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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (3): 355-358    DOI: 10.31083/j.ceog.2020.03.5284
Original Research Previous articles | Next articles
Short term outcomes of a new non-dissection minimally invasive surgery method for cystocele repair
G. Calongos1, *(), Y. Tsuji1, Y. Ito1, M. Handa1, Y. Kubota1, A. Ida1
1Department of Obstetrics and Gynecology, Kobe Adventist Hospital, Arinodai, Kita-ku, Kobe, Japan
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Abstract  

Purpose of investigation: The objective of this study was to assess the safety and efficacy of our new surgical technique for cystocele treatment. Materials and Methods: Twenty patients diagnosed from May 2017 to October 2018 with a minimum stage III cystocele were included. Our new technique was performed bilaterally using two polypropylene monofilament suture threads. The suture started at the level of the left bulbo cavernosus muscle and continued to the right and then to the left uterosacral ligament. With the second thread, the suture was made on the opposite side to that described above. Patients were followed-up for a minimum of six months post-operatively (mean 9.9 months). Results: No intra-surgical or post-surgical complications were observed. Only one patient presented with a cystocele recurrence during follow-up, but did not require treatment. Conclusion: The new surgical technique was found to be safe and effective for cystocele repair in this study.

Key words:  Cystocele      Pelvic organ prolapse (POP)      Vaginal surgery     
Submitted:  04 June 2019      Accepted:  02 September 2019      Published:  15 June 2020     
*Corresponding Author(s):  GIANNINA CALONGOS     E-mail:  calongos@kahns.org

Cite this article: 

G. Calongos, Y. Tsuji, Y. Ito, M. Handa, Y. Kubota, A. Ida. Short term outcomes of a new non-dissection minimally invasive surgery method for cystocele repair. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 355-358.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.03.5284     OR     https://ceog.imrpress.com/EN/Y2020/V47/I3/355

Figure 1.  — Schematic representation of the new type of suture for repair of pelvic organ prolapse (POP).

Figure 2.  — Schematic representation of the new surgical technique. An anchor-like suture was started at the left bulbo cavernosus muscle (BCM) level (A). A new type of suture was then performed from that point to the right uterosacral ligament (USL) (B). Using the second needle, the same suture was performed in the same direction (C). A different set of suture thread was then used to perform the suture from the opposite side as described above (D). The same suture was then continued from the left to right and from the right to left USL (E). Both ends were pulled to return the bladder to its normal anatomical position (F).

Table 1  — Preoperative clinical characteristics of the patients
Characteristics Value
Age (years) 72.3 ± 7.8
Body weight (kg) 56.5 ± 7.4
Body mass index (kg/m2) 24.5 ± 3.0
Parity 2.3 ± 0.9
Previous pelvic organ prolapse surgery 6 (30)
Table 2  — Postoperative outcomes and complications of the patients
Characteristics Value
Fever 0
Hematoma formation 0
Abscess formation 0
Post-operative pelvic pain 0
Recurrence 1 (5)
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