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Open Access Highly Accessed Research article

Early results of a novel technique for anterior vaginal wall prolapse repair: anterior vaginal wall darn

Osman Köse12*, Hasan S Sağlam1, Şükrü Kumsar1, Salih Budak1, Hüseyin Aydemir1 and Öztuğ Adsan1

Author Affiliations

1 Department of Urology, Faculty of Medicine, Sakarya University and Training and Research Hospital, 54100 Sakarya, Turkey

2 Beyaz Kent Sitesi, Beşköprü M. Girne C., 54100 Sakarya, Turkey

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BMC Urology 2014, 14:51  doi:10.1186/1471-2490-14-51

Published: 29 June 2014

Abstract

Background

The aim of this study was to describe the results of a 1-year patient follow-up after anterior vaginal wall darn, a novel technique for the repair of anterior vaginal wall prolapse.

Methods

Fifty-five patients with anterior vaginal wall prolapse underwent anterior vaginal wall darn. The anterior vaginal wall was detached using sharp and blunt dissection via an incision beginning 1 cm proximal to the external meatus and extending to the vaginal apex. The space between the tissues that attach the lateral vaginal walls to the arcus tendineus fasciae pelvis was then darned. Cough Stress Test, Pelvic Organ Prolapse Quantification, seven-item Incontinence Impact Questionnaire, and six-item Urogenital Distress Inventory scores were performed 1-year postoperatively to evaluate recovery.

Results

One-year postoperatively, all patients were satisfied with the results of the procedure. No patient had vaginal mucosal erosion or any other complication.

Conclusions

One-year postoperative findings for patients in this series indicate that patients with stage II–III anterior vaginal wall prolapse were successfully treated with the anterior vaginal wall darn technique.

Keywords:
Anterior vaginal wall prolapse; Darn; Pelvic organ prolapse; Stress urinary incontinence; Surgical technique