Repair of the anterior vaginal compartment

Evaluation and repair of the anterior vaginal wall represents a surgical challenge for the pelvic reconstructive surgeon. Careful evaluation of defects preoperatively must be coupled with intraoperative assessment for optimum repair. Often multiple sites must be addressed to reestablish support and bladder function must always be considered along with anatomic reconstruction. New materials and procedures continue to evolve with hope of improving our long-term repair of these defects.