title: Transvaginal cystocele repair by purse-string technique reinforced with three simple sutures: surgical technique and results.
abstract: OBJECTIVE
  Different techniques for cystocele repair including the conventional anterior colporrhaphy and mesh technique are known. Our goal was to evaluate the anatomical success and safety of our method of transvaginal anterior vaginal wall repair by the purse-string technique reinforced with three simple additional sutures in the repair of cystocele over a 4-year follow-up period.
  
  
  METHODS
  This was a retrospective review of 69 consecutive patients (grades 2 to 4) who underwent the above operations between 2001 and 2011, including their success rates as assessed by use of the Baden-Walker halfway classification system.
  
  
  RESULTS
  Of the patients, 62 patients (98%) were completely cured of cystocele and 1 patient showed grade 2 cystocele recurrence that required no further treatment. Two patients with grade 4 cystocele were completely cured. There was no vaginal erosion related to the cystocele repair.
  
  
  CONCLUSIONS
  Transvaginal anterior colporrhaphy by a purse-string technique reinforced with simple additive sutures appears to be a simple, safe, and easily performed approach in cystocele repair. There is no need for other material for reinforcement, even in high-grade cystocele, which is an advantage of our technique.
authors.affiliation: Department of Urology, Inha University School of Medicine, BK 21 Project, Incheon, Korea.
authors.forename: Ho-Sook
authors.initials: HS
authors.lastname: Song
authors.forename: Gwoan Youb
authors.initials: GY
authors.lastname: Choo
authors.forename: Long-Hu
authors.initials: LH
authors.lastname: Jin
authors.forename: Sang-Min
authors.initials: SM
authors.lastname: Yoon
authors.forename: Tack
authors.initials: T
authors.lastname: Lee
keywords: Prolapse; Retrospective studies; Surgery; Urinary bladder diseases; Vagina