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International Urogynecology Journal

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01-03-2014 | Original Article

Nine-year objective and subjective follow-up of the ultra-lateral anterior repair for cystocele

Authors: Zhuoran Chen, Vivien Wong, Alex Wang, Kate H. Moore

Published in: International Urogynecology Journal | Issue 3/2014

Abstract

Introduction and hypothesis

The aim of this study was to determine the long-term objective and subjective outcomes of the native tissue ultra-lateral anterior repair for cystocele.

Methods

An observational study of patients from a single tertiary centre was carried out from January 1994 to December 2006. Patients who underwent an ultra-lateral anterior repair during this period were sent the Pelvic Floor Distress Inventory (PFDI) questionnaire and invited to return for a POP-Q examination. Symptoms of prolapse, stage of cystocele recurrence and reoperation rate were assessed at follow-up.

Results

Of the 135 patients recruited, 53 also had a POP-Q examination. Mean follow-up was 9.25 years (SD 3.2). The anatomical recurrence rate was 45 % at 9.25 years, but only 26 % of patients had recurrent prolapse symptoms. Most recurrences (43 %) occurred at between 1 and 5 years. The reoperation rate for cystocele was 7.4 %.

Conclusion

Despite these rates of anatomical and symptomatic recurrence, only 7.4 % of patients underwent repeat cystocele surgery. Thus, symptomatic/anatomical recurrence of prolapse often does not mandate surgical correction. Considering that mesh complications require surgical management in approximately 10–15 %, this study supports the notion that the use of mesh in anterior vaginal repairs to reduce the risk of “recurrence” needs careful discussion with each patient.

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Title: Nine-year objective and subjective follow-up of the ultra-lateral anterior repair for cystocele
Authors: Zhuoran Chen
Vivien Wong
Alex Wang
Kate H. Moore
Publication date: 01-03-2014
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 3/2014
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-013-2234-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Nine-year objective and subjective follow-up of the ultra-lateral anterior repair for cystocele

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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