الفهرس 
Anatomy of the vaginaOnly 14 pages are availabe for public view
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Abstract
The aim of the present study was to diagnose the type of cystocele whcther central or lateral as detected on both clinical and laparoscopic findings and to determine the efficacy of anterior colporrhaphy in restoring the normal anatomy in case of lateral defect.
fOurctcir pmtF degree or more) which may or may not be associated with rectocele and without any history of previous anterior colporrhaphy were selected and informed consent was taken from each one.
Clinical examination was performed to determine the type of cystocele (central or lateral).
All patients undergo diagnostic laparoscopy at time of surgery to detect the presence or absence of lateral defect then anterior colporrhaphy was pcr(brrncd and laparoscopic reevaluation was done lbr cases of lateral defect to evaluate the surgical results.
Statistical analysis of’ the results revealed that age, gravidity, weight, degree of cystocele and menopausal status did not affect the typ.e of cystocele. While the more the descent in cm of the anterior vaginal wall, the more the liability for cystocele of being due to lateral defect.
Again degree of prolapse. descent in cm of anterior vaginal wall, and menopausal status did not significantly affect the accuracy of clinical assessment for paravaginal defect.