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Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, Vol. 17 No. 1, 2008.

Professional paper

CYSTOCELE REPAIR BY SYNTHETIC MESH SECURED THROUGH THE OBTURATOR FORAMEN (PERIGEE SYSTEM)

Slavko Orešković ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Croatia
Držislav Kalafatić ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Croatia
Helena Lovrić ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Croatia
Tomislav Župić ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Croatia
Ante Gojević ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Croatia
Maja Banović ; Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, Croatia

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Abstract

Objectives. Our first short-term results of transobturator mesh interposition (Perigee System) for the correction of cystoceles are presented. Methods. This is our initial study on 22 women with cystocele > Grade 2 who underwent the Perigee procedure in our Center between January 2006 and March 2007. In 15 cases lateral cystocele defect was ¬diagnosed, whereas other 7 patients had central anterior vaginal wall defect. All patients were assessed by POP-Q staging. Results. The anatomical and functional reconstruction of anterior vaginal wall was achieved in all patients. Preoperatively, mean POP-Q Aa value was +1.1 (± 0.3) and Ba value was + 1.9 (± 1.3) . No major intraoperative or immediate postoperative complications were observed. One and three months postoperatively, mean POP-Q Aa value was – 2.9 (± 0.21) and – 2.82 (± 0.1) respectively and Ba was –2.85 (± 0.4) and – 2.8 (± 0.23) respectively. Patients’ satisfaction and the imposing short-time surgical outcome were achieved in all cases after three months follow-up. Conclusion. We consider Perigee procedure to be highly efficacious, minimally invasive and easy technique for correction of anterior vaginal wall defects.

Keywords

cystocoele; vaginal wall defects; incontinence repair; Perigee procedure

Hrčak ID:

23523

URI

https://hrcak.srce.hr/23523

Publication date:

1.3.2008.

Article data in other languages: croatian

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