Reoperation rate for traditional anterior vaginal repair: analysis of 207 cases with a median 4-year follow-up.
OBJECTIVE
To determine the reoperation rate for symptomatic recurrence of cystoceles following traditional anterior colporrhaphy (without mesh).


METHODS
Retrospective case note review of 207 cases of primary anterior colporrhaphy with/without other prolapse surgery. All patients received a 3-month clinic follow-up. Reoperation details for prolapse and/or urinary incontinence were obtained from patients general practitioners with a median follow-up of 50 months.


RESULTS
The median age was 60 years (32-85), and median parity was 2. Twenty-nine of 207 (14%) patients had previous gynecological surgery. While the anatomical recurrence rate of cystoceles at 3 months postoperatively was 12%, the reoperation rate for recurrent cystocele by 50 months was 3.4%. Overall, 9.1% of the group underwent prolapse or incontinence surgery during this period.


CONCLUSIONS
While the anatomical recurrence rates for cystocele following traditional anterior colporrhaphy might be high, the low reoperation rate at more than 4 years (3.4%) suggests that patient's symptoms might not be bothersome enough to require further surgery. Both subjective and anatomical outcomes are required to assess the outcome of both traditional and new prolapse procedures.
Kapoor
Dharmesh S
DS
Derriford Hospital, Plymouth, PL6 8DH, UK. Dharmeshkapoor@hotmail.com
Nemcova
Marika
M
Pantazis
Konstantinos
K
Brockman
Paula
P
Bombieri
Luigi
L
Freeman
Robert M
RM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D052858:Cystocele / Q000517:prevention & control / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D055502:Secondary Prevention; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000517:prevention & control / Q000601:surgery; D014621:Vagina / Q000601:surgery*