Eboue Cyril, Marcus-Braun Naama, von Theobald Peter
Department of Gynecology Obstetrics and Reproductive Medicine, University Hospital of Caen, Boulevard Georges Clémenceau, 14033, Caen cedex, France.
Int Urogynecol J. 2010 Jan;21(1):85-93. doi: 10.1007/s00192-009-0993-8. Epub 2009 Sep 29.
The aims of the study were to evaluate the per- and post-operative complications and outcomes after cystocele repair with transobturator mesh.
A retrospective continuous series study was conducted over a period of 3 years. Clinical evaluation was up to 1 year with additional telephonic interview performed after 34 months on average. When stress urinary incontinence (SUI) was associated with the cystocele, it was treated with the same mesh.
One hundred twenty-three patients were treated for cystocele. Per-operative complications occurred in six patients. After 1 year, erosion rate was 6.5%, and only three cystoceles recurred. After treatment of SUI with the same mesh, 87.7% restored continence. Overall patient's satisfaction rate was 93.5%.
Treatment of cystocele using transobturator four arms mesh appears to reduce the risk of recurrence at 1 year, along with high rate of patient's satisfaction. The transobturator path of the prosthesis arms seems devoid of serious per- and post-operative risks and allows restoring continence when SUI is present.
本研究旨在评估经闭孔补片修复膀胱膨出的术中及术后并发症和结局。
进行了一项为期3年的回顾性连续系列研究。临床评估为期1年，平均34个月后进行额外的电话随访。当压力性尿失禁（SUI）与膀胱膨出相关时，使用相同的补片进行治疗。
123例患者接受了膀胱膨出治疗。6例患者出现术中并发症。1年后，侵蚀率为6.5%，仅3例膀胱膨出复发。使用相同补片治疗SUI后，87.7%的患者恢复了控尿能力。患者总体满意率为93.5%。
使用经闭孔四臂补片治疗膀胱膨出似乎可降低1年时的复发风险，患者满意率较高。补片臂的经闭孔路径似乎不存在严重的术中及术后风险，且在存在SUI时可恢复控尿能力。
