Anterior Transobturator Polypropylene Mesh in the Correction of Cystocele

2-Point Method vs 4-Point Method

Jin Sung Yuk, Chan Hee Jin, Kyong Wook Yi, Tak Kim, Jun Young Hur, Jung-Ho Shin

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Study Objective: To compare the effectiveness and safety of 2 anterior transobturator mesh methods for treating anterior vaginal wall prolapse. Design: Randomized controlled study (Canadian Task Force classification I). Setting: University hospital. Patients: Eighty-seven women with anterior vaginal wall prolapse stage ≥2 (Pelvic Organ Prolapse Quantification [POP-Q]) underwent an anterior transobturator mesh procedure using macropore polypropylene mesh. Interventions: Forty-five patients underwent the operation via the conventional 4-point, full-sized mesh method, and 42 patients underwent the operation via a novel 2-point, half-sized mesh method. Measurements and Main Results: Patient characteristics were comparable between the 2 groups. The anatomic cure rate was significantly lower in the 2-point group compared with the 4-point group at 12 months after surgery (87.2% vs 100%; p = .03). Healing abnormalities were significantly higher in the 2-point group than in the 4-point group (12.8% vs 0%; p = .03). Bladder perforation (2.6% vs 0%), stress urinary incontinence (23.1% vs 22.5%), urinary frequency (12.8% vs 22.5%), and voiding difficulty and dyspareunia (0% vs 0%) were not statistically different between the 2 groups. At linear regression analysis, mean (SD) operation time did not differ between the 2 groups (74.9 [32.7] minutes vs 87.8 [36.7] minutes; p = .11). Conclusion: Compared with the 4-point method, the 2-point anterior transobturator mesh method resulted in a lower rate of anatomic cure and a higher rate of healing abnormality.

Original languageEnglish
Pages (from-to)737-741
Number of pages5
JournalJournal of Minimally Invasive Gynecology
Volume19
Issue number6
DOIs
Publication statusPublished - 2012 Nov 1

Fingerprint

Cystocele
Polypropylenes
Uterine Prolapse
Dyspareunia
Pelvic Organ Prolapse
Stress Urinary Incontinence
Advisory Committees
Linear Models
Urinary Bladder
Regression Analysis
Safety

Keywords

  • Cystocele
  • Half-sized mesh
  • Transvaginal mesh

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

@article{f8a6f41e0b1d469f95ce3928097f4075,
title = "Anterior Transobturator Polypropylene Mesh in the Correction of Cystocele: 2-Point Method vs 4-Point Method",
abstract = "Study Objective: To compare the effectiveness and safety of 2 anterior transobturator mesh methods for treating anterior vaginal wall prolapse. Design: Randomized controlled study (Canadian Task Force classification I). Setting: University hospital. Patients: Eighty-seven women with anterior vaginal wall prolapse stage ≥2 (Pelvic Organ Prolapse Quantification [POP-Q]) underwent an anterior transobturator mesh procedure using macropore polypropylene mesh. Interventions: Forty-five patients underwent the operation via the conventional 4-point, full-sized mesh method, and 42 patients underwent the operation via a novel 2-point, half-sized mesh method. Measurements and Main Results: Patient characteristics were comparable between the 2 groups. The anatomic cure rate was significantly lower in the 2-point group compared with the 4-point group at 12 months after surgery (87.2{\%} vs 100{\%}; p = .03). Healing abnormalities were significantly higher in the 2-point group than in the 4-point group (12.8{\%} vs 0{\%}; p = .03). Bladder perforation (2.6{\%} vs 0{\%}), stress urinary incontinence (23.1{\%} vs 22.5{\%}), urinary frequency (12.8{\%} vs 22.5{\%}), and voiding difficulty and dyspareunia (0{\%} vs 0{\%}) were not statistically different between the 2 groups. At linear regression analysis, mean (SD) operation time did not differ between the 2 groups (74.9 [32.7] minutes vs 87.8 [36.7] minutes; p = .11). Conclusion: Compared with the 4-point method, the 2-point anterior transobturator mesh method resulted in a lower rate of anatomic cure and a higher rate of healing abnormality.",
keywords = "Cystocele, Half-sized mesh, Transvaginal mesh",
author = "Yuk, {Jin Sung} and Jin, {Chan Hee} and Yi, {Kyong Wook} and Tak Kim and Hur, {Jun Young} and Jung-Ho Shin",
year = "2012",
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doi = "10.1016/j.jmig.2012.08.769",
language = "English",
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T1 - Anterior Transobturator Polypropylene Mesh in the Correction of Cystocele

