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01-11-2009 | Original Article

Do the anatomical defects associated with cystocoele affect the outcome of anterior repair? A clinical and radiological study

Authors: Olugbenga A. Adekanmi, Robert M. Freeman, Simon A. Jackson, Mark Puckett, Luigi Bombieri, Malcolm R. Waterfield

Published in: International Urogynecology Journal | Issue 11/2009

Abstract

Introduction and hypothesis

The purpose of this study was to investigate the defects associated with cystocoele and the outcome of anterior repair.

Methods

Prospective study using POPQ and MRI before and after surgery.

Results

Seventy women completed 1 year follow-up with anatomical and subjective failure rates of 51% and 32%, respectively. MRI features suggestive of central fascial defects were identified in 9%, isolated lateral defects in 33%, combined central and lateral defects in 12% and no obvious defect in 46%. Anatomical failure was more common in combined defects versus no fascial defects (OR 6.9, 95% CI 0.7–64.1). Interestingly, 50% of lateral defects were corrected by anterior repair. Defects of pubovesical (p = 0.045) and pubococcygeal muscles (p = 0.039) were associated with anatomical failure.

Conclusions

Cystocoeles recur anatomically in 50% of women by 1 year. However, the subjective outcomes are better. The combination of central and lateral fascial defects and pubovesical and pubococcygeal muscle defects appear to contribute to anatomical failure.

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Title: Do the anatomical defects associated with cystocoele affect the outcome of anterior repair? A clinical and radiological study
Authors: Olugbenga A. Adekanmi
Robert M. Freeman
Simon A. Jackson
Mark Puckett
Luigi Bombieri
Malcolm R. Waterfield
Publication date: 01-11-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 11/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0962-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Do the anatomical defects associated with cystocoele affect the outcome of anterior repair? A clinical and radiological study

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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