Cystocele - vaginal approach to repairing paravaginal fascial defects

International Urogynecology Journal and Pelvic Floor Dysfunction
Rui VianaHélio Retto

Abstract

The objective of this study is to determine the efficacy and safety of vaginal approach to repair paravaginal defects in patients with symptomatic cystocele. This was a retrospective study of 66 women with a diagnosis of symptomatic cystocele grade 2 to 4, referred to our unit between January 2002 and March 2005. A clinical evaluation was carried out using the Baden-Walker classification before and after the surgery. The same surgical team performed every surgery. The repair of paravaginal fascial defects was carried out through a vaginal approach, exposing the arcus tendineus. The paravaginal fascial defects were corrected through suspension of vesicovaginal fascia to the arcus tendineus with nonreabsorbable Ethibond 0 sutures. Women were seen for follow-up at 3, 6, and 12 months. The presence of well-demarcated vaginal lateral sulci at grade 0, firmly apposed to the lateral pelvic sidewalls and no anterior relaxation with Valsalva maneuver, were used as criteria for cure. Grade 2 cystocele was diagnosed preoperatively in most women. The mean duration of complaints due to prolapse was 64.6 months. There were no major intraoperative complications. Mean time of inpatient stay was of 4.9 days. The cure rate at 12 months was 91.6%...Continue Reading

References

Feb 1, 1997·Obstetrics and Gynecology·A M Weber, M D Walters
Jan 28, 1999·Obstetrics and Gynecology Clinics of North America·E J Gill, W G Hurt

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Citations

Aug 12, 2009·Der Urologe. Ausg. A·H LoertzerA Strauss
Apr 25, 2012·Der Urologe. Ausg. A·H LoertzerA Strauß
Jan 25, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Jose E RoblesJose M Berian
Jan 12, 2011·International Urogynecology Journal·Richard I ReidKehui Luo
Sep 21, 2011·International Urogynecology Journal·Umberto Leone Roberti MaggioreSergio Costantini
Oct 25, 2011·World Journal of Urology·Kristina Cvach, Peter Dwyer
Jun 26, 2013·Archives of Gynecology and Obstetrics·Mohamed M HosniEssam M Khater
Sep 22, 2007·Current Opinion in Obstetrics & Gynecology

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