STUDY OBJECTIVE The objective of this study was to report on the safety and efficacy of cystocele repair with anterior wall mesh placed via a transobturator route (Perigee system, AMS, Minnetonka, MN). DESIGN Single center retrospective study. SETTING Single center hospital setting and Urogynecology practice in the United States. PATIENTS 77 women presenting with symptomatic anterior wall...

BACKGROUND Female pelvic organ prolapse is common and generally thought to worsen over time. This assumption has recently become less plausible, as the author and others have been able to show that mild to moderate pelvic organ descent is common in young, nulligravid women. AIMS To investigate the relationship between age and pelvic organ prolapse. METHODS The records of 1110 women seen for...

OBJECTIVE To evaluate the risk of vascular injury during transobturator approach of cystocele repair. DESIGN Dissection of the obturator area by perineal approach was performed after placement of mesh needles used for cystocele mesh repair. SETTING Surgery school of Paris. POPULATION OR SAMPLE Twenty obturator regions in ten fresh female cadavers. METHODS Transperineal dissection of the...

OBJECTIVE The purpose of this study was to evaluate the independent effect of suburethral sling placement on the risk of cystocele recurrence after pelvic reconstructive operation. STUDY DESIGN One hundred forty-eight women with cystoceles to or beyond the hymenal ring underwent pelvic reconstructive operation, with or without incontinence procedures, and were evaluated at 12 and 52 weeks aft...