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International Urogynecology Journal

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01-08-2014 | Original Article

The natural history of cystocele recurrence

Authors: H. P. Dietz, K. J. Hankins, V. Wong

Published in: International Urogynecology Journal | Issue 8/2014

Abstract

Introduction and hypothesis

Female pelvic organ prolapse is a common condition, and recurrence after surgery is considered a significant clinical issue, especially in the anterior compartment. To the best of our knowledge, there are currently no published data in the literature on the timing of recurrence. We used data obtained in clinical audit projects and a prospective surgical trial to define the natural history of cystocele recurrence.

Methods

This is an observational retrospective study utilising data of 166 patients seen at least twice after anterior colporrhaphy, obtained from four clinical audit projects and one prospective surgical trial.

Results

We identified a total of 481 postoperative visits at a mean follow-up of 1.11 years in 166 individuals. At last available follow-up, 80 (48 %) had evidence of cystocele recurrence (ICS POP-Q stage 2+), and 44 (27 %) reported symptoms of prolapse. Ultrasound evidence of cystocele recurrence was seen in 74 women (45 %). Regression modelling demonstrated that the likelihood of recurrence was highest between 1 and 2 years’ follow-up.

Conclusions

Cystocele recurrence after anterior colporrhaphy seems to be a relatively early phenomenon, with maximum prevalence reached at 18–24 months.

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Title: The natural history of cystocele recurrence
Authors: H. P. Dietz
K. J. Hankins
V. Wong
Publication date: 01-08-2014
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 8/2014
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-014-2339-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The natural history of cystocele recurrence

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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