A six-year experience with paravaginal defect repair for stress urinary incontinence

Ultrasound imaging of paravaginal defects in women with stress incontinence before and after paravaginal defect repair

“…Paravaginal defect repair approximates the pubocervical fascia to the ipsilateral arcus tendineus fascia pelvis. Richardson et al 14 and Shull et al 15 have described PVDR as an operation to solve GSI, because it restores normal anatomical relationships. The effect of this operation alone is, however, insufficient, and it can only be used to prevent development of cystourethrocele and ischuria paradoxa after Burch colposuspension.…”

Surgical management of anterior vaginal wall prolapse: an evidencebased literature review

“…Richardson et al [13] in 1976 described a series of defects in the pubocervical fascia explaining why no single repair should be applied indiscriminately to every one with anterior compartment defects. Richardson et al [13] advocated the abdominal paravaginal repair, which has a 75-97% success rate for cystoceles reported in case series (Table 1) [14][15][16][17][18]. The surgical technique of the laparoscopic paravaginal repair is well described but no information is available on the efficacy of this approach.…”

Tension–Free Vaginal Mesh Repair for Anterior Vaginal Wall Prolapse

“…This operation, when performed for stress urinary incontinence only, may result in poor support of the bladder neck area with resultant 50% failure rate. The paravaginal [18, 19, 20]and the Burch colposuspension [21]have been described for the abdominal repair of significant cystocele. While this procedure is good at support of the urethra and lateral bladder wall, it may fail because it does not correct the central herniation of the bladder.…”