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Cystocele repair by vaginal route: comparison of three different surgical techniques of mesh placement.

Abstract：

INTRODUCTION AND HYPOTHESIS:Different 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. METHODS:Between 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). RESULTS:Patients' 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. CONCLUSIONS:RP technique is less effective than TO and FG techniques.

journal_name

Int Urogynecol J

journal_title

International urogynecology journal

authors

Mourtialon P,Letouzey V,Eglin G,de Tayrac R,French Ugytex Study Group.

doi

10.1007/s00192-011-1650-6

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

699-706

issue

6

eissn

0937-3462

issn

1433-3023

journal_volume

23

pub_type

杂志文章,多中心研究,随机对照试验

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