T2 - 2-Point Method vs 4-Point Method

AU - Yuk, Jin Sung

AU - Jin, Chan Hee

AU - Yi, Kyong Wook

AU - Kim, Tak

AU - Hur, Jun Young

AU - Shin, Jung-Ho

PY - 2012/11/1

Y1 - 2012/11/1

N2 - Study Objective: To compare the effectiveness and safety of 2 anterior transobturator mesh methods for treating anterior vaginal wall prolapse. Design: Randomized controlled study (Canadian Task Force classification I). Setting: University hospital. Patients: Eighty-seven women with anterior vaginal wall prolapse stage ≥2 (Pelvic Organ Prolapse Quantification [POP-Q]) underwent an anterior transobturator mesh procedure using macropore polypropylene mesh. Interventions: Forty-five patients underwent the operation via the conventional 4-point, full-sized mesh method, and 42 patients underwent the operation via a novel 2-point, half-sized mesh method. Measurements and Main Results: Patient characteristics were comparable between the 2 groups. The anatomic cure rate was significantly lower in the 2-point group compared with the 4-point group at 12 months after surgery (87.2% vs 100%; p = .03). Healing abnormalities were significantly higher in the 2-point group than in the 4-point group (12.8% vs 0%; p = .03). Bladder perforation (2.6% vs 0%), stress urinary incontinence (23.1% vs 22.5%), urinary frequency (12.8% vs 22.5%), and voiding difficulty and dyspareunia (0% vs 0%) were not statistically different between the 2 groups. At linear regression analysis, mean (SD) operation time did not differ between the 2 groups (74.9 [32.7] minutes vs 87.8 [36.7] minutes; p = .11). Conclusion: Compared with the 4-point method, the 2-point anterior transobturator mesh method resulted in a lower rate of anatomic cure and a higher rate of healing abnormality.

AB - Study Objective: To compare the effectiveness and safety of 2 anterior transobturator mesh methods for treating anterior vaginal wall prolapse. Design: Randomized controlled study (Canadian Task Force classification I). Setting: University hospital. Patients: Eighty-seven women with anterior vaginal wall prolapse stage ≥2 (Pelvic Organ Prolapse Quantification [POP-Q]) underwent an anterior transobturator mesh procedure using macropore polypropylene mesh. Interventions: Forty-five patients underwent the operation via the conventional 4-point, full-sized mesh method, and 42 patients underwent the operation via a novel 2-point, half-sized mesh method. Measurements and Main Results: Patient characteristics were comparable between the 2 groups. The anatomic cure rate was significantly lower in the 2-point group compared with the 4-point group at 12 months after surgery (87.2% vs 100%; p = .03). Healing abnormalities were significantly higher in the 2-point group than in the 4-point group (12.8% vs 0%; p = .03). Bladder perforation (2.6% vs 0%), stress urinary incontinence (23.1% vs 22.5%), urinary frequency (12.8% vs 22.5%), and voiding difficulty and dyspareunia (0% vs 0%) were not statistically different between the 2 groups. At linear regression analysis, mean (SD) operation time did not differ between the 2 groups (74.9 [32.7] minutes vs 87.8 [36.7] minutes; p = .11). Conclusion: Compared with the 4-point method, the 2-point anterior transobturator mesh method resulted in a lower rate of anatomic cure and a higher rate of healing abnormality.

KW - Cystocele

KW - Half-sized mesh

KW - Transvaginal mesh

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