Transvaginal repair using acellular collagen biomesh for the treatment of anterior prolapse.

Abstract

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 incontinence in 5 while 4 of them had both stress and urge incontinence. Grade 4 cystocele was determined in 2 patients, grade 3 in 9 and grade 2 in 4. Concomitant transobturator tape (TOT) was performed in 4 patients. Patient satisfactions were determined after the operation.

RESULTS:

The mean follow-up time was 23.5 (12-60) months. There was no postoperative complication in early follow- up period. Cystocele was recurrent in 1 patient. The success rate was 93.4%. Urinary incontinence was continued in 1 patient after TOT. Nearly all of the patients (14/15) were satisfied from the operation.

CONCLUSION:

Transvaginal cystocele repair with using acellular collagen biomesh appears to be a safe and effective method. Further prospective and randomized controlled studies including large series of patients are needed.

• Authors: Sinharib Citgez, Oktay Demirkesen, Fatih Ozdemir, Fethullah Gevher, Cetin Demirdag, Bulent Onal, Bulent Cetinel
• Journal: Urology journal (Urol J) Vol. 11 Issue 1 Pg. 1271-7 (Mar 03 2014) ISSN: 1735-546X [Electronic] Iran
• PMID: 24595936 (Publication Type: Journal Article)

Chemical References

• Collagen

Topics

• Aged
• Aged, 80 and over
• Bioprosthesis
• Collagen
• Cystocele (surgery)
• Female
• Humans
• Middle Aged
• Patient Satisfaction
• Postoperative Complications (epidemiology)
• Retrospective Studies
• Surgical Mesh
• Urologic Surgical Procedures (methods)
• Vagina