title: Surgical proficiency decreases the rate of healing abnormalities using anterior transobturator mesh in cystocele women.
abstract: Aims:The objective of this study is to report the outcomes of cystocele repair with anterior transobutrator mesh kits.Methods:119 consecutive women with cystoceles were treated between January 2006 and November 2010 by a single surgeon at a university hospital using the anterior transobturator mesh kit procedure. Postoperative follow-up visits were scheduled at 1, 6, and 12 months after surgery.Results:A total of 114 women who were operated on with the anterior transobturator mesh kit completed 12 months of follow-up. The population had a mean age of 65.8 ± 7.0, a body mass index of 25.1 ± 3.0, and a parity average of 4.0 ± 1.7. An overall anatomic cure was reported for 108 patients (94.7%). The Ba point of the POP-Q exam used for grading cystoceles decreased significantly from 2.5 ± 1.6 cm to -2.8 ± 0.8 cm after 12 months (P < 0.01). One patient (0.9%) presented with bladder perforation, and five patients (4.4%) showed with healing abnormalities. Surgical case volume was negatively correlated with healing abnormalities after adjusting for age, body mass index, operation time, and parity (P = 0.15).Conclusion:The surgeon's experience decreases the incidence of healing abnormalities using anterior transobturator mesh in cystocele women. The anatomical cure rate of anterior transobturator mesh is quite good.
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine, Gyeongsang National University, Gyeongsang National University Changwon Hospital, Changwon, Korea, South.
authors.forename: Jin-Sung
authors.initials: JS
authors.lastname: Yuk
authors.affiliation: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea, South.
authors.forename: Yong Jin
authors.initials: YJ
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea, South.
authors.forename: Kyong Wook
authors.initials: KW
authors.lastname: Yi
authors.affiliation: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea, South.
authors.forename: Jun-Young
authors.initials: JY
authors.lastname: Hur
authors.affiliation: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea, South.
authors.forename: Jung-Ho
authors.initials: JH
authors.lastname: Shin
keywords: Cystocele; Surgical mesh; Treatment outcome