Trans-vaginal cystocele repair using a tension-free polypropylene mesh: more than 5 years of follow-up.
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.
Letouzey
Vincent
V
Department of Gynecology, University Hospital, CHU, Caremeau, Place Pr R Debré, 30900 Nîmes, France. vincent.go@wanadoo.fr
Deffieux
Xavier
X
Gervaise
Amélie
A
Mercier
Grégoire
G
Fernandez
Hervé
H
de Tayrac
Renaud
R
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*
D011126:Polypropylenes