJOG. 2009;116(10):1380–6.

    Article  CAS  Google Scholar 

  15. Sivaslioglu AA, Unlubilgin E, Dolen I. A randomized comparison of polypropylene mesh surgery with site-specific surgery in the treatment of cystocoele. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(4):467–71.

    Article  CAS  Google Scholar 

  16. Nguyen JN, Burchette RJ. Outcome after anterior vaginal prolapse repair: a randomized controlled trial. Obstet Gynecol. 2008;111(4):891–8.

    Article  Google Scholar 

  17. Vollebregt A, Fischer K, Gietelink D, van der Vaart CH. Primary surgical repair of anterior vaginal prolapse: a randomised trial comparing anatomical and functional outcome between anterior colporrhaphy and trocar-guided transobturator anterior mesh. BJOG. 2011;118(12):1518–27.

    Article  CAS  Google Scholar 

  18. Nieminen K, Hiltunen R, Takala T, Heiskanen E, Merikari M, Niemi K, et al. Outcomes after anterior vaginal wall repair with mesh: a randomized, controlled trial with a 3 year follow-up. Am J Obstet Gynecol. 2007;203(3):235 e1–8.

    Article  Google Scholar 

  19. Maher CM, Feiner B, Baessler K, Glazener CM. Surgical management of pelvic organ prolapse in women: the updated summary version Cochrane review. Int Urogynecol J. 2011;22(11):1445–57.

    Article  Google Scholar 

  20. Dahlgren E, Kjolhede P. Long-term outcome of porcine skin graft in surgical treatment of recurrent pelvic organ prolapse. An open randomized controlled multicenter study. Acta Obstet Gynecol Scand. 2011;90(12):1393–401.

    Article  Google Scholar 

  21. Menefee S, Dyer K, Lukacz E, et al. Colporrhaphy compared with mesh or graft-reinforced vaginal paravaginal repair for anterior vaginal wall prolapse: a randomized controlled trial. Obstet Gynecol. 2011;118(6):1337–44.

    Article  Google Scholar 

  22. Glazener CM, Breeman S, Elders A, et al. Mesh, graft, or standard repair for women having primary transvaginal anterior or posterior compartment prolapse surgery: two parallel group, multicentre, randomised, controlled trials (PROSPECT). Lancet. 2017;389(10067):381–92.

    Article  Google Scholar 

  23. Maher C, Feiner B, Baessler K, et al. Surgery for women with anterior compartment prolapse. Cochrane Database Syst Rev. 2016;(11).

    Google Scholar 

  24. Ismail S. Three countries ban the use of vaginal mesh in in prolapse surgery. IUGA: The official Newsletter 2017;12(4), Released January 19, 2018. https://static1.squarespace.com/static/52a626cfe4b0e076e263cf7c/t/5a66207608522991e0716303/1516642424430/IUGA+mesh+ban+statement.pdf. Accessed 10 Apr 2018.

  25. FDA. FDA Safety Communication: UPDATE on serious complications associated with transvaginal placement of surgical mesh for pelvic organ prolapse; 2011.

    Google Scholar 

  26. Goldman H, Vasavada S, editors. Female urology: a practical clinical guide. New York: Humana Press; 2007.

    Google Scholar 

  27. Mowat A, Maher D, Baessler K et al. Surgery for women with posterior compartment prolapse. Cochrane Database Syst Rev. 2018;(3).

    Google Scholar 

  28. Paraiso MF, Barber MD, Muir TW, Walters MD. Rectocele repair: a randomized trial of three surgical techniques including graft augmentation. Am J Obstet Gynecol. 2006;195(6):1762–71.

    Article  Google Scholar 

  29. Marks BK, Goldman HB. What is the gold standard for posterior vaginal wall prolapse repair: mesh or native tissue? Curr Urol Rep. 2012;13(3):216–21.

    Article  Google Scholar 

  30. Soules K, Winters JC, Chermansky CJ. Central compartment and apical defect repair using synthetic mesh. Curr Urol Rep. 2012;13(3):222–30.

    Article  Google Scholar 

  31. Maher C, Feiner B, Baessler K et al. Surgery for women with apical vaginal prolapse. Cochrane Database of Syst Rev. 2016;(10).

    Google Scholar 

  32. Barber MD, Brubaker L, Burgio KL, et al. Comparison of 2 transvaginal surgical approaches and perioperative behavioral therapy for apical vaginal prolapse: the OPTIMAL randomized trial. JAMA. 2014;311(10):1023–34.

    Article  CAS  Google Scholar 

  33. Jelovsek JE, Barber MD, Brubaker L, et al. Effect of uterosacral ligament suspension vs sacrospinous ligament fixation with or without perioperative behavioral therapy for pelvic organ vaginal prolapse on surgical outcomes and prolapse symptoms at 5 years in the OPTIMAL randomized clinical trial. JAMA. 2018;319(15):1554–65.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA

    Nitya E. Abraham

  2. Glickman Urologic and Kidney Institute, Cleveland Clinic/Lerner College of Medicine, Cleveland, OH, USA

    Howard Brian Goldman

Authors
  1. Nitya E. Abraham
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Howard Brian Goldman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nitya E. Abraham .

Editor information

Editors and Affiliations

  1. System Director FPMRS, Associate Professor of Urology, The Smith Institute for Urology, Zucker School of Medicine at Hofstra/Northwell, Lake Success, NY, USA

    Farzeen Firoozi

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Abraham, N.E., Goldman, H.B. (2020). Transvaginal Prolapse Repair. In: Firoozi, F. (eds) Female Pelvic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-28319-3_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-28319-3_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28318-6

  • Online ISBN: 978-3-030-28319-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation