title: [Results, safety and patient satisfaction at 6 months of vaginal anterior wall prolapse surgery by transvaginal repair with mesh use].
abstract: OBJECTIVE
  To assess at 6 months the efficiency, the safety and the satisfaction of a lightweight polypropylene mesh used for the transvaginal repair of cystocele by bilateral anterior sacrospinous ligament fixation (NUVIA™ SI).
  
  
  METHODS
  A prospective cohort study was performed from January 2014 to June 2015. Preoperative assessment included an evaluation using the Pelvic Organ Prolapse Quantification system (POP-Q) and 3 questionnaires about symptoms, quality of life and quality of sex life (PFDI-20, PFIQ7, PISQ-12). Results were evaluated by a composite criteria: Ba≤0, absence of bulge sensation and absence of reoperation for cystocele recurrence. Secondary objectives were to assess the complications rates and patient's satisfaction.
  
  
  RESULTS
  In 10 months, 16 patients, with a mean age of 61.9±8.8years, were included and evaluated by an independent observator at 6months. Four patients were sexually active before surgery and 5 at 6 months. Results were optimal in 93.75% cases (15/16) with one intraoperative injury (bladder injury) and one postoperative complication (increase of preoperative dyspareunia). Satisfaction rate was 93.75% (15/16) and questionnaires PFDI-20 and PFIQ-7 were statistically improved (P<0.0001 and P=0.0013). Three patients had a reintervention but not about anterior wall prolapse (section of a suburethral sling for urinary retention, suburethral sling exposure and cure of stress urinary incontinence).
  
  
  CONCLUSIONS
  At short term, transvaginal mesh repair by anterior sacrospinous ligament fixation with NUVIA™ presents 93.75% optimal result with one case of increased dyspareunia and 3 reoperations which don't concern anterior wall (urinary outcomes).
  
  
  METHODS
  4.
authors.affiliation: Service de gynécologie, CHU de Bordeaux, place Amélie-Rabat-Leon, 33000 Bordeaux, France. Electronic address: marinedenance@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Denancé
authors.affiliation: Service de gynécologie, CHU de Bordeaux, place Amélie-Rabat-Leon, 33000 Bordeaux, France.
authors.forename: E
authors.initials: E
authors.lastname: Quiboeuf
authors.affiliation: Service de gynécologie, CHU de Bordeaux, place Amélie-Rabat-Leon, 33000 Bordeaux, France.
authors.forename: C
authors.initials: C
authors.lastname: Hocké
mesh_terms: D052858:Cystocele / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011446:Prospective Studies; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome; D014621:Vagina
keywords: Anterior sacrospinous ligament fixation; Anterior wall; Cystocèle; Light weight mesh; NUVIA™; Polypropylene mesh; Prolapse; Prolapsus; Prothèse en polypropylène; Prothèse légère; Sacrospinofixation antérieure; Transvaginal repair; Voie vaginale