Paravaginal repairs

Abstract

Writing in the Journal of the American Medical Association in June 1909, George R. White said Ahlfelt states that the only problem in plastic gynaecology left unsolved by the gynaecologist of the past century is that of a permanent cure of a cystocele [1]. He went on to propose that The reason for failure seems to be that the normal support of the bladder has not been sought for and restored but instead an irrational removal of part of the anterior vaginal wall has been resorted to, which could result in disappointment and failure. By means of cadaver dissection, White investigated the pelvic structures inherent to the support of the anterior vaginal wall. As a consequence of his investigations, he devised a vaginal approach to correction of the cystocele which involved the attachment of the vaginal sulci to a condensation of fascia overlying the pelvic muscles which he referred to as the white line of pelvic fascia. © 2006 Springer-Verlag London Limited.