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01-04-2008 | Original Article

Transvaginal cystocele repair with polypropylene mesh using a tension-free technique

Authors: M. Cervigni, F. Natale, C. La Penna, M. Panei, A. Mako

Published in: International Urogynecology Journal | Issue 4/2008

Abstract

This study describes an original surgical technique for the correction of medium/high-degree cystocele using a tension-free way to apply a polypropylene mesh: the “tension-free cystocele repair” (TCR). About 218 patients were available with a mean follow-up of 38 months. This technique showed an elevated rate of anatomic correction (75.7%), a statistically significant correction of storage symptoms (48.6 vs 32.5%, p < 0.05), voiding symptoms (40.3 vs 8.3%, p < 0.05), and symptoms associated with pelvic organ prolapse (POP; 55.9 vs 11.4%, p < 0.0001), with no negative impact on ano-rectal function and, in particular, on constipation. The percentage of erosions was 12.3%, but in the group where hysterectomy was not performed, we had erosions in only 2.5%. With the exception of the Personal Relationship domain, all of the categories examined by the Prolapse Quality of Life Questionnaire showed a statistically significant improvement, which confirms the positive impact of this surgery as perceived by patients.

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Title: Transvaginal cystocele repair with polypropylene mesh using a tension-free technique
Authors: M. Cervigni
F. Natale
C. La Penna
M. Panei
A. Mako
Publication date: 01-04-2008
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 4/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-007-0486-6

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Transvaginal cystocele repair with polypropylene mesh using a tension-free technique

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