The Experience of Cystocele Repair with Monofilament polypropylene Mesh
Journal of the Korean Continence Society
; : 116-120, 2009.
Article
de Ko
| WPRIM
| ID: wpr-106844
Bibliothèque responsable:
WPRO
ABSTRACT
PURPOSE: The use of synthetic mesh to reinforce the anterior vaginal wall support for cystocele repair has been proposed to prevent recurrence. We evaluated the efficacy and safety of cystocele repair using monofilament polypropylene mesh (Gynemesh PS(TM)). MATERIALS AND METHODS: This study was performed in 53 patents who underwent cystocele repair using monofilament polypropylene mesh between January 2006 and January 2009. According to the ICS (International Continence Society) stage classification, 33, 17 and 3 women had stage II, III and IV cystocele. The operation were performed through the vaginal approach. Patients were followed up for 9 to 36 months. We defined the cure of cystocele as stage 0, improvement as stage I, and failed as stage II or greater RESULTS: The mean follow-up was 23.8 months. At follow-up, 41 women were anatomically cured (77.4%), 12 women were improved as stage I (22.6%) and no one was failed. Six cases were previously ICS stage II, 5 cases were stage III and 1 case was stage IV in improved group. No significant intraoperative complications occurred. The postoperative complications were de novo urgency (4 cases, 7.6%), erosion of mesh (2 cases, 3.8%) and anterior vaginal wall hematoma (1 case, 1.9%). CONCLUSION: The use of polypropylene mesh for correction of cystocele by transvaginal route with tension free technique seems to be a safe and effective procedure.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Polypropylènes
/
Complications postopératoires
/
Récidive
/
Études de suivi
/
Classification
/
Cystocèle
/
Hématome
/
Complications peropératoires
Type d'étude:
Observational_studies
/
Prognostic_studies
Limites du sujet:
Female
/
Humans
langue:
Ko
Texte intégral:
Journal of the Korean Continence Society
Année:
2009
Type:
Article