Articles
1 July 2010
Vol. 22 No. 3 (2008)
https://doi.org/10.4081/uij.2008.3.17

DOUBLE TRANSOBTURATOR APPROACH TO TREATING CYSTOCELE

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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Pelvic organ prolapse, Transobturator route, Mesh erosion, Polypropylene, Acellular Porcine Derma
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Authors

S. Bandiera
sbuffy@hotmail.it
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
G. Raciti
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
A. Aloisi
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
M. Arena
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
R. Giordano
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
G. Giunta
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
M.G. Matarazzo
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
R. Morello
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
F. Rapisarda
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
S.G. Vitale
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
A. Cianci
Department of Gynaecology and Microbiology S. Bambino Hospital, Catania University, Catania,, Italy.
The aim of this study is to show the safety and efficacy of the double transobturator approach, a new technique for anterior vaginal wall prolapse, using several different kinds of meshes (synthetic and biological).This is a retrospective study of 74 women treated between 2005 and 2007. The patients underwent a 3, 6 and 12 month follow-up. The anatomical cure rate, defined as grade of prolapse <2, was 79.7%. Fifteen patients had a recurrence, 12 were treated with biological VS meshes and 3 were treated with synthetic meshes. Vaginal erosion was reported in 5 (6.7%) of these patients, two of whom were treated with topic estrogenic therapy, and three of whom with partial excision. These results suggest that this technique is safe and efficacious and that the best meshes to use are synthetic meshes, because they have a lower recurrence rate than biological meshes.

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DOUBLE TRANSOBTURATOR APPROACH TO TREATING CYSTOCELE. (2010). Urogynaecologia, 22(3), 17-24. https://doi.org/10.4081/uij.2008.3.17

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