Cure de cystocèle par prothèse libre intervésico-vaginale : résultats anatomiques et fonctionnels à plus de 6ans chez une cohorte de 90 patientes

Zangarelli, A.; Curinier, S.; Campagne-Loiseau, S.; Rabischong, B.; Mansoor, A.; Lochard, Guy

doi:10.1016/j.purol.2014.08.151

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“…This variant of vaginal cystocele cure was used because it is more controlled and is customary in our practice. A review of the literature shows that vaginal surgery is often associated with complications, most commonly haemorrhage and iatrogenic rectal and bladder lesions [6] [7] [9] [15] [16]. In our study, there was no morbidity.…”

Section: Discussionmentioning

confidence: 48%

Vaginal Cystocele Cure at Bouake University Hospital (Chu): Anatomical and Functional Results

Avion,

Kramo,

Akassimadou

et al. 2023

OJU

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Background: Cystocele is an anatomical form of pelvic organ prolapse. It involves herniation of the bladder through the anterior wall of the vagina. Objectives: To report the anatomical and functional results of vaginal cure of cystocele in five cases. Patients and methods: A cross-sectional descriptive study of five patients presenting with a cystocele between January 2021 and December 2022 at the Urology Department of the Bouaké University Hospital (Côte d'Ivoire). All patients underwent vaginal cure of cystocele. The results of the operation were assessed on the basis of judgment criteria. The parameters studied were: age, marital status, profession, history, reason for consultation and outcome of the operation. Results: During the study period, five patients underwent vaginal cystocele surgery. The mean age was 46.6 years with extremes of 32 and 63 years. Three patients were married. All patients had a history of obstructed labour due to fetal macrosomia. 4 patients had grade II cystocele and one patient had grade III cystocele. All patients underwent anterior colpo-perineorrhaphy. The average operating time was 56 minutes (45 -65 minutes). There was no morbidity. The average hospital stay was 3.6 days. The average duration of the urinary catheter was 2.2 days. At three months post-op, 4 patients had a good anatomical and functional result with a very good degree of satisfaction, compared with one patient who was moderately satisfied and had an average anatomical and functional result. At six months, all five patients had a good anatomical and functional result with a very good degree of satisfaction. Conclusion: Cure of cystoceles by the vaginal route is a technique that offers several advantages, especially the significant reduction in patient morbidity. Its anatomical and functional results demonstrate its reliability.

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Section: Discussionmentioning

confidence: 48%