[Transobturator subvesical mesh: Tolerance and mild-term results. A prospective study].
OBJECTIVE
To evaluate midterm results, tolerance and efficiency of interposition of a transobturator subvesical mesh for the repair of cystoceles.


METHODS
We report the results of a total of 45 consecutive transobturator mesh fixation between March 1, 2005 and March 1, 2007. We used a transvaginal polypropylen tension-free mesh (Prolène, Ethicon, Johnson & Johnson, France) fixed through the obturator foramen.


RESULTS
Before surgery, all patients had cystocele of more or equal than grade II, according to Baden and Walker classification. Five had grade II cystocele (11%), 36 had grade III (80%) and four grade IV (9%). Thirty-nine women had associated median and/or posterior prolapse (86%). Eleven women had urinary incontinence (24%). The procedure was performed in all cases. Duration of a cystocele cure procedure was 25minutes+/-3.2 (12-32). Mean follow-up was 18 months+/-4.2 (13-29). Vaginal erosion ratio was 6%. There was no mesh infection. The objective success rate was 93%. The satisfaction index was 70%.


CONCLUSIONS
Transobturator mesh is a safe and efficient method for anterior segment prolapse repair. This procedure is simple, mini-invasive, reproducible and efficient with low morbidity and good tolerance.
Kdous
M
M
Service de gynécologie obstétrique et de médecine de la reproduction, hôpital Aziza-Othmana de Tunis, La Kasba, 1008 Tunis, Tunisie. kdousm@excite.com
Zhioua
F
F
D000368:Aged; D000369:Aged, 80 and over; D052858:Cystocele / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D014621:Vagina