title: Anatomical and functional assessment of anterior colporrhaphy versus polypropylene mesh surgery in cystocele treatment.
abstract: OBJECTIVE
  To compare the anatomical and functional results of traditional anterior colporrhaphy and polypropylene mesh surgery in cystocele treatment.
  
  
  METHODS
  Prospective study conducted in the Urogynecology Clinic of Etlik Zubeyde Hanim Maternity and Women's Health Teaching and Research Hospital between June 2006 and February 2007. Forty patients with stage II and III cystocele according to the Pelvic Organ Prolapse Quantification system were allocated by a computer programme to conventional or mesh surgery. Twenty patients each underwent anterior colporrhaphy (group I) or polypropylene mesh (Sofradim(®), Parieten) surgery (group II). Both groups were followed for 12 months.
  
  
  RESULTS
  At the end of the 12th month, anatomical cure rates were 15/20 (75%) and 19/20 (95%) in groups I and II, respectively, and the difference between the two groups was statistically significant (p<0.05). De novo stress urinary incontinence developed in one patient in group I. Mesh erosion developed postoperatively in three cases (15%).
  
  
  CONCLUSIONS
  In terms of anatomical cure rates, polypropylene mesh surgery was the more successful treatment option when compared with anterior colporrhaphy at the end of 1 year follow-up.
authors.affiliation: Hacettepe University, School of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey. Electronic address: mturgal@hacettepe.edu.tr.
authors.forename: Mert
authors.initials: M
authors.lastname: Turgal
authors.forename: Akin
authors.initials: A
authors.lastname: Sivaslioglu
authors.forename: Askin
authors.initials: A
authors.lastname: Yildiz
authors.forename: Ismail
authors.initials: I
authors.lastname: Dolen
mesh_terms: D000328:Adult; D000368:Aged; D052858:Cystocele / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome
keywords: Colporrhaphy; Cystocele; Polypropylene mesh surgery