Anterior Vaginal Wall Prolapse:: Assessment and TreatmentBRINCAT, CYNTHIA A. MD, PhD; LARSON, KINDRA A. MD; FENNER, DEE E. MDClinical Obstetrics and Gynecology: March 2010 - Volume 53 - Issue 1 - p 51-58 doi: 10.1097/GRF.0b013e3181cf2c5f Vaginal Surgery Abstract Author Information Assessment and management of anterior vaginal wall defects presents a unique surgical challenge. It is often the most common site of initial prolapse in women and the most common site of recurrence. This chapter discusses the anatomy, evaluation, and surgical approach to the treatment of anterior vaginal wall defects. We also review outcomes of various surgical approaches and discuss why the anterior vaginal wall presents such a challenge. Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan Drs Brincat and Larson have no disclosures. Dr Fenner acknowledges research support from AMS. Correspondence: Cynthia A. Brincat, MD, PhD, Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Michigan, L4000 Women's Hospital, Ann Arbor, MI. E-mail: firstname.lastname@example.org © 2010 Lippincott Williams & Wilkins, Inc.