It was aimed to present the results of our anterior vaginal wall darn (AVWD) technique, which we previously described in 2013, for the repair of anterior vaginal wall prolapse (AVWP).

Forty-four patients treated with AVWD between 2019 and 2024 were included in the study. Patients had stress urinary incontinence were excluded from the study. All surgeries were performed by a single surgeon, and the minimum follow-up duration was one year for all patients. Pelvic organ prolapse was evaluated according to the Pelvic Organ Prolapse-Quantification (POP-Q) system. Incontinence Impact Questionnaire-7 (IIQ-7) and Urogenital Distress Inventory-6 (UDI-6) were used to assess recovery before surgery and at the first postoperative year.

The mean age was 64.07±8.19 years, and the mean body mass index was 29.21±3.30 (Table 1). The median follow-up was 42 (IQR:25, 78) months after surgery. Preoperative symptoms were given in Table 2 and improved at the first postoperative year (p<0.05). Daily pad count and post-void residual volume significantly decreased postoperatively (p<0.001). POP-Q measurements are shown in Table 2 and significant improvements were observed at points of Aa, Ba and Ap after surgery (p<0.05). The median UDI-6 and IIQ-7 scores were significantly lower postoperatively (p<0.001). No patient experienced vaginal mucosal erosion or other complications during postoperative follow-up and recurrence requiring reoperation was not observed in any patient.

AVWD has been successfully performed in our clinic for years. It can be considered a reliable and effective technique for the treatment of AVWP, given its low complication rate, high patient satisfaction, and improved postoperative outcomes.