The Experience of Cystocele Repair with Monofilament polypropylene Mesh
Journal of the Korean Continence Society
; : 116-120, 2009.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-106844
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
The use of synthetic mesh to reinforce the anterior vaginal wall support for cystocele repair has been proposed to prevent recurrence. We evaluated the efficacy and safety of cystocele repair using monofilament polypropylene mesh (Gynemesh PS(TM)). MATERIALS ANDMETHODS:
This study was performed in 53 patents who underwent cystocele repair using monofilament polypropylene mesh between January 2006 and January 2009. According to the ICS (International Continence Society) stage classification, 33, 17 and 3 women had stage II, III and IV cystocele. The operation were performed through the vaginal approach. Patients were followed up for 9 to 36 months. We defined the cure of cystocele as stage 0, improvement as stage I, and failed as stage II or greaterRESULTS:
The mean follow-up was 23.8 months. At follow-up, 41 women were anatomically cured (77.4%), 12 women were improved as stage I (22.6%) and no one was failed. Six cases were previously ICS stage II, 5 cases were stage III and 1 case was stage IV in improved group. No significant intraoperative complications occurred. The postoperative complications were de novo urgency (4 cases, 7.6%), erosion of mesh (2 cases, 3.8%) and anterior vaginal wall hematoma (1 case, 1.9%).CONCLUSION:
The use of polypropylene mesh for correction of cystocele by transvaginal route with tension free technique seems to be a safe and effective procedure.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Polipropilenos
/
Complicações Pós-Operatórias
/
Recidiva
/
Seguimentos
/
Classificação
/
Cistocele
/
Hematoma
/
Complicações Intraoperatórias
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Continence Society
Ano de publicação:
2009
Tipo de documento:
Artigo