Anterior compartment prolapse repair with a hybrid biosynthetic mesh implant technique.

Abstract

The aim of the present study is to assess the safety and feasibility of a new technique for cystocele repair using a hybrid biosynthetic graft fixed by the transobturator approach. This is a retrospective study of 13 women diagnosed with symptomatic anterior compartment prolapse that were in stages II and IV, using Pelvic Organ Prolapse Quantification score and treated between 2003 and 2006. The surgical procedure was carried out through a vaginal approach, exposing the arcus tendineus and the posterior surface of the obturator foramen from the ischial spine to the inferior pubic ramus bone. The patients were followed-up after 3, 6 and 12 months. The anatomical cure rate was 85% (stage 0), although two patients had a recurrence 8 months after surgery. All patients would repeat the procedure, if necessary. No de novo dyspareunia was observed in these small series. The results suggest that this technique is safe and feasible and is a comprehensive surgical approach for anterior compartment prolapse, without postoperative morbidity.

• Authors: Jose E Robles, Jorge Rioja, Abel Saiz, Xavier Brugarolas, David Rosell, J Javier Zudaire, Jose M Berian
• Journal: International urogynecology journal and pelvic floor dysfunction (Int Urogynecol J Pelvic Floor Dysfunct) Vol. 18 Issue 10 Pg. 1191-6 (Oct 2007) England
• PMID: 17245545 (Publication Type: Journal Article)

Topics

• Aged
• Bioprosthesis
• Feasibility Studies
• Female
• Humans
• Middle Aged
• Pilot Projects
• Prosthesis Implantation (methods)
• Surgical Mesh
• Suture Techniques
• Uterine Prolapse (surgery)