A 2.5-year study was conducted to compare side-to-side closure of the
vaginal cuff With the traditional front-to-back closure. Candidates fo
r abdominal hysterectomy were selected from among those in the author'
s private practice, and 100 patients were chosen to participate in the
study. All surgery was performed by the author. Comparisons were made
of blood loss, enterocele formation and postoperative results, consis
ting of vaginal depth, vaginal support, and discomfort from and stress
on the vaginal cuff scar as they related to the patients' complaints
of dyspareunia with deep penetration.