https://doi.org/10.4081/uij.2008.3.17

DOUBLE TRANSOBTURATOR APPROACH TO TREATING CYSTOCELE

Vol. 22 No. 3 (2008)
Submitted: 18 June 2010
Accepted: 18 June 2010
Published: 1 July 2010
Pelvic organ prolapse, Transobturator route, Mesh erosion, Polypropylene, Acellular Porcine Derma
Abstract Views: 542
PDF: 312
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Authors

S. Bandiera
sbuffy@hotmail.it
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
G. Raciti
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
A. Aloisi
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
M. Arena
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
R. Giordano
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
G. Giunta
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
M.G. Matarazzo
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
R. Morello
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
F. Rapisarda
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
S.G. Vitale
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
A. Cianci
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
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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How to Cite

Bandiera, S., Raciti, G., Aloisi, A., Arena, M., Giordano, R., Giunta, G., … Cianci, A. (2010). DOUBLE TRANSOBTURATOR APPROACH TO TREATING CYSTOCELE. Urogynaecologia, 22(3), 17–24. https://doi.org/10.4081/uij.2008.3.17

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