کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3922080 1599881 2008 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Correction of cystocele and stress incontinence with anterior transobturator mesh
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Correction of cystocele and stress incontinence with anterior transobturator mesh
چکیده انگلیسی

ObjectiveTo evaluate the effectiveness and safety of anterior transobturator mesh for treating cystocele with or without urinary stress incontinence.Study designEighty-five women with cystocele, with or without USI, underwent anterior transobturator vaginal mesh operation. All patients were examined after 4 months. Seventy-two of them were evaluated via questionnaire after 7 months with respect to complications, the effectiveness of the operation and its influence on their quality of life.Women with urinary stress incontinence in addition to cystocele (62.5%) underwent suburethral mesh placement with the anterior mesh-arms used like a transobturator sling.ResultsRecurrence of stage 1 cystoceles were seen in 9.6% of patients but no recurrence of symptomatic cystocele was observed. Mesh erosion of the central anterior vaginal wall appeared in 5.9%. Three revisions but no mesh explantation became necessary.Urinary stress incontinence was cured in 83.3%, while it improved in 9.3%. Urge incontinence was cured in 28.6% of patients and improved in 17.5%. De novo urge incontinence occurred four times and de novo urinary stress incontinence was found in three patients.Among sexually active women, 27% reported improved intercourse, while 24.3% reported a change for the worse. Quality of life improved in 81.9%, and 95.8% would undergo the procedure again.ConclusionAnterior transobturator mesh is a safe method to treat cystocele with or without stress urinary incontinence and yields good initial results.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 136, Issue 2, February 2008, Pages 249–253
نویسندگان
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