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Transvaginal cystocele repair with polypropylene mesh using a tension-free technique.

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.
AuthorsM Cervigni, F Natale, C La Penna, M Panei, A Mako
JournalInternational urogynecology journal and pelvic floor dysfunction (Int Urogynecol J Pelvic Floor Dysfunct) Vol. 19 Issue 4 Pg. 489-96 (Apr 2008) England
PMID17987247 (Publication Type: Journal Article)
Chemical References
  • Polypropylenes
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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