Chene Gautier, Cerruto Emanuele, Moret Stephanie, Nohuz Erdogan
Department of Gynecology, Hôpital Femme Mère Enfant (HFME), University hospital of Lyon, 59 Boulevard Pinel, 69500 Bron, France.
EMR 3738 CICLY, Claude Bernard Lyon 1 University, 69000 Lyon, France.
J Clin Med. 2023 Jul 10;12(14):4582. doi: 10.3390/jcm12144582.
Cystoceles are the most common prolapses. Limitation of the use of synthetic mesh has led to the comeback of native tissue repair procedures. We have developed a new transobturator technique with native tissue based on a mix of a vaginal plastron technique and the transobturator procedure. We present the functional and anatomical mid-term results. In this retrospective study, the vaginal plastron technique and the transobturator procedure were performed in 32 patients. Functional assessment with several validated quality-of-life questionnaires (SF-12, PFIQ-7, PFDI-20, PISQ12) and anatomical evaluation with pelvic examination were performed at 1, 6, and 12 months after surgery. The anatomical success rate was 94.4% at 12 months. There was one Clavien-Dindo grade 2 postoperative complication (one urinary tract infection). All of the quality-of-life scores were statistically significantly improved at one year follow-up. The transobturator technique combined with the vaginal plastron seems to be a promising, effective, innovative, and relevant technique for the repair of high-stage cystoceles.
膀胱膨出是最常见的脱垂。合成网片使用的限制导致了自体组织修复手术的回归。我们基于阴道补片技术和经闭孔手术的结合，开发了一种新的自体组织经闭孔技术。我们展示了功能和解剖学方面的中期结果。在这项回顾性研究中，对32例患者进行了阴道补片技术和经闭孔手术。在术后1、6和12个月，使用几种经过验证的生活质量问卷（SF-12、PFIQ-7、PFDI-20、PISQ12）进行功能评估，并通过盆腔检查进行解剖学评估。12个月时解剖学成功率为94.4%。有1例Clavien-Dindo 2级术后并发症（1例尿路感染）。在一年的随访中，所有生活质量评分在统计学上均有显著改善。经闭孔技术与阴道补片相结合似乎是一种用于修复高位膀胱膨出的有前景、有效、创新且相关的技术。
