Department of Gynecology and Obstetrics, University Hospital, Pilsen, Czech Republic.
Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Int Urogynecol J. 2020 Nov;31(11):2435-2438. doi: 10.1007/s00192-020-04337-x. Epub 2020 Jun 3.
It is reported that almost one in five women will need some form of pelvic organ prolapse surgery in their lifetime, with anterior wall repair accounting for nearly half of these. Cystoceles occur secondary to defect(s) in one or more of the vaginal wall support mechanisms, including its lateral paravaginal attachments. Paravaginal defects are very common in women presenting with cystocele, thus highlighting the importance of paravaginal defect repair for optimal cystocele correction in the majority of cases. Although there are several paravaginal defect repair procedures, some entail complex techniques, whereas others rely on the use of transvaginal mesh, which is currently not permitted in many countries.
In this video article we present a novel trans-obturator native tissue paravaginal defect repair for the management of cystocele.
This procedure has the advantages of avoiding complex transabdominal paravaginal defect repair, the controversial use of transvaginal mesh, or a single-point fixation to an arcus tendineus fasciae pelvis that might be difficult to identify.
We believe that the trans-obturator cystocele repair procedure offers several advantages over existing paravaginal defect repair alternatives.
据报道，几乎五分之一的女性在其一生中需要某种形式的盆腔器官脱垂手术，其中近一半是前壁修复。膀胱膨出是由于阴道壁支撑机制的一个或多个缺陷引起的，包括其侧方阴道旁附着处。阴道旁缺陷在出现膀胱膨出的女性中非常常见，因此突出了在大多数情况下进行阴道旁缺陷修复对于优化膀胱膨出矫正的重要性。尽管有几种阴道旁缺陷修复程序，但有些需要复杂的技术，而有些则依赖于阴道内网片的使用，但目前在许多国家都不允许使用。
在这个视频文章中，我们介绍了一种新的经闭孔固有组织阴道旁缺陷修复方法，用于治疗膀胱膨出。
该手术具有避免复杂的经腹阴道旁缺陷修复、有争议的阴道内网片使用或单点固定到可能难以识别的骨盆弓状肌腱筋膜弧的优点。
我们认为，经闭孔膀胱膨出修复术比现有的阴道旁缺陷修复替代方法具有几个优点。
