Transverse cystocele repair with uterine preservation using native tissue

R. Keith Huffaker, Thomas J. Kuehl, Tristi W. Muir, Paul M. Yandell, Lisa M. Pierce, Bobby L. Shull

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

The goals of this study were to describe the surgical procedure of the transverse cystocele repair with uterine preservation using native tissue and to examine the surgical complications and short-term anatomical outcomes of this operation. Patients who underwent transverse cystocele repair with uterine preservation at our institution were identified by retrospective chart review for the interval from January 2001 to September 2006. Sixty-nine patients were identified. Median point for first postoperative visit was 6.1 weeks (range 3-101 weeks). Average age was 66.6±13.1 years (range 33-89). Patients undergoing this procedure had no intraoperative complications and high frequency of initial anatomic success (defined as Baden-Walker halfway system grade 0 or 1 for anterior compartment) during a relatively short follow-up interval. Preoperatively, bladder grade averaged 2.6 with postoperative grade averaging 0.02. Based on our initial anatomical findings, we conclude that this surgical approach has merit for a subset of patients with adequate uterine support.

Original languageEnglish (US)
Pages (from-to)1275-1281
Number of pages7
JournalInternational Urogynecology Journal
Volume19
Issue number9
DOIs
StatePublished - 2008

Keywords

  • Anterior colporrhaphy
  • Anterior repair
  • Pelvic organ prolapse
  • Uterine preservation

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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