Does the reconstruction of the urogenital diaphragm improve the success rate of the anterior colporrhaphy?

Objective: The classical colporrhaphy shows a failure rate up to 60%. The aim of the present study was to assess the reoperation rate of anterior vaginal prolapse after plication of the adventitia of the bladder and after plication of the urogenital diaphragm, respectively. Patients: 11 patients (group A) undergoing plicating of the adventitia of the bladder were compared with 54 patients (group B) undergoing plication of the urogenital diaphragm. Results: Age and POPQ points (Ba, C) did not differ between the groups. Anterior wall repair was the only procedure in 6 patients of group A and 16 patients of group B…