title: Transvaginal repair using acellular collagen biomesh for the treatment of anterior prolapse.
abstract: OBJECTIVE
  To determine the results and satisfaction of the patients underwent transvaginal repair of cystocele in our clinic.
  
  
  METHODS
  From January 2006 to October 2010, 15 patients with a mean age of 64 years (ranged 47-85 years) underwent transvaginal cystocele repair using acellular collagen biomesh. The patients were presented with vaginal mass in 10, dyspareunia and urge incontinence in 5 while 4 of them had both stress and urge incontinence. Grade 4 cystocele was determined in 2 patients, grade 3 in 9 and grade 2 in 4. Concomitant transobturator tape (TOT) was performed in 4 patients. Patient satisfactions were determined after the operation.
  
  
  RESULTS
  The mean follow-up time was 23.5 (12-60) months. There was no postoperative complication in early follow- up period. Cystocele was recurrent in 1 patient. The success rate was 93.4%. Urinary incontinence was continued in 1 patient after TOT. Nearly all of the patients (14/15) were satisfied from the operation.
  
  
  CONCLUSIONS
  Transvaginal cystocele repair with using acellular collagen biomesh appears to be a safe and effective method. Further prospective and randomized controlled studies including large series of patients are needed.
authors.affiliation: Department of Urology, University of Istanbul, Cerrahpasa Medical Faculty, Istanbul, Turkey. drsinharib@yahoo.com.
authors.forename: Sinharib
authors.initials: S
authors.lastname: Citgez
authors.affiliation: Department of Urology, University of Istanbul, Cerrahpasa Medical Faculty, Istanbul, Turkey.
authors.forename: Oktay
authors.initials: O
authors.lastname: Demirkesen
authors.affiliation: Department of Urology, University of Istanbul, Cerrahpasa Medical Faculty, Istanbul, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Ozdemir
authors.affiliation: Department of Urology, University of Istanbul, Cerrahpasa Medical Faculty, Istanbul, Turkey.
authors.forename: Fethullah
authors.initials: F
authors.lastname: Gevher
authors.affiliation: Department of Urology, University of Istanbul, Cerrahpasa Medical Faculty, Istanbul, Turkey.
authors.forename: Cetin
authors.initials: C
authors.lastname: Demirdag
authors.affiliation: Department of Urology, University of Istanbul, Cerrahpasa Medical Faculty, Istanbul, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Onal
authors.affiliation: Department of Urology, University of Istanbul, Cerrahpasa Medical Faculty, Istanbul, Turkey.
authors.forename: Bulent
authors.initials: B
authors.lastname: Cetinel
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001705:Bioprosthesis; D003094:Collagen; D052858:Cystocele / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013526:Surgical Mesh; D013520:Urologic Surgical Procedures / Q000379:methods; D014621:Vagina
chemical_list: D003094:Collagen