Urogyn Surgeries

Question 1

Anterior prolapse repairs

Answer 1

Anterior repair with or without mesh

Paravaginal repair

Colosuspension surgery

Question 2

Middle prolapse repairs

Answer 2

Vaginal hysterectomy

Vault repair (fascia)

Sacrospinous fixation

Bilateral iliococcygeal hitch

Sacrohysteropexy (attached at base of uterus)

Sacrocolpopexy (attached at fundus of uterus)

Question 3

Posterior prolapse repairs

Answer 3

Levator plication

Fascia repair with or without mesh

Transanal repair

Mesh interposition

Sacrocolpopexy with mesh interposition

Question 4

Pfennensteil incision

Answer 4

Transverse

Most common

2 cm above symphysis pubis rectus NOT cut (hernias not common

Question 5

Cherney incision

Answer 5

Same location as pfennenstiel (transverse)

Rectus cut and reattached at pubic symphysis

Question 6

Maynard OR Bordenhower incision

Answer 6

Used for more extensive sx
( radical hysterectomy or lymphadenectomy)

Rectus transected- cut at slightly higher level

Still cosmetic within lines of langer

Question 7

Midline incision

Answer 7

Used for extensive abdominal sx

Vertical through lines Alba

Diverts around umbilicus

Question 8

Paramedian incision

Answer 8

Vertical to L or R of umbilicus

Question 9

McBurney incision

Answer 9

Appendix