ABSTRACT

Anterior vaginal prolapse occurs commonly and may coexist with disorders of micturition. Mild anterior vaginal prolapse often occurs in parous women but usually presents few problems. As the prolapse progresses, symptoms may develop and worsen, and treatment becomes indicated. The anterior vaginal wall is the most common segment of the vagina to prolapse and the segment that is most likely to fail in the long term after surgical correction. This chapter reviews the anatomy and pathology of anterior vaginal prolapse, with and without stress incontinence, and describes methods of surgical repair.