OBJECTIVES To develop a 3D computer model of the anterior vaginal wall and its supports, validate that model, and then use it to determine the combinations of muscle and connective tissue impairments that result in cystocele formation, as observed on dynamic magnetic resonance imaging (MRI). METHODS A subject-specific 3D model of the anterior vaginal wall and its supports were developed based...

PURPOSE Different techniques for cystocele repair including the conventional anterior colporrhaphy and mesh technique are known. Our goal was to evaluate the anatomical success and safety of our method of transvaginal anterior vaginal wall repair by the purse-string technique reinforced with three simple additional sutures in the repair of cystocele over a 4-year follow-up period. METHODS Thi...

OBJECTIVES To evaluate the urodynamic changes when a severe cystocele is correct by a vaginal valve to identify occult urinary incontinence. METHOD Prospective study in 70 women at the Urogynecology and Vaginal Surgery Unit, in Clínica Las Condes. INCLUSION CRITERIA Symptomatic cystocele degree III or IV. EXCLUSION CRITERIA antecedent of incontinence and/o genital prolapse surgery; presen...

INTRODUCTION AND HYPOTHESIS To our knowledge a study regarding the efficacy of Pelvisoft® Biomesh for cystocele repair has not previously been reported in the literature. The aim of our study was to assess the long-term efficacy, subjective outcomes and complications in the use of a non-synthetic porcine skin mesh graft (Pelvisoft® Biomesh) associated with transvaginal anterior colporrhaphy in ...

OBJECTIVES To review intraoperative and postoperative complications associated to the correction of cystocele and rectocele with polypropylene mesh macropore monofilament (Gynemesh PS) using transvaginal free tension technique. MATERIALS AND METHODS Prospective study of patients that have been submitted to correction of cystocele and/or rectocele between November 2004 and August 2005 in the U...

PURPOSE To determine the results and satisfaction of the patients underwent transvaginal repair of cystocele in our clinic. MATERIALS AND METHODS From January 2006 to October 2010, 15 patients with a mean age of 64 years (ranged 47-85 years) underwent transvaginal cystocele repair using acellular collagen biomesh. The patients were presented with vaginal mass in 10, dyspareunia and urge incon...

OBJECTIVE This study aims to estimate the effects of bilateral salpingo-oophorectomy (BSO) at the time of hysterectomy and estrogen therapy on vaginal prolapse. METHODS A retrospective analysis of the Women's Health Initiative estrogen-alone trial was performed. Women who retained their ovaries were compared with women who had BSO at the time of hysterectomy for the presence of cystocele or r...