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Cited by 281Pelvic floor disorders treatmentsUterine Myomas and TreatmentsGynecological conditions and treatments

Advanced anterior vaginal wall prolapse is highly correlated with apical prolapse

Rooney, Kristin, Kenton, Kimberly, Mueller, Elizabeth R., FitzGerald, Mary Pat, Brubaker, Linda·2006·American Journal of Obstetrics and Gynecology
DOI 10.1016/j.ajog.2006.06.065
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Abstract

Objective The purpose of this study was to determine the relationship between the most prolapsed portion of the anterior and posterior vaginal walls and the apex.Study design After obtaining institutional review board approval, demographic data and pelvic organ prolapse quantification findings from consecutive new patients who were seen at our urogynecologic practice between January 2004 and February 2005 were reviewed.Results Three hundred twenty-five women were included in this cohort. The support of the vaginal apex (pelvic organ prolapse quantification point C) correlated strongly with the most prolapsed portion of the anterior vaginal wall, Ba (Spearman's rho = 0.835; P < .001) and correlated moderately with the most prolapsed portion of the posterior vaginal wall, Bp (Spearman's rho = 0.556; P < .001). A strong linear relationship was found between C and Ba, which is best modeled by the following regression equation: C = Ba(1.4) - 4.4 (r = .869).Conclusion Anterior vaginal wall prolapse is associated strongly with apical prolapse. Anterior vaginal wall defects that are surgically repaired usually require a concomitant repair of the apex.

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Crossref · 10.1016/j.ajog.2006.06.065

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  • Recurrence at the same site may be because the primary surgery did not address the underlying neuromuscular and connective tissue dysfunction responsible for the primary prolapse.

    “The recurrence at the same site may be because the primary surgery to correct the anatomical defect may not have taken care of the underlying neuromuscular and connective tissue dysfunction that was responsible for the primary prolapse and this could have played a significant role in the recurrence [8, 28].”

    From Risk factors for recurrence of pelvic organ prolapse after vaginal surgery among Ugandan women: a prospective cohort study (2022) · cites this paper as [28]

  • The preferred surgical approach for uterine prolapse amongst many urogynaecologists remains vaginal hysterectomy with apical suspension.

    “The preferred surgical approach for uterine prolapse amongst many urogynaecologists remains vaginal hysterectomy (VH) with apical suspension [3], recognising the association between the more common anterior wall prolapse and apical descent [3, 4].”

    From Laparoscopic sacrohysteropexy versus vaginal hysterectomy and apical suspension: 7-year follow-up of a randomized controlled trial (2022) · cites this paper as [4]

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Authors
Rooney, K., Kenton, K., Mueller, E. R., FitzGerald, M. P., & Brubaker, L.
Affiliations
Loyola University Medical Center (US)
ORCID
Venue
American Journal of Obstetrics and Gynecology
Publisher
Elsevier BV
Published
2006-12
Volume
195
Issue
6
Pages
1837-1840
ISSN
0002-9378 (ISSN-L)
DOI
10.1016/j.ajog.2006.06.065
OpenAlex
W1988929526
Cited by
281
References
12
Citations by year
2026: 12 · 2025: 10 · 2024: 10 · 2023: 16 · 2022: 18 · 2021: 18 · 2020: 25 · 2019: 11 · 2018: 19 · 2017: 27 · 2016: 22 · 2015: 12 · 2014: 19 · 2013: 16 · 2012: 14
FWCI
2.17
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • American Journal of Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Keywords
cystocele, apical prolapse, POP-Q, posterior vaginal wall prolapse, pelvic organ prolapse, surgical repair, urogynecology
MeSH terms
Adult, Aged, Aged, 80 and over, Female, Humans, Medical Records, Middle Aged, Physical Examination, Severity of Illness Index, Uterine Prolapse, Vagina, Cohort Studies, Linear Models

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