A Prospective Study of Minimally Invasive Paravaginal Repair of Cystocele and Associated Pelvic Floor Defects: Our Experience

Journal of Obstetrics and Gynaecology of India
Kavitha Yogini DuraisamyKodeeswari Periyasamy

Abstract

To assess the outcome of minimally invasive paravaginal repair of symptomatic cystocele and to correlate postoperative outcome with preoperative presentation. The primary outcome was the anatomical outcome measured by postoperative physical examination and the functional outcome was assessed by subjective symptoms and questionnaires. The secondary outcomes were perioperative and postoperative complications. In this longitudinal prospective observational study, 44 women underwent laparoscopic or robotic paravaginal cystocele repair from January 2016 to July 2016 and they were followed up to 1 year after surgery in a tertiary advanced laparoscopic center. All patients had a symptomatic lateral cystocele ≥ grade 2 according to Baden-Walker classification. Other coexisting defects like apical cystocele or combined defects were corrected concomitantly. The anatomical outcome was measured by physical examination and functional outcome was assessed by questionnaires-Pelvic Organ Prolapse Distress Inventory 6 and Urinary Distress Inventory 6 preoperatively and during postoperative follow-up. All 44 patients were followed up to 12 months after surgery. The anatomical cure rate for cystocele was 97.7%. There were no major complications. ...Continue Reading

References

Oct 31, 2008·Journal of Minimally Invasive Gynecology·David M B RosenDanny Chou
Feb 10, 2009·European Urology·Anjali M GanatraGuy Vallancien
Jan 1, 2010·Female Pelvic Medicine & Reconstructive Surgery·Linda BrubakerPeggy Norton
Nov 19, 2014·Korean journal of urology·Kyung Hwa Choi, Jae Yup Hong
Aug 15, 2015·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Nicholas D BedfordMarc J N C Keirse

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Citations

Oct 16, 2019·Current Urology Reports·Ricardo Palmerola, Nirit Rosenblum

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