Transobturator correction of cystocele

Palma, P., Rane, A., Riccetto, C., Hermann, V., Dambros, M., and Tarazona, A. (2005) Transobturator correction of cystocele. Actas Urologicas Espanolas, 29 (1). pp. 89-92.

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Abstract

Objective: We present our initial experience with the Perigee system for anterior vaginal wall prolepses repair. Material and method: 15 patients with anterior vaginal wall prolapse (mean age: 62 years old) underwent implanted with Perigee system which is composed by a mesh for correcting central defect and four self-attached horns for correcting lateral defect. The implanted procedure consist of four steps: 1) lateral vaginal wall dissection as far as isquiopubic branch; 2) performance of two upper marks at genitofemoral foldy and two lower marks at 2 cm laterally and 3 cm lower; 3) insertion of the upper needles parallel to the isquiopubic branch and connection with the mesh’s "arms" plus insertion of the lower needles vertically and connection with mesh’s "legs"; 4) to adjust the mesh free tension. The system POP-Q was used as an objective measure of correction rate. Results: Preoperatively, the point Aa was 0.09. After 6 weeks and three months postoperatively was -3.00 and -2.73 respectively. Preoperatively, the point Ba was 1.73. After 6 weeks and three months postoperatively was -2.82 and -2.82 respectively. No major complications were presented. No vascular damage or significant bleeding was observed. Conclusion: The transobturator correction of cystocele is and attractive alternative. The initial good outcome may be expected to be long lasting.

Item ID: 5696
Item Type: Article (Refereed Research - C1)
Keywords: Cystocele; transobturator correction
Additional Information:

Article in Spanish. Title: Corrección transobturatoria de los cistoceles Keywords: Cistocele; corrección transopturotriz

ISSN: 1699-7980
Date Deposited: 17 Dec 2009 00:46
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920114 Reproductive System and Disorders @ 100%
Citation Count from Scopus Scopus 22
Downloads: Total: 4
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