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International Urogynecology Journal

Published in:

01-08-2011 | Original Article

Biologic grafts for cystocele repair: does concomitant midline fascial plication improve surgical outcomes?

Authors: Deborah R. Karp, Thais V. Peterson, Ayman Mahdy, Gamal Ghoniem, Vivian C. Aguilar, G. Willy Davila

Published in: International Urogynecology Journal | Issue 8/2011

Abstract

Introduction and hypothesis

This study aims to compare the efficacy of porcine graft-augmented anterior prolapse repair with and without underlying pubocervical fascia plication.

Methods

Women with symptomatic anterior prolapse who underwent transvaginal repair, using biologic graft via transobturator approach, were retrospectively studied. An initial cohort had the graft placed without fascial plication. A second cohort had graft placement as an overlay to fascial plication.

Results

Between March 2005 and September 2008, 65 subjects underwent anterior repair with biologic graft; 35 without fascial plication and 30 as an overlay to plication. At 6 months follow-up, anatomic recurrence (Ba>/= −1) was significantly higher in the non-plicated group (18/35, 51%) compared with the plicated group (2/30, 7%) p < 0.01. Five (5/35, 14%) in the non-plicated group compared with none (0/30) in the plicated group underwent further treatment (p = 0.06).

Conclusions

When using a non-crosslinked biologic graft for repair of anterior vaginal prolapse, we recommend the addition of concomitant midline fascial plication to enhance anatomic outcome.

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Title: Biologic grafts for cystocele repair: does concomitant midline fascial plication improve surgical outcomes?
Authors: Deborah R. Karp
Thais V. Peterson
Ayman Mahdy
Gamal Ghoniem
Vivian C. Aguilar
G. Willy Davila
Publication date: 01-08-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 8/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1408-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Biologic grafts for cystocele repair: does concomitant midline fascial plication improve surgical outcomes?

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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