title: Trans-vaginal cystocele repair using a tension-free polypropylene mesh: more than 5 years of follow-up.
abstract: OBJECTIVE
  Prospective randomized controlled trials, with 2 years' follow-up, seem to lean in favour of anterior repair using synthetic mesh. The goal of this study was to report on long-term (>5 years) follow-up.
  
  
  METHODS
  Polypropylene mesh was inserted in 63 women (in 1999-2001) from the retropubic space to under the bladder using a tension-free technique.
  
  
  RESULTS
  At 79 months' follow-up, 45 women were anatomically cured (76%). Four (7%) were lost to follow-up and 14 (24%) presented with stage 2 or 3 cystocele recurrences. None of them required surgery for cystocele recurrence. Vaginal extrusion was reported in 10 (16%) patients (in four cases after 4 years of follow-up) and all required partial surgical removal of the mesh (n=10, 16%).
  
  
  CONCLUSIONS
  Cystocele repair using tension-free polypropylene mesh is associated with a low long-term rate of repeat surgery for cystocele recurrence.
authors.affiliation: Department of Gynecology, University Hospital, CHU, Caremeau, Place Pr R Debré, 30900 Nîmes, France. vincent.go@wanadoo.fr
authors.forename: Vincent
authors.initials: V
authors.lastname: Letouzey
authors.forename: Xavier
authors.initials: X
authors.lastname: Deffieux
authors.forename: Amélie
authors.initials: A
authors.lastname: Gervaise
authors.forename: Grégoire
authors.initials: G
authors.lastname: Mercier
authors.forename: Hervé
authors.initials: H
authors.lastname: Fernandez
authors.forename: Renaud
authors.initials: R
authors.lastname: de Tayrac
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D052858:Cystocele / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery; D014621:Vagina / Q000601:surgery*
chemical_list: D011126:Polypropylenes