Cystocele repair by vaginal route: comparison of three different surgical techniques of mesh placement View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-01-17

AUTHORS

Pascal Mourtialon, Vincent Letouzey, Georges Eglin, Renaud de Tayrac, the French Ugytex Study Group

ABSTRACT

Introduction and hypothesisDifferent techniques of mesh placement for cystocele repair are known. Our goal was to compare anatomical and functional outcomes of three different techniques of mesh placement over a 3-year follow-up.MethodsBetween March 2003 and June 2004, 230 patients (stage 2–4 pelvic organ prolapse (POP)) were included in a prospective study. For cystocele repair, mesh was implanted either with two arms into the retropubic space (RP) or with two to four arms into the obturator foramen (TO), or fixed to the arcus tendineous fascia pelvis (FG).ResultsPatients' distribution is as follows: 142 TO, 32 RP, and 31 FG. Anatomical success (cystocele < stage 2 in the POP staging system) was clearly poorer after the retropubic free technique, with success rates of 69% (RP), 90.1% (TO), and 96.6% (FG) (p = 0.004). POP distress inventory (p < 0.005) and POP impact questionnaire scores were both significantly poorer after RP.ConclusionsRP technique is less effective than TO and FG techniques. More... »

PAGES

699-706

References to SciGraph publications

  • 2006-11-28. Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift™ technique)—a case series multicentric study in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2001-01-15. Vault Prolapse II: Restoration of Dynamic Vaginal Supports by Infracoccygeal Sacropexy, an Axial Day-Case Vaginal Procedure in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2007-11-07. Transvaginal cystocele repair with polypropylene mesh using a tension-free technique in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2007-09-28. A randomized comparison of polypropylene mesh surgery with site-specific surgery in the treatment of cystocoele in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2005-05-21. A 2-year anatomical and functional assessment of transvaginal rectocele repair using a polypropylene mesh in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2006-05-13. Prolapse repair by vaginal route using a new protected low-weight polypropylene mesh: 1-year functional and anatomical outcome in a prospective multicentre study in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2007-12-12. Short-term outcome after transvaginal mesh repair of pelvic organ prolapse in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2007-01-12. Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2007-12-11. Sexual function in women before and after transvaginal mesh repair for pelvic organ prolapse in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2005-12-17. Long-term anatomical and functional assessment of trans-vaginal cystocele repair using a tension-free polypropylene mesh in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2010-01-20. Prospective multicenter trial assessing type I, polypropylene mesh placed via transobturator route for the treatment of anterior vaginal prolapse with 2-year follow-up in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00192-011-1650-6

    DOI

    http://dx.doi.org/10.1007/s00192-011-1650-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1046243460

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/22249280


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