UPDATE: PELVIC FLOOR DYSFUNCTION

The authors examine recent literature on sacrocolpopexy: Can the abdominal approach still be considered the standard? And do the alternative approaches measure up?

Cindy  L.  Amundsen,  MD Dr. Amundsen is Associate Professor of Obstetrics and Gynecology, Division of Urogynecology; Assistant Professor in the Division of Urology; and Fellowship Director of Female Pelvic Medicine and Reconstructive Surgery, Duke University Medical Center, Durham, NC.

Amie  Kawasaki,  MD Dr. Kawasaki is a Fellow in Female Pelvic Medicine and Reconstructive Surgery, Division of Urogynecology, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC.

The authors report no financial relationships relevant to this article.

When a woman has advanced prolapse of the anterior vaginal wall, it is highly likely that she has apical prolapse as well. Consider a study by Rooney and associates that determined that clinically significant vault prolapse is present in most women who have anterior vaginal prolapse of stage II or higher.¹ For that reason, suspension of the vaginal apex should be considered whenever surgical treatment of anterior wall defects is planned.