title: Transverse cystocele repair with uterine preservation using native tissue.
abstract: The goals of this study were to describe the surgical procedure of the transverse cystocele repair with uterine preservation using native tissue and to examine the surgical complications and short-term anatomical outcomes of this operation. Patients who underwent transverse cystocele repair with uterine preservation at our institution were identified by retrospective chart review for the interval from January 2001 to September 2006. Sixty-nine patients were identified. Median point for first postoperative visit was 6.1 weeks (range 3-101 weeks). Average age was 66.6 +/- 13.1 years (range 33-89). Patients undergoing this procedure had no intraoperative complications and high frequency of initial anatomic success (defined as Baden-Walker halfway system grade 0 or 1 for anterior compartment) during a relatively short follow-up interval. Preoperatively, bladder grade averaged 2.6 with postoperative grade averaging 0.02. Based on our initial anatomical findings, we conclude that this surgical approach has merit for a subset of patients with adequate uterine support.
authors.affiliation: Department of Obstetrics & Gynecology, Scott and White Memorial Hospital and Clinic, Texas A&M University Health Science Center College of Medicine, 2401 South 31st Street, Temple, TX 76508, USA. khuffaker@swmail.sw.org
authors.forename: R Keith
authors.initials: RK
authors.lastname: Huffaker
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Kuehl
authors.forename: Tristi W
authors.initials: TW
authors.lastname: Muir
authors.forename: Paul M
authors.initials: PM
authors.lastname: Yandell
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Pierce
authors.forename: Bobby L
authors.initials: BL
authors.lastname: Shull
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D052858:Cystocele / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D014599:Uterus / Q000601:surgery*