Surgery for cystocele I—questions

Excerpt

In May 2011, an important article on the surgical correction of cystocele was published in the New England Journal of Medicine: “Anterior colporrhaphy versus transvaginal mesh for pelvic organ prolapse” [1]. In this multicenter randomized controlled trial, the use of a trocar-guided, transvaginal polypropylene-mesh repair kit was compared with traditional colporrhaphy in 389 women with prolapse of the anterior vaginal wall. The primary outcome was a composite of objective anatomical pelvic organ prolapse (POP) stage 0 or I [2] and the subjective absence of symptoms of vaginal bulging 12 months after surgery. As compared with anterior colporrhaphy, use of a standardized, trocar-guided mesh kit for cystocele repair resulted in higher (60.8% versus 34.5%) short-term rates of successful treatment. Surgical reintervention to correct mesh exposure during follow-up occurred in 3.2% of patients in the mesh-repair group. …