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3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients

OBJECTIVES: To evaluate the long-term efficacy and safety of transobturator four-arm mesh for treating cystoceles. PATIENTS AND METHODS: In this prospective study, 105 patients had a cystocele corrected between January 2004 and December 2008. All patients had a symptomatic cystocele of stage ⩾2 acco...

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Autores principales: Kdous, Moez, Zhioua, Fethi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435760/
https://www.ncbi.nlm.nih.gov/pubmed/26019962
http://dx.doi.org/10.1016/j.aju.2014.09.007
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author Kdous, Moez
Zhioua, Fethi
author_facet Kdous, Moez
Zhioua, Fethi
author_sort Kdous, Moez
collection PubMed
description OBJECTIVES: To evaluate the long-term efficacy and safety of transobturator four-arm mesh for treating cystoceles. PATIENTS AND METHODS: In this prospective study, 105 patients had a cystocele corrected between January 2004 and December 2008. All patients had a symptomatic cystocele of stage ⩾2 according to the Baden–Walker halfway stratification. We used only the transobturator four-arm mesh kit (Surgimesh®, Aspide Medical, France). All surgical procedures were carried out by the same experienced surgeon. The patients’ characteristics and surgical variables were recorded prospectively. The anatomical outcome, as measured by a physical examination and postoperative stratification of prolapse, and functional outcome, as assessed by a questionnaire derived from the French equivalents of the Pelvic Floor Distress Inventory, Pelvic Floor Impact Questionnaire and the Pelvic Organ Prolapse–Urinary Incontinence-Sexual Questionnaire, were considered as the primary outcome measures. Peri- and postoperative complications constituted the secondary outcome measures. RESULTS: At 36 months after surgery the anatomical success rate (stage 0 or 1) was 93%. On a functional level, all the scores of quality of life and sexuality were improved. The overall satisfaction score (visual analogue scale) was 71.4%. There were no perioperative adverse events. Mesh erosion was reported in 7.6% and mesh retraction in 5.7% of the patients. CONCLUSIONS: If the guidelines and precautions are followed, vaginal prosthetic surgery for genitourinary prolapse has shown long-term benefits. It provides excellent results both anatomically and functionally. However, complications are not negligible and some are specific to prosthetic surgery.
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spelling pubmed-44357602015-05-27 3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients Kdous, Moez Zhioua, Fethi Arab J Urol Original Article OBJECTIVES: To evaluate the long-term efficacy and safety of transobturator four-arm mesh for treating cystoceles. PATIENTS AND METHODS: In this prospective study, 105 patients had a cystocele corrected between January 2004 and December 2008. All patients had a symptomatic cystocele of stage ⩾2 according to the Baden–Walker halfway stratification. We used only the transobturator four-arm mesh kit (Surgimesh®, Aspide Medical, France). All surgical procedures were carried out by the same experienced surgeon. The patients’ characteristics and surgical variables were recorded prospectively. The anatomical outcome, as measured by a physical examination and postoperative stratification of prolapse, and functional outcome, as assessed by a questionnaire derived from the French equivalents of the Pelvic Floor Distress Inventory, Pelvic Floor Impact Questionnaire and the Pelvic Organ Prolapse–Urinary Incontinence-Sexual Questionnaire, were considered as the primary outcome measures. Peri- and postoperative complications constituted the secondary outcome measures. RESULTS: At 36 months after surgery the anatomical success rate (stage 0 or 1) was 93%. On a functional level, all the scores of quality of life and sexuality were improved. The overall satisfaction score (visual analogue scale) was 71.4%. There were no perioperative adverse events. Mesh erosion was reported in 7.6% and mesh retraction in 5.7% of the patients. CONCLUSIONS: If the guidelines and precautions are followed, vaginal prosthetic surgery for genitourinary prolapse has shown long-term benefits. It provides excellent results both anatomically and functionally. However, complications are not negligible and some are specific to prosthetic surgery. Elsevier 2014-12 2014-11-11 /pmc/articles/PMC4435760/ /pubmed/26019962 http://dx.doi.org/10.1016/j.aju.2014.09.007 Text en © 2014 Production and hosting by Elsevier B.V. on behalf of Arab Association of Urology. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Original Article
Kdous, Moez
Zhioua, Fethi
3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients
title 3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients
title_full 3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients
title_fullStr 3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients
title_full_unstemmed 3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients
title_short 3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients
title_sort 3-year results of transvaginal cystocele repair with transobturator four-arm mesh: a prospective study of 105 patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435760/
https://www.ncbi.nlm.nih.gov/pubmed/26019962
http://dx.doi.org/10.1016/j.aju.2014.09.007
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