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Int Neurourol J > Volume 13(2); 2009 > Article
Clinical Investigation
Journal of the Korean Continence Society 2009;13(2): 116-120.
DOI: https://doi.org/10.5213/jkcs.2009.13.2.116   
The Experience of Cystocele Repair with Monofilament polypropylene Mesh.
Byung Ki Lee, Myung Beom Kang, Kyung Kyu Jun, Sung Hyun Paick, Yong Soo Lho, Hyeong Gon Kim
Department of Urology, College of Medicine, Konkuk University, Seoul, Korea. khgsjh@kuh.ac.kr
ABSTRACT
PURPOSE
The use of synthetic mesh to reinforce the anterior vaginal wall support for cystocele repair has been proposed to prevent recurrence. We evaluated the efficacy and safety of cystocele repair using monofilament polypropylene mesh (Gynemesh PS(TM)).
MATERIALS AND METHODS
This study was performed in 53 patents who underwent cystocele repair using monofilament polypropylene mesh between January 2006 and January 2009. According to the ICS (International Continence Society) stage classification, 33, 17 and 3 women had stage II, III and IV cystocele. The operation were performed through the vaginal approach. Patients were followed up for 9 to 36 months. We defined the cure of cystocele as stage 0, improvement as stage I, and failed as stage II or greater
RESULTS
The mean follow-up was 23.8 months. At follow-up, 41 women were anatomically cured (77.4%), 12 women were improved as stage I (22.6%) and no one was failed. Six cases were previously ICS stage II, 5 cases were stage III and 1 case was stage IV in improved group. No significant intraoperative complications occurred. The postoperative complications were de novo urgency (4 cases, 7.6%), erosion of mesh (2 cases, 3.8%) and anterior vaginal wall hematoma (1 case, 1.9%).
CONCLUSION
The use of polypropylene mesh for correction of cystocele by transvaginal route with tension free technique seems to be a safe and effective procedure.
Keywords: Cystocele; Monofilament polypropylene mesh
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Grade IV Cystocele with Unilateral Hydronephrosis.2004 December;8(2)



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