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International Urogynecology Journal

Erschienen in:

01.06.2012 | Original Article

Cystocele repair by vaginal route: comparison of three different surgical techniques of mesh placement

verfasst von: Pascal Mourtialon, Vincent Letouzey, Georges Eglin, Renaud de Tayrac, the French Ugytex Study Group

Erschienen in: International Urogynecology Journal | Ausgabe 6/2012

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Abstract

Introduction and hypothesis

Different techniques of mesh placement for cystocele repair are known. Our goal was to compare anatomical and functional outcomes of three different techniques of mesh placement over a 3-year follow-up.

Methods

Between March 2003 and June 2004, 230 patients (stage 2–4 pelvic organ prolapse (POP)) were included in a prospective study. For cystocele repair, mesh was implanted either with two arms into the retropubic space (RP) or with two to four arms into the obturator foramen (TO), or fixed to the arcus tendineous fascia pelvis (FG).

Results

Patients' distribution is as follows: 142 TO, 32 RP, and 31 FG. Anatomical success (cystocele < stage 2 in the POP staging system) was clearly poorer after the retropubic free technique, with success rates of 69% (RP), 90.1% (TO), and 96.6% (FG) (p = 0.004). POP distress inventory (p < 0.005) and POP impact questionnaire scores were both significantly poorer after RP.

Conclusions

RP technique is less effective than TO and FG techniques.

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Titel: Cystocele repair by vaginal route: comparison of three different surgical techniques of mesh placement
verfasst von: Pascal Mourtialon
Vincent Letouzey
Georges Eglin
Renaud de Tayrac
the French Ugytex Study Group
Publikationsdatum: 01.06.2012
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 6/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1650-6

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Cystocele repair by vaginal route: comparison of three different surgical techniques of mesh placement