Anterior mesh vaginal wall repair for the treatment of cystocele: 19 cases report

doi:10.3877/cma.j.issn.1674-3253.2018.01.010

Abstract

Abstract:

Objective

To analyze the indications and outcomes of cystocele surgery using Avaulta anterior mesh in a single center experience.

Methods

Between January 2013 to 2016 October, Women suffering from severe cystocele which operated on with Avaulta anterior mesh (Bard^?) were analyzed retrospectively. Assessment included pre- and postoperative pelvic organ prolapse quanti?cation (POP-Q) stage, surgical characteristics and adverse events during follow-up period were also recorded.

Results

Ninteen patients were included in this study and operated successfully with no seriously complications. Mean operating time is 55 min (45~70 min), stress urinary incontinence was found in1 patient before and after the surgery, which was treated secondly with TVT. The overall success rate was 100%, and no cystocele relapse or any other seriously complications were detected.

Conclusion

In this initial series, our short-term results suggested that patients with grade III-IV cystocele might be treated successfully with the Avaulta anterior mesh. As limited datas, multi-center and more high quality RCTs are expected to further demonstrated.

Key words: Cystocele, Stress urinary incontinence, Surgical mesh, Pelvic floor surgery

Xiangfu Zhou, Tengcheng Li, Hailun Zhan, Fei Yang, Jiarong Cai, Bolong Liu, Wengbiao Li. Anterior mesh vaginal wall repair for the treatment of cystocele: 19 cases report[J]. Chinese Journal of Endourology(Electronic Edition), 2018, 12(01): 35-38.

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