Is levator avulsion a predictor for cystocele recurrence following anterior vaginal mesh?

Wong, V., Shek, K.L., Rane, A., Goh, J., and Dietz, H.P. (2011) Is levator avulsion a predictor for cystocele recurrence following anterior vaginal mesh? Neurourology and Urodynamics, 30 (6). pp. 879-880.

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View at Publisher Website: http://dx.doi.org/10.1002/nau.21185

Abstract

[Extract] Traditional anterior colporrhaphy commonly yields low success rates, especially in women with an abnormal levator shelf (1). Current evidence suggests that transobturator mesh may lower recurrence rates (2). It seems that such implants may partly or completely compensate for the added recurrence risk conveyed by pelvic floor trauma. Such an effect may justify the use of mesh as primary or secondary intervention, despite the substantial complications associated with mesh implants, such as chronic pain, dyspareunia and erosion. However, even with mesh use, recurrence rates in women with avulsion of the puborectalis muscle may still be unacceptably high (2). This study was designed to determine whether avulsion is a risk factor for recurrence following anterior compartment transobturator mesh placement.

Item ID: 21844
Item Type: Article (Abstract)
ISSN: 1520-6777
Date Deposited: 14 May 2012 05:08
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110312 Nephrology and Urology @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110323 Surgery @ 50%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920119 Urogenital System and Disorders @ 50%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Womens Health @ 50%
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