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Cystocele repair by transobturator four arms mesh: monocentric experience of first 123 patients

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Abstract

Introduction and hypothesis

The aims of the study were to evaluate the per- and post-operative complications and outcomes after cystocele repair with transobturator mesh.

Methods

A retrospective continuous series study was conducted over a period of 3 years. Clinical evaluation was up to 1 year with additional telephonic interview performed after 34 months on average. When stress urinary incontinence (SUI) was associated with the cystocele, it was treated with the same mesh.

Results

One hundred twenty-three patients were treated for cystocele. Per-operative complications occurred in six patients. After 1 year, erosion rate was 6.5%, and only three cystoceles recurred. After treatment of SUI with the same mesh, 87.7% restored continence. Overall patient’s satisfaction rate was 93.5%.

Conclusions

Treatment of cystocele using transobturator four arms mesh appears to reduce the risk of recurrence at 1 year, along with high rate of patient’s satisfaction. The transobturator path of the prosthesis arms seems devoid of serious per- and post-operative risks and allows restoring continence when SUI is present.

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Abbreviations

SUI:

Stress urinary incontinence

POP:

Pelvic organ prolapse

TVT:

Tension-free vaginal tape

POP-Q:

Pelvic organ prolapse quantification

BMI:

Body mass index

IVS:

Intravaginal sling

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Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Department of Gynecology Obstetrics and Reproductive Medicine, University Hospital of Caen, Boulevard Georges Clémenceau, 14033, Caen cedex, France

    Cyril Eboue, Naama Marcus-Braun & Peter von Theobald

Authors
  1. Cyril Eboue
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  2. Naama Marcus-Braun
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  3. Peter von Theobald
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Corresponding author

Correspondence to Peter von Theobald.

Appendix: telephonic interview

Appendix: telephonic interview

  1. 1.

    How will you describe your situation after the surgery, with regards to the prolapse symptoms you had before the operation?

  2. (a)

    No more symptoms

  3. (b)

    Better, but still have some

  4. (c)

    As it was or worse

  5. 2.

    Do you suffer now from symptoms of prolapse? If yes, during rest or effort?

  6. 3.

    Have you been re-operated? In our department or somewhere else?

  7. 4.

    Do you suffer from recurrent urinary infections?

  8. 5.

    Do you suffer from abnormal secretion from the vagina?

  9. 6.

    Do you suffer from (the terms were further explained to the interviewee):

    • Polyuria?

    • Urgency?

    • Incomplete voiding?

    • Stress urinary incontinence?

  10. 7.

    Do you practice sexual intercourse?

  11. 8.

    After the operation, the global quality of the sexual intercourse is

  12. (a)

    Better

  13. (b)

    Unchanged

  14. (c)

    Deteriorated

  15. 9.

    Do you suffer from pain during sexual intercourse?

  16. 10.

    Do you suffer from perineal pain or other pain?

  17. 11.

    In terms of global satisfaction from your quality of life before and after the operative intervention, you are

  18. (a)

    Very satisfied or satisfied

  19. (b)

    Moderate satisfied

  20. (c)

    Not satisfied or very not satisfied

  21. 12.

    Do you have any particular remarks to add?

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Eboue, C., Marcus-Braun, N. & von Theobald, P. Cystocele repair by transobturator four arms mesh: monocentric experience of first 123 patients. Int Urogynecol J 21, 85–93 (2010). https://doi.org/10.1007/s00192-009-0993-8

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  • DOI: https://doi.org/10.1007/s00192-009-0993-8

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