Anterior colporrhaphy reinforced with Marlex mesh for the treatment of cystoceles.
Anterior colporrhaphy reinforced with Marlex mesh for the treatment of cystoceles.
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DOI：
10.1007/bf01901604
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发表时间：
1998-01-01
期刊：
影响因子：
--
通讯作者：
Waja, L
中科院分区：
文献类型：
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作者：
Flood, C G;Drutz, H P;Waja, L
本研究评估了Marlex补片联合阴道前壁修补术用于矫正膀胱膨出伴或不伴压力性尿失禁的情况。对142名接受改良前阴道缝合术（使用Marlex补片加强）的患者的12年经验进行了回顾性分析。所有患者术前进行尿动力学检查。比较术前和术后症状，并检查患者的复发性脱垂和补片并发症。平均随访时间为3.2年。无患者发生复发性阴道前壁脱垂。3例患者发生补片侵蚀阴道。有74%的成功率在治疗压力性尿失禁。Marlex补片用作阴道前壁修补术的加固物，可有效预防复发性前壁下降，并发症极少。
This study assesses the use of Marlex mesh in conjunction with anterior colporrhaphy for the correction of cystocele with or without urinary stress incontinence. A retrospective review was carried out of 12 years' experience with 142 patients undergoing a modified anterior colporrhaphy reinforced with Marlex mesh. All patients had preoperative urodynamics. Pre- and postoperative symptoms were compared and patients were examined for recurrent prolapse and mesh complications. Mean follow-up time was 3.2 years. No patients experienced recurrent anterior vaginal wall prolapse. Three patients developed mesh erosions into the vagina. There was a 74% success rate in the treatment of urinary stress incontinence. Marlex mesh used as a reinforcement for anterior colporrhaphy is effective in preventing recurrent anterior wall descent, with minimal complications.