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A novel suturing technique for natural tissue repair in cystocele treatment.
Findik, Rahime Bedir; Doganay, Melike; Aksakal, Orhan Seyfi; Çoskun, Zuhal Yapici; Karakaya, Jale.
Afiliação
  • Findik RB; Department of Obstetrics and Gynecology, Ankara City Hospital (MH5), , Bilkent/Ankara, Turkey. drbedir75@gmail.com.
  • Doganay M; Department of Obstetrics and Gynecology, Ankara City Hospital (MH5), , Bilkent/Ankara, Turkey.
  • Aksakal OS; Department of Obstetrics and Gynecology, Ankara City Hospital (MH5), , Bilkent/Ankara, Turkey.
  • Çoskun ZY; Department of Obstetrics and Gynecology, Ankara City Hospital (MH5), , Bilkent/Ankara, Turkey.
  • Karakaya J; Department of Biostatistics, Hacettepe University, Ankara, Turkey.
BMC Womens Health ; 24(1): 474, 2024 Aug 29.
Article em En | MEDLINE | ID: mdl-39210362
ABSTRACT

BACKGROUND:

Recently, natural tissue repair has become popular in the treatment of pelvic organ prolapsed. In this study, we compared patients who underwent cystocele repair with the rug-weaving plication technique, a natural tissue repair method implemented since 2022 for anterior prolapse, with those treated using conventional colporrhaphy.

METHODS:

We retrospectively reviewed the data of 65 patients who underwent anterior vaginal wall repair with the rug-weaving plication technique (n = 33, Group 1) or conventional colporrhaphy (n = 32, Group 2). We recorded the patients' clinicodemographic and surgical data. At the 6-month postoperative follow-up, we assessed patients' complaints, degree of prolapse (using the simplified Pelvic Organ Prolapse Quantification system), and pelvic floor muscle strength (using the Modified Oxford Score). Anterior vaginal wall thickness was measured using transvaginal ultrasonography. We compared clinicodemographic and surgical data and postoperative outcomes between the two groups.

RESULTS:

The two groups were comparable in terms of age (p = 0.326), number of pregnancies (p = 0.307), number of parities (p = 0.555), preoperative anterior wall simplified Pelvic Organ Prolapse Quantification grade (p = 0.380), preoperative apical prolapse simplified Pelvic Organ Prolapse Quantification grade (p = 0.518), postoperative Modified Oxford Score (p = 0.857), operation time (p = 0.809), postoperative haemoglobin (p = 0.674), and amount of bleeding (p = 0.951). Compared with Group 2, Group 1 had significantly higher postoperative anterior vaginal wall thickness (p < 0.001) and significantly lower postoperative anterior wall simplified Pelvic Organ Prolapse Quantification grade (p < 0.001).

CONCLUSIONS:

The rug-weaving plication technique may offer a viable alternative for cystocele repair without mesh, using natural tissue and potentially reducing mesh-related complications and recurrence rates. CLINICAL TRIAL NUMBER NCT06410469 (03/05/2024).
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vagina / Técnicas de Sutura / Cistocele Limite: Aged / Female / Humans / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Vagina / Técnicas de Sutura / Cistocele Limite: Aged / Female / Humans / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article