TY - JOUR
T1 - Posterior compartment defect repair in vaginal surgery
T2 - Update on surgical techniques
AU - Ginger, Van Anh T.
AU - Kobashi, Kathleen C.
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2007/9
Y1 - 2007/9
N2 - Posterior colporrhaphy has been the most common surgical technique for the repair of posterior compartment defects. Traditional posterior colporrhaphy involves plication of the levator ani, which may result in dyspareunia related to narrowing of the introitus. Current posterior compartment repairs either plicate the midline fascia or repair the specific site of fascial weakness. Despite insubstantial data, the use of grafts to reinforce posterior repairs has gained popularity. Grafts such as allografts, xenografts, and synthetic meshes have been used to reinforce the posterior wall. Complications include infection and erosion, as well as recurrence of prolapse. Minimally invasive techniques have been developed to recreate the apical support of the vaginal vault and repair the posterior prolapse. Properly conducted randomized prospective trials are needed to adequately assess these new approaches.
AB - Posterior colporrhaphy has been the most common surgical technique for the repair of posterior compartment defects. Traditional posterior colporrhaphy involves plication of the levator ani, which may result in dyspareunia related to narrowing of the introitus. Current posterior compartment repairs either plicate the midline fascia or repair the specific site of fascial weakness. Despite insubstantial data, the use of grafts to reinforce posterior repairs has gained popularity. Grafts such as allografts, xenografts, and synthetic meshes have been used to reinforce the posterior wall. Complications include infection and erosion, as well as recurrence of prolapse. Minimally invasive techniques have been developed to recreate the apical support of the vaginal vault and repair the posterior prolapse. Properly conducted randomized prospective trials are needed to adequately assess these new approaches.
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U2 - 10.1007/s11934-007-0036-2
DO - 10.1007/s11934-007-0036-2
M3 - Review article
C2 - 17880838
AN - SCOPUS:34848839210
SN - 1527-2737
VL - 8
SP - 387
EP - 393
JO - Current Urology Reports
JF - Current Urology Reports
IS - 5
ER -