Transvaginal cystocele correction: Midterm results with a transobturator tension-free technique using a combined bovine pericardium/polypropylene mesh.

Abstract

AIMS:

To describe the benefits and complications of a combined bovine/pericardium polypropylene mesh for severe vaginal wall prolapse at midterm follow up.

METHODS:

Retrospective analysis of patients with stages 3 and 4 pelvic prolapse undergoing cystocele repair using the combined mesh.

RESULTS:

Between June 2004 and April 2006 36 patients were treated. The median follow up was 35 months. Two patients experienced de novo urgency (5.6%). Resolution of prolapse was achieved in 91.7% of patients. Ten percent of those with urinary incontinence continued to suffer from incontinence after surgery. There was a significant improvement in the quality of life in cases with associated urinary incontinence, and in the sexual lives and constipation of all patients. Two cases of vaginal perforation (5.6%) and three cases of vaginal erosion (8.3%) were described.

CONCLUSIONS:

The use of a composite bovine pericardium/polypropylene mesh for cystocele correction is feasible and safe, yielding good results at midterm follow up.

• Authors: Francesco Araco, Gianpiero Gravante, John Overton, Placido Araco, Stefano Dati
• Journal: The journal of obstetrics and gynaecology research (J Obstet Gynaecol Res) Vol. 35 Issue 5 Pg. 953-60 (Oct 2009) ISSN: 1447-0756 [Electronic] Australia
• PMID: 20149047 (Publication Type: Journal Article)

Topics

• Adult
• Cystocele (surgery)
• Female
• Humans
• Patient Satisfaction
• Quality of Life
• Plastic Surgery Procedures (methods)
• Retrospective Studies
• Suburethral Slings
• Surgical Mesh
• Surveys and Questionnaires
• Treatment Outcome
• Uterine Prolapse (surgery)