Experience of Colpopexy Using a Modified TVT Device in Patients with Marked Cystocele

Kim, Hwan; Jeong, Young Beom; Park, Young Kyung

Abstract

PURPOSE: To evaluate the results of colpopexy using a modified tension- free vaginal tape(TVT) device and simultaneous TVT in patients with marked cystocele, with or without stress urinary incontinence.
MATERIALS AND METHODS
A total of 34 patients who underwent a colpopexy and TVT procedure for marked cystocele, with or without stress urinary incontinence, were included. Initially, colpopexy, using a modified TVT device, was completed followed by the TVT procedure. A modified TVT needle, which had two pinholes at the end of the needle, for the suture materials to be threaded through, was used for transfer of thread to the ipsilateral suprapubic incision through the retropubic space. Each side of the ligature was tied together in the subcutaneous space, thereafter the TVT procedure was completed in the usual manner.
RESULTS
A total of 34 patients were available to follow-up for more than 6 months. The mean operation time and postoperative hospital stay were 57.5+/-15.3 minutes and 3.5+/-1.7 days, respectively. The cystocele was completely corrected in 31 patients(91.2%), and diminished to grade I in 3. Also, 25 of the 26 patients who had stress urinary incontinence were successful with the combined operation. There were no significant intraoperative or postoperative complications.
CONCLUSIONS
Our data suggest that the simultaneous cystocele repair using a modified TVT device and TVT procedure is effective in patients with marked cystocele, with or without stress urinary incontinence. Furthermore, it seems to be a very simple procedure, with low morbidity.