Long-term outcome of laparoscopic repair of cystocoele.

Nicholas Bedford, Elvis Seman, Robert O'Shea, Marc Keirse

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Background There is little information on the effectiveness of laparoscopic techniques for native tissue repair of cystocoele. Aim To assess the long-term outcome of laparoscopic cystocoele repair. Methods Two hundred and twenty-three women with symptomatic pelvic organ prolapse underwent laparoscopic paravaginal repair and treatment of associated conditions. Women were assessed pre-operatively and postoperatively at 6 weeks, 6 months, 12 months and then annually or biannually with pelvic organ prolapse quantification (POPQ) and subjective assessment at each visit. Results Median follow-up was 5.2 years (range: 1-12 years) with 140 women (63%) followed for at least 5 years. During follow-up, 79% of women developed prolapse of at least POPQ stage 2 in one or more compartments and 58% became symptomatic again. Overall, 48% underwent further prolapse surgery, but only 24% of women had an anterior prolapse beyond the hymen. Thirty per cent eventually had a further cystocoele repair. Conclusion Long-term follow-up of laparoscopic cystocoele repair shows that cystocoeles are difficult to repair successfully.

    Original languageEnglish
    Pages (from-to)588-592
    Number of pages5
    JournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
    Volume55
    Issue number6
    DOIs
    Publication statusPublished - 2015

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