Anterior colporrhaphy reinforced with Marlex mesh for the treatment of cystoceles

被引:106
作者
Flood C.G. [1 ]
Drutz H.P. [1 ]
Waja L. [1 ]
机构
[1] Section of Urogynecology, Mount Sinai Hospital, Toronto, Ont. M5G 1X5
关键词
Anterior colporrhaphy; Vaginal prolapse;
D O I
10.1007/BF01901604
中图分类号
学科分类号
摘要
This study assesses the use of Marlex mesh in conjunction with anterior colporrhaphy for the correction of cystocele with or without urinary stress incontinence. A retrospective review was carried out of 12 years' experience with 142 patients undergoing a modified anterior colporrhaphy reinforced with Marlex mesh. All patients had preoperative urodynamics. Pre- and postoperative symptoms were compared and patients were examined for recurrent prolapse and mesh complications. Mean follow-up time was 3.2 years. No patients experienced recurrent anterior vaginal wall prolapse. Three patients developed mesh erosions into the vagina. There was a 74% success rate in the treatment of urinary stress incontinence. Marlex mesh used as a reinforcement for anterior colporrhaphy is effective in preventing recurrent anterior wall descent, with minimal complications.
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收藏
页码:200 / 204
页数:4
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