Laparoscopic Paravaginal repair for the Treatment of Symptomatic Cystocele

Kim, Young Hye; Choi, Sang Joon; Jung, Hyuk

Abstract

OBJECTIVE
Cystocele is caused by generalized relaxation or attenuation of the endopelvic fascia. The most common etiology is birth injury. The patient with cystocele usually complains stress incontinence, bearing down sensation, difficult urination, uterine prolapse. Anterior repair is the gold standard for cystocele repair, the recurrence rate is varied from 2 to 22% at a mean follow-up of 2 and 20 years. Paravaginal repair is more effective method in the patient with cystocele combined with lateral defects. The purpose of this study was to determine effects of paravaginal repair for the patients with symptomatic cystocele and paravaginal defect
METHODS
We performed laparoscopic paravaginal repair to the 9 patients with cystocele (Grade II, III). Coincidental operations were Burch colposuspension (5), uterosacral ligament plication (2), anterior colporrhaphy (2), posterior colporrhaphy (9).
RESULTS
Mean operation time of paravaginal repair was 58 minutes. Blood (PRC) transfused to only one patients. Postoperative outcome was excellent. There was no postoperative complication and recurrence after a follow up of 5-25 months.
CONCLUSION
We think that laparoscopic paravaginal repair is highly effective method for the correction of cystocele with lateral defect.