Abstract
The Raz four-corner suspension for the treatment of severe (grades 3 and 4) cystocele has yielded poor results, and is the subject of this paper. During a 10-month period from June 1988 to April 1989, 27 patients with severe cystocele and genuine stress incontinence were treated by the Raz four-corner suspension. Each patient had full preoperative urodynamic evaluation. Twenty-two patients were available for follow-up examinations at 3.5–4 years. At the 6-week postoperative examination all patients had excellent support of the anterior vaginal wall, including the restoration of the anterolateral vaginal wall sulci. However, within 10 months, 6 patients had recurrence of cystoceles of grade 2 or more. These results led to the abandonment of this procedure. On long-term follow-up examination at 3.5–4 years, 59% (13/22) of the patients had recurrence of cystoceles of grade 2 or more. The possible causes for these poor results are discussed. At present therefore, the Raz four-corner suspension for severe cystoceles is not recommended.
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Zimmern P, Leach GE. A prospective evaluation of four-corner bladder neck suspension for grade II/III cystocele repair. Neurourol 1990;9:213
Raz S, Klutke CG, Colomb J. Four-corner bladder and urethral suspension for moderate cystocele. J Urol 1989;142:712–715
Raz S, Little ANA, Juma S, Sussman EM. Repair of severe anterior vaginal wall prolapse (Grade IV urethrocystocele). J Urol 1991;146:988–992
Raz S, Sussman EM, Erickson DR. Vaginal repair of high grade cystocele. Contemp Urol 1991;3:80–94
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Miyazaki, F.S., Miyazaki, D.W. Raz four-corner suspension for severe cystocele: Poor results. Int Urogynecol J 5, 94–97 (1994). https://doi.org/10.1007/BF00375819
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DOI: https://doi.org/10.1007/BF00375819