Nine-year objective and subjective follow-up of the ultra-lateral anterior repair for cystocele

Chen, Z; Wong, V; Wang, A; Moore, KH

Nine-year objective and subjective follow-up of the ultra-lateral anterior repair for cystocele

Chen, Z Wong, V Wang, A

Moore, KH

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Publication Type:: Journal Article
Citation:: International Urogynecology Journal and Pelvic Floor Dysfunction, 2014, 25 (3), pp. 387 - 392
Issue Date:: 2014-01-01

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Field	Value	Language
dc.contributor.author	Chen, Z	en_US
dc.contributor.author	Wong, V	en_US
dc.contributor.author	Wang, A https://orcid.org/0000-0002-3656-4284	en_US
dc.contributor.author	Moore, KH	en_US
dc.date.available	2013-09-11	en_US
dc.date.issued	2014-01-01	en_US
dc.identifier.citation	International Urogynecology Journal and Pelvic Floor Dysfunction, 2014, 25 (3), pp. 387 - 392	en_US
dc.identifier.issn	0937-3462	en_US
dc.identifier.uri	http://hdl.handle.net/10453/115954
dc.description.abstract	Introduction and hypothesis: The aim of this study was to determine the long-term objective and subjective outcomes of the native tissue ultra-lateral anterior repair for cystocele. Methods: An observational study of patients from a single tertiary centre was carried out from January 1994 to December 2006. Patients who underwent an ultra-lateral anterior repair during this period were sent the Pelvic Floor Distress Inventory (PFDI) questionnaire and invited to return for a POP-Q examination. Symptoms of prolapse, stage of cystocele recurrence and reoperation rate were assessed at follow-up. Results: Of the 135 patients recruited, 53 also had a POP-Q examination. Mean follow-up was 9.25 years (SD 3.2). The anatomical recurrence rate was 45 % at 9.25 years, but only 26 % of patients had recurrent prolapse symptoms. Most recurrences (43 %) occurred at between 1 and 5 years. The reoperation rate for cystocele was 7.4 %. Conclusion: Despite these rates of anatomical and symptomatic recurrence, only 7.4 % of patients underwent repeat cystocele surgery. Thus, symptomatic/ anatomical recurrence of prolapse often does not mandate surgical correction. Considering that mesh complications require surgical management in approximately 10-15 %, this study supports the notion that the use of mesh in anterior vaginal repairs to reduce the risk of "recurrence" needs careful discussion with each patient. © 2013 The International Urogynecological Association.	en_US
dc.relation.ispartof	International Urogynecology Journal and Pelvic Floor Dysfunction	en_US
dc.relation.isbasedon	10.1007/s00192-013-2234-4	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Recurrence	en_US
dc.subject.mesh	Reoperation	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Asymptomatic Diseases	en_US
dc.subject.mesh	Cystocele	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Follow-Up Studies	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Suburethral Slings	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Nine-year objective and subjective follow-up of the ultra-lateral anterior repair for cystocele	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	25	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	25	en_US

Abstract:

Introduction and hypothesis: The aim of this study was to determine the long-term objective and subjective outcomes of the native tissue ultra-lateral anterior repair for cystocele. Methods: An observational study of patients from a single tertiary centre was carried out from January 1994 to December 2006. Patients who underwent an ultra-lateral anterior repair during this period were sent the Pelvic Floor Distress Inventory (PFDI) questionnaire and invited to return for a POP-Q examination. Symptoms of prolapse, stage of cystocele recurrence and reoperation rate were assessed at follow-up. Results: Of the 135 patients recruited, 53 also had a POP-Q examination. Mean follow-up was 9.25 years (SD 3.2). The anatomical recurrence rate was 45 % at 9.25 years, but only 26 % of patients had recurrent prolapse symptoms. Most recurrences (43 %) occurred at between 1 and 5 years. The reoperation rate for cystocele was 7.4 %. Conclusion: Despite these rates of anatomical and symptomatic recurrence, only 7.4 % of patients underwent repeat cystocele surgery. Thus, symptomatic/ anatomical recurrence of prolapse often does not mandate surgical correction. Considering that mesh complications require surgical management in approximately 10-15 %, this study supports the notion that the use of mesh in anterior vaginal repairs to reduce the risk of "recurrence" needs careful discussion with each patient. © 2013 The International Urogynecological Association.

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http://hdl.handle.net/10453/115954