title: Transvaginal cystocele repair with polypropylene mesh using a tension-free technique.
abstract: This study describes an original surgical technique for the correction of medium/high-degree cystocele using a tension-free way to apply a polypropylene mesh: the "tension-free cystocele repair" (TCR). About 218 patients were available with a mean follow-up of 38 months. This technique showed an elevated rate of anatomic correction (75.7%), a statistically significant correction of storage symptoms (48.6 vs 32.5%, p < 0.05), voiding symptoms (40.3 vs 8.3%, p < 0.05), and symptoms associated with pelvic organ prolapse (POP; 55.9 vs 11.4%, p < 0.0001), with no negative impact on ano-rectal function and, in particular, on constipation. The percentage of erosions was 12.3%, but in the group where hysterectomy was not performed, we had erosions in only 2.5%. With the exception of the Personal Relationship domain, all of the categories examined by the Prolapse Quality of Life Questionnaire showed a statistically significant improvement, which confirms the positive impact of this surgery as perceived by patients.
authors.affiliation: Urogynecological Department, S Carlo-IDI Hospital, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Cervigni
authors.forename: F
authors.initials: F
authors.lastname: Natale
authors.forename: C
authors.initials: C
authors.lastname: La Penna
authors.forename: M
authors.initials: M
authors.lastname: Panei
authors.forename: A
authors.initials: A
authors.lastname: Mako
mesh_terms: D000328:Adult; D000368:Aged; D052858:Cystocele / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications; D011788:Quality of Life; D013526:Surgical Mesh; D013520:Urologic Surgical Procedures / Q000379:methods; D014621:Vagina / Q000601:surgery
chemical_list: D011126:Polypropylenes