Anterior Transobturator Polypropylene Mesh in the Correction of Cystocele: 2-Point Method vs 4-Point Method
- Authors
- Yuk, Jin-Sung; Jin, Chan Hee; Yi, Kyong Wook; Kim, Tak; Hur, Jun-Young; Shin, Jung-Ho
- Issue Date
- 11월-2012
- Publisher
- ELSEVIER SCIENCE INC
- Keywords
- Cystocele; Half-sized mesh; Transvaginal mesh
- Citation
- JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, v.19, no.6, pp.737 - 741
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
- Volume
- 19
- Number
- 6
- Start Page
- 737
- End Page
- 741
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/107054
- DOI
- 10.1016/j.jmig.2012.08.769
- ISSN
- 1553-4650
- Abstract
- Study Objective: To compare the effectiveness and safety of 2 anterior transobturator mesh methods for treating anterior vaginal wall prolapse. Design: Randomized controlled study (Canadian Task Force classification I). Setting: University hospital. Patients: Eighty-seven women with anterior vaginal wall prolapse stage >= 2 (Pelvic Organ Prolapse Quantification [POP-Q]) underwent an anterior transobturator mesh procedure using macropore polypropylene mesh. Interventions: Forty-five patients underwent the operation via the conventional 4-point, full-sized mesh method, and 42 patients underwent the operation via a novel 2-point, half-sized mesh method. Measurements and Main Results: Patient characteristics were comparable between the 2 groups. The anatomic cure rate was significantly lower in the 2-point group compared with the 4-point group at 12 months after surgery (87.2% vs 100%; p = .03). Healing abnormalities were significantly higher in the 2-point group than in the 4-point group (12.8% vs 0%; p = .03). Bladder perforation (2.6% vs 0%), stress urinary incontinence (23.1% vs 22.5%), urinary frequency (12.8% vs 22.5%), and voiding difficulty and dyspareunia (0% vs 0%) were not statistically different between the 2 groups. At linear regression analysis, mean (SD) operation time did not differ between the 2 groups (74.9 [32.7] minutes vs 87.8 [36.7] minutes; p = .11). Conclusion: Compared with the 4-point method, the 2-point anterior transobturator mesh method resulted in a lower rate of anatomic cure and a higher rate of healing abnormality. Journal of Minimally Invasive Gynecology (2012) 19, 737-741 (C) 2012 AAGL. All rights reserved.
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