No Significant Anterior Prolapse in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1148
SMLE Question #1148
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 52-year-old multiparous woman has 1 year of vaginal bulge and pelvic heaviness, worse at the end of the day. She reports constipation and needing to press on the posterior vaginal wall to defecate. Pelvic examination shows moderate posterior vaginal wall prolapse; the anterior vaginal wall and cervix are well supported with no significant anterior prolapse or uterine descent. Pelvic floor exercises and stool softeners provided minimal relief, and she requests surgical management. What is the most appropriate surgical treatment?
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