Anterior Colporrhaphy and Paravaginal Repair for Anterior Compartment Prolapse: A Review

• Published in: Medicina (Kaunas, Lithuania) Vol. 60; no. 11; p. 1865
• Main Authors: Tsui, Wing Lam, Ding, Dah-Ching
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 01.11.2024; MDPI
• Subjects: Aging; anterior colporrhaphy; anterior compartment; Bladder; Childbirth & labor; Connective tissue; Constipation; Estrogens; Female; Gynecologic Surgical Procedures - methods; Humans; Hysterectomy; Infections; Intervention; Ligaments; Older people; paravaginal repair; Pelvic organ prolapse; Pelvic Organ Prolapse - surgery; Pelvis; Prolapse; Quality of Life; Rectum; Review; Robotic surgery; Robotic Surgical Procedures - methods; Surgery; Surgical Mesh; Surgical outcomes; Treatment Outcome; Urinary incontinence; Uterus; Vagina; Vagina - surgery; Womens health; Pakistan; anterior colporrhaphy; pelvic organ prolapse; anterior compartment; paravaginal repair; surgery
• ISSN: 1648-9144; 1010-660X; 1648-9144
• DOI: 10.3390/medicina60111865

Pelvic organ prolapse, particularly in the anterior compartment, is a prevalent condition that significantly impacts women’s quality of life. Two common surgical approaches for managing anterior vaginal wall prolapse are anterior colporrhaphy and paravaginal repair. Anterior colporrhaphy, a traditional technique, involves the plication of weakened fascial tissues to restore support to the bladder and anterior vaginal wall. Paravaginal repair addresses lateral detachment of the anterior vaginal wall by reattaching it to its supportive structures. This review aimed to compare the indications, techniques, and outcomes between these surgical methods, discussing their efficacy, recurrence rates, and complications. Although anterior colporrhaphy is widely used, paravaginal repair may offer superior results in specific cases, particularly those involving lateral defects. The review also explored the evolution of these techniques, the role of grafts and mesh, and the potential benefits of minimally invasive approaches such as laparoscopy and robotic surgery. The goal is to provide clinicians with comprehensive insights into choosing the appropriate surgical option based on individual patient anatomy and clinical presentation, thus optimizing outcomes and minimizing recurrence.