[Morphologic changes in anterior levatorplasty].

In a follow-up study 3-12 months after a modified anterior repair we examined 36 patients clinically, urodynamically and by means of plastic moulds of the vagina. Though 30/36 patients said they were improved by the operation problems at intercourse were frequent: more than a third of the patients complained about stenosis of the vagina. On the vaginal moulds the diameter of the impression of the levator muscle was 0.5 cm smaller after modified anterior repair as compared to colporrhaphy. 33/36 patients developed a descent of the posterior vaginal wall. We conclude that a satisfactory correction of a descent of the vagina can be achieved by the modified anterior repair; however a large number of patients develop rectocele and stenosis of the vagina with subsequent difficulty at sexual intercourse.