Earticle

초록

영어

We studied the long-term efficacy and safety of cystocele operation by polypropylene mesh. A total of 198 women with stage ≥ 2 cystocele who had anterior vaginal wall repair with transobturator four-arm polypropylene mesh during 2003 to 2015 were evaluated. Outcomes including clinical characteristics and complications were reviewed by extracting patient data from electronic medical records. In addition, telephone interviews were conducted using a validated questionnaire along with physical examination. The follow-up period was 9.3± 0.3 years. The cystocele stage in patients was significantly decreased post-operation compared to that preoperation. The anatomical cure rate for cystocele was 93.4%, and that for stress urinary incontinence was 95%. Comparing the three questionnaires indicated overall average score was improved significantly, except for Female Sexual Function Index Assessment. Early complications were either resolved spontaneously or controlled medically in four cases of hematoma or abscess, three cases of vaginal infection and urinary tract infection, and four cases of difficult micturition. In late complications, four cases of pain were managed, five cases of recurrence were observed and two cases of mesh exposure were treated with ointment and local excision. Transobturator four-arms mesh is an effective and safe method for cystocele repair with low rate of recurrence and complications. We suggest that the use of transobturator four-arm mesh is a still good choice for the old patients with cystocele who are not suitable for general anesthesia and reside in areas where laparoscopy and robots are not available.

목차

Abstract
INTRODUCTION
MATERIALS AND METHODS
Subjects and study design
Preoperative assessments
Postoperative assessments
Surgical methods
Statistical analysis
RESULTS
DISCUSSION
CONFLICT OF INTEREST
ACKNOWLEDGMENTS
REFERENCES

키워드

저자

• Jin Long [ Department of Urology, College of Medicine, Chungnam National University, Daejeon, Korea ] co-first authors
• Chung Lyul Lee [ Department of Urology, College of Medicine, Chungnam National University, Daejeon, Korea ] co-first authors
• Seung Woo Yang [ Department of Urology, College of Medicine, Chungnam National University, Daejeon, Korea ]
• Ji Yong Lee [ Department of Urology, College of Medicine, Chungnam National University, Daejeon, Korea ]
• Jae Geun Lee [ Department of Urology, College of Medicine, Chungnam National University, Daejeon, Korea ]
• Ki Hak Song [ Department of Urology, College of Medicine, Chungnam National University, Daejeon, Korea ]
• Jae Sung Lim [ Department of Urology, College of Medicine, Chungnam National University, Daejeon, Korea ]
• Jong Mok Park [ Department of Urology, College of Medicine, Chungnam National University, Daejeon, Korea ]
• Yong Gil Na [ Department of Urology, College of Medicine, Chungnam National University, Daejeon, Korea ]
• Geon Gil [ Well Urogoly Clinic, Daejeon, Korea ] Co-corresponding author
• Ju Hyun Shin [ Department of Urology, College of Medicine, Chungnam National University, Daejeon, Korea ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  JER [Journal of Exercise Rehabilitation]

• 간기

  격월간

• pISSN

  2288-176X

• eISSN

  2288-1778

• 수록기간

  2013~2026

• 등재여부

  SCOPUS,KCI 등재

• 십진분류

  KDC 517 DDC 613