Treatment of female cystocele with transobturator polypropylene mesh anterior repair, a Japanese retrospective study.
Nobuo Okui1,and Machiko Okui et al.
Forty-four women with symptomatic cystocele of Grades 2 to 4 according to Pelvic Organ Prolapse Quantitative Description were operated for the anterior repair using transobturator polypropylene mesh in which a tape with four 2-cm wide straps designed for optimal tissue holding force was fixed to the Before and after the operation, the symptoms of genital prolapse and patients’ satisfaction were evaluated by Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ), respectively. In patients with urinary problems, pad-weighing test, post-void residual volume by .King’s Health Questionnaire . Median operative time was 75 minutes, and median estimated blood loss was 36.1ml. KHQ (n=13), PFDI (n=44) and PFIQ (n=44) were significantly improved after operation. The cure rate was 93.2 %. This study has demonstrated that repair of cystocele using this type mesh provided favorable treatment effects.