Cystocele repair by transobturator four arms mesh: monocentric experience of first 123 patients.
Int Urogynecol J
; 21(1): 85-93, 2010 Jan.
Article
en En
| MEDLINE
| ID: mdl-19787281
ABSTRACT
INTRODUCTION AND HYPOTHESIS:
The aims of the study were to evaluate the per- and post-operative complications and outcomes after cystocele repair with transobturator mesh.METHODS:
A retrospective continuous series study was conducted over a period of 3 years. Clinical evaluation was up to 1 year with additional telephonic interview performed after 34 months on average. When stress urinary incontinence (SUI) was associated with the cystocele, it was treated with the same mesh.RESULTS:
One hundred twenty-three patients were treated for cystocele. Per-operative complications occurred in six patients. After 1 year, erosion rate was 6.5%, and only three cystoceles recurred. After treatment of SUI with the same mesh, 87.7% restored continence. Overall patient's satisfaction rate was 93.5%.CONCLUSIONS:
Treatment of cystocele using transobturator four arms mesh appears to reduce the risk of recurrence at 1 year, along with high rate of patient's satisfaction. The transobturator path of the prosthesis arms seems devoid of serious per- and post-operative risks and allows restoring continence when SUI is present.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Ginecológicos
/
Cistocele
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Cabestrillo Suburetral
Tipo de estudio:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Middle aged
Idioma:
En
Revista:
Int Urogynecol J
Asunto de la revista:
GINECOLOGIA
/
UROLOGIA
Año:
2010
Tipo del documento:
Article
País de afiliación:
Francia