Transvaginal Cystocele Repair by the Transobturator Approach. Medium- Term Anatomic and Functional Results
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چکیده
Hypothesis / aims of study Synthetic meshes were developed in order to reduce pelvic organ prolapse recurrence rate and to simplify reconstructive surgical procedures. Since efficiency and low morbidity of the transobturator approach in stress urinary incontinence was demonstrated, this route has been developed for subvesical mesh placement for cystocele repair [1]. Cystocele mesh repair by transobturator approach seems to be promising regarding its high efficiency but several cases of hemorrhagic complications are presently being described [2]. The aim of this study is to assess peri-operative complications and mid-term anatomical and functional efficiency.
منابع مشابه
Transvaginal repair using acellular collagen biomesh for the treatment of anterior prolapse.
PURPOSE To determine the results and satisfaction of the patients underwent transvaginal repair of cystocele in our clinic. MATERIALS AND METHODS From January 2006 to October 2010, 15 patients with a mean age of 64 years (ranged 47-85 years) underwent transvaginal cystocele repair using acellular collagen biomesh. The patients were presented with vaginal mass in 10, dyspareunia and urge incon...
متن کامل3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients
OBJECTIVES To evaluate the long-term efficacy and safety of transobturator four-arm mesh for treating cystoceles. PATIENTS AND METHODS In this prospective study, 105 patients had a cystocele corrected between January 2004 and December 2008. All patients had a symptomatic cystocele of stage ⩾2 according to the Baden-Walker halfway stratification. We used only the transobturator four-arm mesh k...
متن کاملPerineal approach to vascular anatomy during transobturator cystocele repair.
OBJECTIVE To evaluate the risk of vascular injury during transobturator approach of cystocele repair. DESIGN Dissection of the obturator area by perineal approach was performed after placement of mesh needles used for cystocele mesh repair. SETTING Surgery school of Paris. POPULATION OR SAMPLE Twenty obturator regions in ten fresh female cadavers. METHODS Transperineal dissection of the...
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PURPOSE Different techniques for cystocele repair including the conventional anterior colporrhaphy and mesh technique are known. Our goal was to evaluate the anatomical success and safety of our method of transvaginal anterior vaginal wall repair by the purse-string technique reinforced with three simple additional sutures in the repair of cystocele over a 4-year follow-up period. METHODS Thi...
متن کاملEfficacy of Pelvisoft® Biomesh for cystocele repair: assessment of long-term results.
INTRODUCTION AND HYPOTHESIS To our knowledge a study regarding the efficacy of Pelvisoft® Biomesh for cystocele repair has not previously been reported in the literature. The aim of our study was to assess the long-term efficacy, subjective outcomes and complications in the use of a non-synthetic porcine skin mesh graft (Pelvisoft® Biomesh) associated with transvaginal anterior colporrhaphy in ...
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