Severe cystocele: optimizing results.
Despite multiple variations in cystocele repair techniques, success rates have been historically low. In this review we summarize strategies to optimize long-term results of vaginally approached cystocele repair for the high-grade defect. Our proposed strategies include addressing prolapse of the vaginal apex (the uterus or the vaginal cuff), using the obturator fascia as an anchor for lateral cystocele defect repair, augmenting the repair with loosely woven polypropylene mesh, and placing a midurethral sling.
Anger
Jennifer T
JT
Department of Urology, University of California, Los Angeles, 1260 15th Street, Suite 1200, Santa Monica, CA 90404, USA. janger@mednet.ucla.edu
Raz
Shlomo
S
Rodríguez
Larissa V
LV
D000328:Adult; D000368:Aged; D052858:Cystocele / Q000175:diagnosis* / Q000601:surgery*; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011126:Polypropylenes; D012307:Risk Factors; D012720:Severity of Illness Index; D053825:Suburethral Slings; D013526:Surgical Mesh; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods
D011126:Polypropylenes