Anterior Vaginal Wall Prolapse
Conditions
Keywords
Cystocele, surgery, mesh, genital prolapse
Brief summary
The purpose of this study is to determine whether reenforcement with polypropylen mesh compared with traditional anterior colporrhaphy for anterior vaginal wall prolapse results in fewer recurrences.
Detailed description
Anterior vaginal wall prolapse is the most common type of pelvic organ prolapse in postmenopausal women. This anatomic defect has traditionally been repaired with anterior colporrhaphy plication, a series of interrupted stitches being the main surgical component. The procedure is associated with a high recurrence rate, up to 32 % even after using paravaginal repair along with anterior colporrhaphy.It has been sought to resolve the problem of recurrence using artificial mesh as in the repair of abdominal hernias. Comparison: Anterior vaginal wall repair with or without reinforcement with polypropylene mesh were compared in a prospective randomized study
Interventions
DEVICELow-weight prolypropylene mesh
Sponsors
Tampere University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Postmenopausal women with symptomatic anterior vaginal wall prolapse to the hymen or beyond when under strain and referred for reconstructive pelvic surgery
Exclusion criteria
* an apical defect indicating concomitant vaginal fixation, or stress urinary incontinence necessitating surgery, or her main symptomatic prolapse component was in the posterior vaginal wall.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recurrence of anterior vaginal wall prolapse | — |
Secondary
| Measure | Time frame |
|---|---|
| Postvoidal residual urine | — |
| Symptom resolution | — |
| Complications | — |
Countries
Finland
Outcome results
None listed