Vaginal Mesh Procedures for Female Cystocele
Study Details
Study Description
Brief Summary
This study aimed to evaluate primarily the functional outcomes and secondly the morphological outcomes for women who had received standard managements for cystocele at mediate-term follow-up.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
Pelvic organ prolapsed (POP) is an important health issue for women all over the world, with cystocele being the commonest type of POP. The side effects related to cystocele include voiding dysfunction, urinary retention, urinary tract infection, hydroureter, or hydronephrosis. The management for cystocele can be classified as non-surgical and surgical methods. Non-surgical methods comprise pelvic floor muscle exercise and vaginal pessaries, while surgical methods can be divided as conventional operations and operations applying mesh augmentation. Conventional surgeries for cystocele such as anterior colporrhapy have high surgical failure rates and complications including vaginal shortening or vaginal stenosis. Operations applying mesh augmentation are becoming the mainstream in the surgeries for cystocle. The Perigee System (American Medical Systems, Minnetonka, MN, USA), which has been approved by American FDA and Taiwan DOH in treating female cystocele, have promising short-term surgical outcomes. However, long-term reports incorporating both functional and morphological outcomes are lacking in the literatures. This study aimed to evaluate primarily the functional outcomes and secondly the morphological outcomes for women who had received standard managements for cystocele at mediate-term follow-up.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Women 20 years and older with cystocele Women 20 years and older with cystocele |
Procedure: Vaginal mesh for female cystocele
Vaginal mesh procedures (e.g. Perigee) were susgested for women with POP-Q stage III or more cystocele
|
Outcome Measures
Primary Outcome Measures
- POP-Q Ba point [Preoperative, as well as postoperative 3 months, 12 months, and then anuuanlly]
POP-Q Ba > II POP-Q stage
Secondary Outcome Measures
- Functional and ultrasound manifestations [Preoperative, as well as postoperative 3 months, 12 months, and then anuuanlly]
Urinary incontinence, overactive bladder symptoms, voiding dysfunction, bladder neck position on ultrasound
Eligibility Criteria
Criteria
Inclusion Criteria:
- Clinical diagnosis of cystocele
Exclusion Criteria:
-
Pregnancy or possibility of future pregnancy
-
Urinary tract infection
-
Diabetes
-
Neurological diseases
-
Cardiovascular diseases
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Cathay General Hospital | Taipei | Taiwan | 10630 |
Sponsors and Collaborators
- Cathay General Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CGH-P100072