MP33-04 RISK OF PROLAPSE RECURRENCE AFTER NATIVE TISSUE ANTERIOR VAGINAL WALL SUSPENSION FOLLOWING ANTERIOR COLPORRHAPHY WITH LONG-TERM FOLLOWUP

This article provides a summary of a landmark study in the management of pelvic organ prolapse. This study sought to evaluate if patients with anterior vaginal wall prolapse should be managed with a traditional native tissue colporrhaphy or with transvaginal mesh. This article briefly reviews other relevant studies related to vaginal prolapse and concludes with a relevant clinical case.

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Long-term outcomes of vaginal mesh versus native tissue repair for anterior vaginal wall prolapse

International Urogynecology Journal ◽

10.1007/s00192-013-2043-9 ◽

2013 ◽

Vol 24 (8) ◽

pp. 1279-1285 ◽

Cited By ~ 28

Author(s):

Michele Jonsson Funk ◽

Anthony G. Visco ◽

Alison C. Weidner ◽

Virginia Pate ◽

Jennifer M. Wu

Keyword(s):

Tissue Repair ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Vaginal Mesh ◽

Long Term Outcomes ◽

Anterior Vaginal Wall Prolapse ◽

Native Tissue Repair ◽

Native Tissue

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Preoperative level II/III MRI measures predicting long-term prolapse recurrence after native tissue repair

International Urogynecology Journal ◽

10.1007/s00192-021-04854-3 ◽

2021 ◽

Author(s):

Payton Schmidt ◽

Luyun Chen ◽

John O. DeLancey ◽

Carolyn W. Swenson

Keyword(s):

Tissue Repair ◽

Native Tissue Repair ◽

Preoperative Level ◽

Native Tissue ◽

Prolapse Recurrence ◽

Level Ii

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O472 PROSPECTIVE MULTICENTER TRIAL ASSESSING LONG TERM OUTCOMES (5 YEARS) OF ANTERIOR VAGINAL WALL POLYPROPYLENE MESH PLACEMENT FOR TREATMENT OF CYSTOCELE

International Journal of Gynecology & Obstetrics ◽

10.1016/s0020-7292(12)60902-3 ◽

2012 ◽

Vol 119 ◽

pp. S428-S429

Author(s):

R.D. Moore ◽

K. Jacoby ◽

R. Beyer

Keyword(s):

Polypropylene Mesh ◽

Multicenter Trial ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Long Term Outcomes ◽

Mesh Placement ◽

Prospective Multicenter Trial

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The role of hydrodissection in native tissue repair of anterior vaginal wall defects

Australian and New Zealand Journal of Obstetrics and Gynaecology ◽

10.1111/ajo.13431 ◽

2021 ◽

Author(s):

Polina Schwarzman ◽

Benzion Samueli ◽

Ruth Shaco‐Levy ◽

Yael Baumfeld ◽

Elad Leron ◽

...

Keyword(s):

Tissue Repair ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Native Tissue Repair ◽

Native Tissue

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No mesh versus mesh in the treatment of anterior vaginal wall prolapse: prospective, randomised, controlled trial, long-term follow-up

International Urology and Nephrology ◽

10.1007/s11255-020-02503-0 ◽

2020 ◽

Vol 52 (10) ◽

pp. 1839-1844

Author(s):

José Tadeu Nunes Tamanini ◽

Leonardo Oliveira Reis ◽

Mirce Milhomem da Mota Tamanini ◽

Rodrigo Aquino Castro ◽

Marair Gracio Ferreira Sartori ◽

...

Keyword(s):

Randomised Controlled Trial ◽

Controlled Trial ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Anterior Vaginal Wall Prolapse ◽

Long Term Follow Up ◽

Randomised Controlled

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Anterior colporrhaphy compared with collagen-coated transvaginal mesh for anterior vaginal wall prolapse: a randomised controlled trial

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/1471-0528.12454 ◽

2013 ◽

Vol 121 (1) ◽

pp. 102-111 ◽

Cited By ~ 29

Author(s):

M Rudnicki ◽

E Laurikainen ◽

R Pogosean ◽

I Kinne ◽

U Jakobsson ◽

...

Keyword(s):

Randomised Controlled Trial ◽

Controlled Trial ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Anterior Colporrhaphy ◽

Transvaginal Mesh ◽

Anterior Vaginal Wall Prolapse ◽

Randomised Controlled

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Modified Two-corner Raz Suspension Procedure for Cystocele Repair: A Novel Technique

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1402 ◽

2016 ◽

Vol 8 (2) ◽

pp. 130-135

Author(s):

Urmila Sharma ◽

Ritu Agarwal ◽

Nilesh L Goraniya ◽

Sumesh D Choudhary ◽

Pradeep J Bandwal ◽

...

Keyword(s):

Quality Of Life ◽

Stage Iv ◽

Anterior Wall ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Stage Ii ◽

Novel Technique

ABSTRACT Introduction Prolapse of anterior vaginal wall is a common problem in both perimenopausal and postmenopausal women. In past 200 years, surgical management of cystocele has undergone many changes from Kelly's plication to mesh reinforcement but none of these procedures proved to be 100% effective. Modified two-corner Raz suspension procedure (MTCRSP) can be used for the treatment of POP-Q (pelvic organ prolapse quantification) stage II to IV anterior vaginal wall prolapse (AVP). Objectives To assess the effectiveness of modified two-corner Raz suspension procedure (MTCRSP) in long-term success for cystocele repair and its effect on quality of life. Study design A hospital-based prospective study. Materials and methods Twelve patients underwent modified two-corner Raz procedure and were followed postoperatively for a period of 1 year at regular intervals. During follow-up, we assessed the degree of prolapse by POP-Q, quality of life, and sexual dysfunction. Results Preoperatively, 3 out of 12 (25%) patients had stage II, five had (41.66%) stage III, and four (33.33%) had stage IV prolapse. Postoperatively, at 1 month follow-up, one (8.33%) patient developed stage II anterior wall prolapse, which progressed to stage IV prolapse at 3 months. Two more patients developed stage II prolapse at 3-month follow-up. Failure rate at the end of 1 year was 25% (3/12). Prolapse quality of life (PQOL) improved in 10 out of 12 (83.33%) patients. While PGII (patient global impression of improvement) score improved in 11 out of 12 (91.66%) women. Conclusion Modified two-corner Raz suspension procedure is an effective technique with long-term success in stage II and III prolapse but a limited success in stage IV AVP. How to cite this article Mishra VV, Goraniya NL, Choudhary SD, Sharma U, Bandwal PJ, Tanvir T, Agarwal R. Modified Two-corner Raz Suspension Procedure for Cystocele Repair: A Novel Technique. J South Asian Feder Obst Gynae 2016;8(2):130-135.

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