Posterior vaginal compartment repairs: Where are the main anatomical defects?

Haylen, Bernard T.; Naidoo, Sushen; Kerr, Stephen J.; Yong, Chin; Birrell, Warwick

doi:10.1007/s00192-015-2874-7

Cited by 17 publications

(51 citation statements)

References 16 publications

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“…) has been outlined by starting the posterior repair/perineorrhaphy at the anterior perineum . A thinned out posterior margin of posterior vestibule, at the time of posterior repair, has been found, as noted above, to have an average width of 2.9 cm (Fig. ).…”

Section: Surgical Considerationsmentioning

confidence: 83%

The vaginal vestibule: assessing the case for an anterior and posterior division

Haylen

Fischer

et al. 2016

Neurourology and Urodynamics

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The vaginal vestibule has not been the subject of a dedicated journal article. Recent terminology has suggested its division into anterior and posterior components. The case for this division has not yet been assessed. Both components extend laterally from the hymen to the junction with the labia minora. The posterior vaginal vestibule is proposed to extend from the posterior aspect of the hymen to the anterior edge of the perineum whilst the anterior vestibule extends from the posterior aspect of the hymen to just below the clitoris. Anatomical considerations (differing layers) might firstly support the above division. The posterior vestibule, by necessity, is far more flexible with the superficial aspect (approximately 1.5 cm), anatomically and histologically, comprising skin and subcutaneous tissue, with perineal musculature deep to this. In turn, it is more likely to be subject to obstetric and surgical considerations than the anterior vaginal vestibule. Obstetric trauma, in particular, would tend to create defects, particularly at its posterior margin. Many dermatological and microbiological considerations may be common to both anterior and posterior vestibule. Any dermatological condition of the vestibule can result in sexual dysfunction and can be complicated by secondary muscular spasm. Congenital anomalies will differ anteriorly and posteriorly. Multiple considerations can be identified to support the case for division of the vaginal vestibule into anterior and posterior components. Neurourol. Urodynam. 36:979-983, 2017. © 2016 Wiley Periodicals, Inc.

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Section: Surgical Considerationsmentioning

confidence: 83%

The vaginal vestibule: assessing the case for an anterior and posterior division

Haylen

Fischer

et al. 2016

Neurourology and Urodynamics

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“…39 with blue line demarcating anterior and posterior vestibule). 21 Mean length in women at posterior colporrhaphy was found to be 1.8 cm [52].…”

Section: Appendix -Concepts and Available Measurements Awaiting Furthmentioning

confidence: 96%

“…(e) Perineal Gap (PG) [52][53][54]: Thinned out medial area (cm) between Moynihan forceps placed bilaterally where the labia minora meet the perineum (Fig. 45).…”

Section: Iii: Obliterative Proceduresmentioning

confidence: 99%

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Erratum to: An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP)

et al. 2016

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“…Genital hiatus (GH) size has been cited clinically as being associated with and predictive of “apical” vaginal support loss . Preoperative and postoperative associations between defects at the mid‐vagina (Level II) both anteriorly and posteriorly and the vaginal vault (Level I) are known. These findings follow earlier clinical studies .…”

Section: Introductionmentioning

confidence: 99%

Posterior vaginal compartment repairs: Does vaginal vault (level I) fixation significantly improve the vaginal introital (level III) repair?

Haylen

Wong

Kerr³

2018

Neurourology and Urodynamics

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Posterior vaginal compartment repairs: Where are the main anatomical defects?

Abstract: This 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.

Cited by 17 publications

References 16 publications

The vaginal vestibule: assessing the case for an anterior and posterior division

The vaginal vestibule: assessing the case for an anterior and posterior division

Erratum to: An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP)

Posterior vaginal compartment repairs: Does vaginal vault (level I) fixation significantly improve the vaginal introital (level III) repair?

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