Surgical management of anterior vaginal wall prolapse: an evidencebased literature review

被引：0
作者：
Christopher Maher
Kaven Baessler
机构：
[1] Royal Women’s,
[2] Mater and Wesley Hospitals,undefined
来源：
International Urogynecology Journal | 2006年 / 17卷
关键词：
Cystocele; Pelvic organ prolapse; Surgery;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The aim of this review is to summarize the available literature on surgical management of anterior vaginal wall prolapse. A Medline search from 1966 to 2004 and a hand-search of conference proceedings of the International Continence Society and International Urogynecological Association from 2001 to 2004 were performed. The success rates for the anterior colporrhaphy vary widely between 37 and 100%. Augmentation with absorbable mesh (polyglactin) significantly increases the success rate for anterior vaginal wall prolapse. Abdominal sacrocolpopexy combined with paravaginal repair significantly reduced the risk for further cystocele surgery compared to anterior colporrhaphy and sacrospinous colpopexy. The abdominal and vaginal paravaginal repair have success rates between 76 and 100%, however, no randomized trials have been performed. There is currently no evidence to recommend the routine use of any graft in primary repairs, and possible improved anatomical out-comes have to be tempered againstcomplications including mesh erosions, infections and dyspareunia.
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页码：195 / 201
页数：6
相关论文
共 196 条
[21]  
Vitobello D(2001)Vaginal paravaginal repair: one-year outcomes Am J Obstet Gynecol 185 1360-85
[22]  
Proietti F(1995)Paraurethral fascial sling urethropexy and vaginal paravaginal defects cystopexy in the correction of urethrovesical prolapse Int Urogynecol J Pelvic Floor Dysfunct 6 80-292
[23]  
Milani R(1997)Cystocele—a radical cure by suturing lateral sulci of the vagina to the white line of pelvic fascia Int Urogynecol J Pelvic Floor Dysfunct 8 288-501
[24]  
Weber AM(2004)Vaginal paravaginal repair using porcine or human cadaveric dermal graft: a survival analysis Neurourol Urodyn 23 500-1430
[25]  
Walters MD(1996)Pelvic support defects and visceral and sexual function in women treated with sacrospinous ligament suspension and pelvic reconstruction Am J Obstet Gynecol 175 1423-44
[26]  
Piedmonte MR(2001)Iliococcygeus or sacrospinous fixation for vaginal vault prolapse Am J Obstet Gynecol 98 40-1480
[27]  
Ballard LA(1996)Incidence of recurrent cystocele after anterior colporrhaphy with and without concomitant transvaginal needle suspension Am J Obstet Gynecol 175 1476-1421
[28]  
Sand PK(1996)Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation Am J Obstet Gynecol 175 1418-26
[29]  
Koduri S(2004)Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse. A prospective randomized trial Am J Obstet Gynecol 190 20-283
[30]  
Lobel RW(1997)Transabdominal repair of cystocele by wedge colpectomy during combined abdominal-vaginal surgery Int Urogynecol J Pelvic Floor Dysfunct 8 278-198
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