Severe cystocele: optimizing results
- PMID: 17880839
- DOI: 10.1007/s11934-007-0037-1
Severe cystocele: optimizing results
Abstract
Despite multiple variations in cystocele repair techniques, success rates have been historically low. In this review we summarize strategies to optimize long-term results of vaginally approached cystocele repair for the high-grade defect. Our proposed strategies include addressing prolapse of the vaginal apex (the uterus or the vaginal cuff), using the obturator fascia as an anchor for lateral cystocele defect repair, augmenting the repair with loosely woven polypropylene mesh, and placing a midurethral sling.
Similar articles
-
[Three years results of transvaginal cystocele repair with polypropylene mesh using a tension-free technique].Actas Urol Esp. 2010 Jan;34(1):82-7. Actas Urol Esp. 2010. PMID: 20223137 Clinical Trial. Spanish.
-
Transvaginal paravaginal repair of high-grade cystocele central and lateral defects with concomitant suburethral sling: report of early results, outcomes, and patient satisfaction with a new technique.Urology. 2005 Nov;66(5 Suppl):57-65. doi: 10.1016/j.urology.2005.06.126. Urology. 2005. PMID: 16194709 Clinical Trial.
-
Transvaginal repair of stage III-IV cystocele using a lightweight mesh: safety and 36-month outcome.Int Urogynecol J. 2015 Aug;26(8):1147-54. doi: 10.1007/s00192-015-2659-z. Epub 2015 Mar 3. Int Urogynecol J. 2015. PMID: 25731722
-
Comparing the vaginal wall sling with autologous rectus fascia and polypropylene sling: Short term outcomes and patient satisfaction.Eur J Obstet Gynecol Reprod Biol. 2018 Dec;231:98-103. doi: 10.1016/j.ejogrb.2018.10.012. Epub 2018 Oct 11. Eur J Obstet Gynecol Reprod Biol. 2018. PMID: 30340120 Review.
-
[The meshes in the cure of cystocele by vaginal way].Prog Urol. 2009 Dec;19(13):1025-30. doi: 10.1016/j.purol.2009.10.013. Epub 2009 Nov 11. Prog Urol. 2009. PMID: 19969274 Review. French.
Cited by
-
Credentialing for transvaginal mesh placement--a case for "added qualification" in competency. Consensus of the 2nd IUGA Grafts Roundtable: optimizing safety and appropriateness of graft use in transvaginal pelvic reconstructive surgery.Int Urogynecol J. 2012 Apr;23 Suppl 1:S27-31. doi: 10.1007/s00192-012-1679-1. Epub 2012 Mar 7. Int Urogynecol J. 2012. PMID: 22395290
References
Publication types
MeSH terms
Substances
LinkOut - more resources
Miscellaneous