DOUBLE TRANSOBTURATOR APPROACH TO TREATING CYSTOCELE

The aim of this study is to show the safety and efficacy of the double transobturator approach, a new technique for anterior vaginal wall prolapse, using several different kinds of meshes (synthetic and biological).This is a retrospective study of 74 women treated between 2005 and 2007. The patients underwent a 3, 6 and 12 month follow-up. The anatomical cure rate, defined as grade of prolapse <2, was 79.7%. Fifteen patients had a recurrence, 12 were treated with biological VS meshes and 3 were treated with synthetic meshes. Vaginal erosion was reported in 5 (6.7%) of these patients, two of whom were treated with topic estrogenic therapy, and three of whom with partial excision. These results suggest that this technique is safe and efficacious and that the best meshes to use are synthetic meshes, because they have a lower recurrence rate than biological meshes.

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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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A Novel Technique for Anterior Vaginal Wall Prolapse Repair: Anterior Vaginal Wall Darn

The Scientific World JOURNAL ◽

10.1155/2013/198542 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5

Author(s):

Osman Köse ◽

Hasan S. Sağlam ◽

Şükrü Kumsar ◽

Salih Budak ◽

Öztuğ Adsan

Keyword(s):

Stress Test ◽

Pelvic Organ ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

New Technique ◽

Anterior Vaginal Wall Prolapse ◽

Cough Stress Test ◽

Arcus Tendineus ◽

Mucosal Erosion ◽

A New Technique

Aim. The aim of this study is to introduce a new technique,anterior vaginal wall darn(AVWD), which has not been used before to repair the anterior vaginal wall prolapse, a common problem among women.Materials and Methods. Forty-five women suffering from anterior vaginal wall prolapse were operated on with a new technique. The anterior vaginal wall was detached by sharp and blunt dissection via an incision beginning from the 1 cm proximal aspect of the external meatus extending to the vaginal apex, and the space between the tissues that attach the lateral walls of the vagina to the arcus tendineus fascia pelvis (ATFP) was then darned. Preoperation and early postoperation evaluations of the patients were conducted and summarized.Results. Data were collected six months after operation. Cough stress test (CST), Pelvic Organ Prolapse Quantification (POP-Q) evaluation, Incontinence Impact Questionnaire (IIQ-7), and Urogenital Distress Inventory (UDI-6) scores indicated recovery. According to the early postoperation results, all patients were satisfied with the operation. No vaginal mucosal erosion or any other complications were detected.Conclusion. In this initial series, our short-term results suggested that patients with grade II-III anterior vaginal wall prolapsus might be treated successfully with the AVWD method.

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