DYNAMIC ANATOMY OF ANTERIOR VAGINAL SUPPORT
Drs. John O. L. DeLancey, Michael Aronson

Cystourethrocele that arises from loss of anterior vaginal wall support is the most common pelvic support defect. Richardson has identified that this often occurs due to lateral detachment of the vaginal fibromuscular layer from the pelvic sidewall. Further studies that we have published indicate that this occurs due to detachment of the arcus tendineus fascia pelvic from its attachment at the ischial spine in 95% of women. This videotape reviews the relevant anatomy of this area in cadaver dissection and displays the nature of these lesions.