The outcome of transobturator cystocele repair using biocompatible porcine dermis graft: our experience with 32 cases.
This study aims to evaluate the outcome of cystocele repair using Perigee with biocompatible matrix (InteXen). After IRB approval, a retrospective chart review of patients who underwent Perigee/InteXen repair was done. Success was defined as a postoperative anatomical stage 0 or I using POP-Q system. Thirty two patients were included with 14 (43.75%) who had failed previous repair. Preoperatively, eight patients (25%) had stage II cystocele, 21 (65.6%) had stage III, and three (9.4%) had stage IV. Twenty six patients (81.25%) were available for a median follow up of 8.72 (6-31) months that showed success in 25 patients (96%) with 14 (54%) having stage 0 and 11 (42%) having stage I. Complications included bladder perforation (n = 1), incidental cystotomy (n = 1), mesh erosion (n = 1), and wound dehiscence (n = 1). This study suggests cystocele repair using Perigee with InteXen has a high short-term success with lower morbidity.
Section of Female Urology, Voiding Dysfunction and Reconstructive Surgery, Cleveland Clinic Florida, Weston, FL, 33331, USA.
Ayman
A
Mahdy
Mostafa
M
Elmissiry
Gamal
G
Ghoniem
D000818:Animals; D001672:Biocompatible Materials; D052858:Cystocele / Q000601:surgery*; D006801:Humans; D012189:Retrospective Studies; D016038:Skin Transplantation; D013526:Surgical Mesh; D013552:Swine; D014183:Transplantation, Heterologous; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods*
D001672:Biocompatible Materials