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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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.

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