The pubocervical fascia is the connective tissue sheet supporting the bladder base and anterior vaginal wall. Its defects produce the central and lateral paravaginal defects of anterior compartment prolapse (cystocele). Paravaginal repair restores the lateral attachment to the arcus tendineus fasciae pelvis; central repair patches the central defect. These repairs form the anatomical basis of anterior compartment reconstructive surgery.
| Origin | Posterior surface of the pubic symphysis |
|---|---|
| Insertion | Cervix and anterior vaginal wall — forms the pubocervical fascial plate supporting the bladder base |
| Actions | Supports the bladder base and prevents cystocele (anterior vaginal wall prolapse) |
|---|
Anterior vaginal wall prolapse (cystocele) from pubocervical fascial defects produces the sensation of a vaginal bulge and urinary symptoms. Site-specific defect repair (Burch colposuspension, paravaginal repair, or mesh-augmented repair) restores support. The tension-free vaginal tape (TVT) procedure treats stress urinary incontinence associated with pubocervical fascial weakness.
Pubocervical fascial defect producing cystocele managed with paravaginal repair or mesh augmentation.
