ABSTRACT
Anterior vaginal compartment support defects are common and often result in symptomatic organ prolapse and urinary incontinence. The management of these defects varies according to several factors: the location and severity of the anatomical defect(s), the patient's physical status and symptomatology, the patient's desire for surgical correction, and the patient's expectations. This chapter discusses two surgical techniques used to repair specific anterior support defects: the laparoscopic paravaginal repair and the laparoscopic Burch procedure. It is generally agreed that a paravaginal repair should be reserved for the treatment of a lateral defect cystocele and should not be used alone as the primary treatment for stress urinary incontinence. Consequently, the laparoscopic Burch colposuspension is often performed concomitantly for the treatment of genuine stress urinary incontinence.
