A randomized comparison of polypropylene mesh surgery with site-specific surgery in the treatment of cystocoele
- PMID: 17901910
- DOI: 10.1007/s00192-007-0465-y
A randomized comparison of polypropylene mesh surgery with site-specific surgery in the treatment of cystocoele
Abstract
The aim of this study was to compare the efficiency of polypropylene mesh surgery with the site-specific repair surgeries in the treatment of cystocoeles. We randomized 90 patients into two groups according to a computer-based program. After a 12-month (mean) follow up, we noticed that the polypropylene mesh surgery yielded good anatomical results. Acceptable anatomical cure rates were 91 and 72% in the mesh surgery group and site-specific surgery group, respectively. There were three cases (6.9%) of mesh erosion. One case of urinary retention and two cases of de novo dyspareunia were seen in the mesh surgery group. De novo stress urinary incontinence developed in three patients in the site-specific surgery group. We concluded that surgery with light polypropylene mesh (Sofradim, Parietene) is superior to the site-specific surgery in the treatment of cystocoeles.
Similar articles
-
Anatomical and functional assessment of anterior colporrhaphy versus polypropylene mesh surgery in cystocele treatment.Eur J Obstet Gynecol Reprod Biol. 2013 Oct;170(2):555-8. doi: 10.1016/j.ejogrb.2013.07.014. Epub 2013 Aug 2. Eur J Obstet Gynecol Reprod Biol. 2013. PMID: 23916584 Clinical Trial.
-
Tension free monofilament macropore polypropylene mesh (Gynemesh PS) in female genital prolapse repair.Int Braz J Urol. 2006 Jul-Aug;32(4):410-4; discussion 415. doi: 10.1590/s1677-55382006000400005. Int Braz J Urol. 2006. PMID: 16953907
-
[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.
-
Severe cystocele: optimizing results.Curr Urol Rep. 2007 Sep;8(5):394-8. doi: 10.1007/s11934-007-0037-1. Curr Urol Rep. 2007. PMID: 17880839 Review.
-
Consensus Statement of the European Urology Association and the European Urogynaecological Association on the Use of Implanted Materials for Treating Pelvic Organ Prolapse and Stress Urinary Incontinence.Eur Urol. 2017 Sep;72(3):424-431. doi: 10.1016/j.eururo.2017.03.048. Epub 2017 Apr 14. Eur Urol. 2017. PMID: 28413126 Review.
Cited by
-
Are recurrence rates for "traditional" transvaginal prolapse repairs really that high? What does the evidence show?Curr Urol Rep. 2013 Jun;14(3):262-7. doi: 10.1007/s11934-013-0314-0. Curr Urol Rep. 2013. PMID: 23400836 Review.
-
Effects of mesh surgery on sexual function in pelvic prolapse and urinary incontinence.Int Braz J Urol. 2021 Jan-Feb;47(1):82-89. doi: 10.1590/S1677-5538.IBJU.2019.0618. Int Braz J Urol. 2021. PMID: 32539249 Free PMC article.
-
Cystocele repair by vaginal route: comparison of three different surgical techniques of mesh placement.Int Urogynecol J. 2012 Jun;23(6):699-706. doi: 10.1007/s00192-011-1650-6. Epub 2012 Jan 17. Int Urogynecol J. 2012. PMID: 22249280 Clinical Trial.
-
Mesh complications and failure rates after transvaginal mesh repair compared with abdominal or laparoscopic sacrocolpopexy and to native tissue repair in treating apical prolapse.Int Urogynecol J. 2017 Feb;28(2):215-222. doi: 10.1007/s00192-016-3108-3. Epub 2016 Aug 25. Int Urogynecol J. 2017. PMID: 27562466
-
Transvaginal polypropylene mesh versus sacrospinous ligament fixation for the treatment of uterine prolapse: 1-year follow-up of a randomized controlled trial.Int Urogynecol J. 2010 Apr;21(4):389-94. doi: 10.1007/s00192-009-1052-1. Int Urogynecol J. 2010. PMID: 19936588 Clinical Trial.
References
-
- Int Urogynecol J Pelvic Floor Dysfunct. 2006 Feb;17(2):195-201 - PubMed
-
- Int Urogynecol J Pelvic Floor Dysfunct. 2007 Mar;18(3):251-6 - PubMed
-
- Am J Obstet Gynecol. 2001 Dec;185(6):1299-304; discussion 1304-6 - PubMed
-
- Am J Obstet Gynecol. 2001 Jun;184(7):1357-62; discussion 1362-4 - PubMed
-
- BJOG. 2004 Aug;111(8):831-6 - PubMed