PMID: 9557991Jan 1, 1997Paper

Transabdominal repair of cystocele by wedge colpectomy during combined abdominal-vaginal surgery

International Urogynecology Journal and Pelvic Floor Dysfunction
G QuadriG Mattioli

Abstract

The aim of the study was to evaluate the effectiveness of transabdominal wedge colpectomy as surgical treatment for cystocele. One hundred and sixty-three women with either first or second-degree cystocele (Beecham classification), rectocele and concomitant stress urinary incontinence or benign pelvic masses were submitted for a combined operation. Transabdominal repair of the cystocele was performed by wedge colpectomy employing two different absorbable sutures, Vicryl and PDS. The choice of suture was not random but depended on the period at which surgery was performed. Data obtained were analyzed with Student's t-test and Fisher's exact test. The cystocele cure rate was 90.2% (110 out of 122) at 3-year follow-up and was significantly associated with the preoperative degree, being 95.5% and 76.5% in first and in second degree, respectively (P = 0.003). At 1-year follow-up the cure rate was significantly associated with the type of the suture employed (P = 0.01). At 2-year follow-up rectocele cure rate was 97.2% and vaginal vault prolapse appeared in 3.5% of cases. Stress urinary incontinence relapsed in 10% of patients after Burch colposuspension. After the operation 94.1% of the women declared normal coitus. In the present s...Continue Reading

References

May 15, 1978·American Journal of Obstetrics and Gynecology·G A Macer
Jun 1, 1989·American Journal of Obstetrics and Gynecology·B L Shull, W F Baden
Jan 1, 1986·Urology·A FerrariM Costa
Jan 1, 1973·American Journal of Obstetrics and Gynecology·D H Nichols, P S Milley
Apr 1, 1980·American Journal of Obstetrics and Gynecology·C T Beecham

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Citations

May 8, 2009·Der Urologe. Ausg. A·J N Nyarangi-DixM Hohenfellner
May 26, 2005·International Urogynecology Journal and Pelvic Floor Dysfunction·Christopher Maher, Kaven Baessler
Mar 16, 2013·International Urogynecology Journal·E J M LensenM E Vierhout
Jun 19, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·S W BaiJ W Kim

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