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Anterior Compartment

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Female Pelvic Reconstructive Surgery

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Abstract

Dr. White’s clinical insight regarding reconstructive surgery on the anterior pelvic compartment is as true today as it was 90 years ago1. Two principles should govern the surgeon’s approach to prolapse in this area:

  • make sure the shelf on which the bladder rests is intact, reconstructing that shelf if necessary

  • treat the female pelvis as a unit.

I have been surprised many times in working out this subject to follow the logic of many of the operations recommended for the cure of cystocele. Everything as recommended except repair of the anatomic supports of the bladder. The problem of keeping the bladder in place is solved inrepairing the shelf on which it rests. Otherwise I do not see how we can expect to cure cystocele. The point of great importance is that the pelvic organs are a unit. It will not do to repair one part and let the others go and expect to get a cure. There is no use in repairing a cystocele and leaving a relaxed perineum…George White

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Authors
  1. Christopher J. Walshe
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  2. Lewis Wall
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Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynaecology, St. George’s Hospital Medical School, London, UK

    Stuart L. Stanton FRCS, FRCOG, FRANZCOG (Hon)

  2. Department of Urology, Southwestern Medical Center at Dallas, Dallas, Texas, USA

    Philippe E. Zimmern MD, FACS

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© 2003 Springer-Verlag London Limited

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Walshe, C.J., Wall, L. (2003). Anterior Compartment. In: Stanton, S.L., Zimmern, P.E. (eds) Female Pelvic Reconstructive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-0659-3_12

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  • DOI: https://doi.org/10.1007/978-1-4471-0659-3_12

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-362-1

  • Online ISBN: 978-1-4471-0659-3

  • eBook Packages: Springer Book Archive

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