Defects in the support of the anterior pelvic compartment result in a
number of anatomic and physiologic problems in women. Recently, an emp
hasis has been placed on the importance of thorough evaluation of such
defects so that sufficient and hopefully permanent repair of all defe
cts can be performed. Newer applications of radiologic techniques aid
in identifying and quantifying pelvic floor defects. Possible surgical
approaches to pelvic defect repair are reviewed, as are newer techniq
ues such as peri-urethral injections and laparoscopic colposuspension.