Anterior colporrhaphy technique to shorten a pathologically long anterior vaginal wall

Vaginal eversion is sometimes associated with an increase in length as well as in width of the anterior vaginal wall. Appropriate reconstruction to minimize the risk of postoperative recurrence of cystocele has been achieved by a technique described for full length anterior colporrhaphy embracing transverse plication of the bladder adventitia and reduction in vaginal length as well as width. Separate surgical support of the vesicourethral junction is recommended. Adequate vaginal depth can be provided if suitable attention is given to support of the vaginal vault. Synthetic polyglycolic acid-type suture material is used throughout.