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Updated: Jul 8, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Wide genital hiatus is a risk factor for recurrence following anterior vaginal repair
Carlos A Medina1, Keith Candiotti, Peter Takacs
1Department of Obstetrics and Gynecology, University of Miami, Miller School of Medicine, Miami, FL, USA. cmedina@med.miami.edu
Objective:
To determine if a wide genital hiatus is a risk factor for recurrence of anterior vaginal wall prolapse following anterior vaginal repair.
Methods:
A retrospective cohort study was performed on patients who had undergone an anterior vaginal wall repair. Patients were placed into 1 of 2 groups: wide genital hiatus (> or =5 cm) or normal genital hiatus (<5 cm). The wide genital hiatus group (n=35) was compared with the normal genital hiatus group (n=30) for surgical failure.
Results:
There were no significant differences between the 2 groups in demographic data, additional operative procedures, or apical suspensions. The rate of postoperative anterior vaginal wall prolapse was greater in patients with a wide genital hiatus compared with those with a normal genital hiatus (34.3% vs 10% respectively; odds ratio 4.7 [95% confidence interval, 1.0-24.1]; P=0.02).
Conclusion:
The rate of recurrent anterior vaginal wall prolapse is higher in patients with a wide genital hiatus.
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