ArticleInternational urogynecology journal2016
Posterior vaginal compartment repairs: Where are the main anatomical defects?
Article in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 17 citations in OpenAlex.
- A new understanding of the mechanical mechanism of posterior vaginal prolapse based on magnetic resonance imaging.Nagoya journal of medical science · 2025Article
- Surgical anatomy of the vaginal vault.Neurourology and urodynamics · 2022Review
- Surgical anatomy of the mid-vagina.Neurourology and urodynamics · 2022Review
- Surgical anatomy of the vaginal introitus.Neurourology and urodynamics · 2022Review
- Gynecological influencing factors on the rectovaginal septum's morphology.International urogynecology journal · 2021Observational
- A Hypothesis Generating the Mechanical Systems Underlying Posterior Vaginal Prolapse Based on Observed Displacements by Dynamic Magnetic Resonance Imaging.Female pelvic medicine & reconstructive surgery · 2020Article
- Correlates of vaginal laxity symptoms in women attending a urogynecology clinic in Saudi Arabia.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2019Article
- Native Tissue Repairs for Pelvic Organ Prolapse.Current urology reports · 2017Review
- An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP).International urogynecology journal · 2016Article
- An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP).International urogynecology journal · 2016Article
- Outcomes of Surgery with Vaginal Native Tissue for Posterior Vaginal Wall Prolapse Using a Special Technique.Journal of medicine and lifeArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisTraditionally, it has been believed that posterior vaginal compartment prolapse was largely due to defects in the rectovaginal fascia, with surgical repairs concentrating on addressing this defect. We aimed to determine the relative size of defects at the different vaginal levels (I-III) following a large number of posterior vaginal compartment repairs (PRs) to determine whether this traditional viewpoint is still appropriate.
methodsIn a cross-sectional study of 300 consecutive PRs, mostly following prior or concomitant hysterectomy, two sets of markers of posterior compartment prolapse were used to measure anatomical defects at levels I-III: (i) from Pelvic Organ Prolapse Quantification (POP-Q) system points C, Ap, Bp, and genital hiatus (GH), and from Posterior Repair Quantification (PR-Q) perineal gap (PG), posterior vaginal-vault descent (PVVD), midvaginal laxity (MVL)-vault undisplaced, and rectovaginal fascial laxity (RVFL).
resultsThe largest defects were found at level I (PVVD: mean 6.0 cm; point C, mean minus 0.9 cm), and level III (PG, mean 2.9 cm; GH, mean 3.7 cm). Level II defects (MVL-vault undisplaced, mean 1.3 cm; RVFL, mean 1.1 cm; points Ap, Bp, both mean 1.0 cm) were relatively small.
conclusionsThis study suggests that the defects found at surgery for posterior vaginal compartment prolapse were more frequent at the vaginal vault (level I) and vaginal introitus (level III) than at midvagina (level II). These findings should have implications for surgical planning.
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Registered trials
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