Abstract |
This study describes an original surgical technique for the correction of medium/high-degree cystocele using a tension-free way to apply a polypropylene mesh: the "tension-free cystocele repair" (TCR). About 218 patients were available with a mean follow-up of 38 months. This technique showed an elevated rate of anatomic correction (75.7%), a statistically significant correction of storage symptoms (48.6 vs 32.5%, p < 0.05), voiding symptoms (40.3 vs 8.3%, p < 0.05), and symptoms associated with pelvic organ prolapse (POP; 55.9 vs 11.4%, p < 0.0001), with no negative impact on ano-rectal function and, in particular, on constipation. The percentage of erosions was 12.3%, but in the group where hysterectomy was not performed, we had erosions in only 2.5%. With the exception of the Personal Relationship domain, all of the categories examined by the Prolapse Quality of Life Questionnaire showed a statistically significant improvement, which confirms the positive impact of this surgery as perceived by patients.
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Authors | M Cervigni, F Natale, C La Penna, M Panei, A Mako |
Journal | International urogynecology journal and pelvic floor dysfunction
(Int Urogynecol J Pelvic Floor Dysfunct)
Vol. 19
Issue 4
Pg. 489-96
(Apr 2008)
England |
PMID | 17987247
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Cystocele
(surgery)
- Female
- Humans
- Middle Aged
- Polypropylenes
- Postoperative Complications
- Quality of Life
- Surgical Mesh
- Urologic Surgical Procedures
(methods)
- Vagina
(surgery)
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