Graft Augmentation in Surgical Repair of Anterior Vaginal Wall Prolapse

Prolapse of the anterior vaginal wall is one of the most common conditions affecting women worldwide with prevalence rates reported as high as 50%. Surgical repair typically involves either anterior colporrhaphy or paravaginal defect repair depending upon the type of defect present. These repairs are often associated with high rates of recurrence. In an effort to reduce these rates and improve outcomes, graft augmentation with either biological or synthetic materials has been proposed. Significant improvements in outcome have been shown when graft augmentation is used. We present here a review of these procedures with and without graft reinforcement as well as the current report supporting their use.