Pelvic relaxation of the anterior compartment

Defects in the support of the anterior pelvic compartment result in a number of anatomic and physiologic problems in women. Recently, an emphasis has been placed on the importance of thorough evaluation of such defects so that sufficient and hopefully permanent repair of all defects can be performed. Newer applications of radiologic techniques aid in identifying and quantifying pelvic floor defects. Possible surgical approaches to pelvic defect repair are reviewed, as are newer techniques such as peri-urethral injections and laparoscopic colposuspension.