Comparing effectiveness of combined transobturator tension-free vaginal mesh (Perigee) and transobturator tension-free vaginal tape (TVT-O) versus anterior colporrhaphy and TVT-O for associated cystocele and urodynamic stress incontinence

European Journal of Obstetrics & Gynecology and Reproductive Biology, 06/17/2011

Lau HY et al. – The combination of the Perigee system and transobturator tension–free vaginal tape (TVT–O) offers a safe and effective treatment for cystocele with urodynamic stress incontinence (UDSI) and may be performed as first–line treatment.

Methods

  • A retrospective study of 115 patients with symptomatic stages 2–3 cystocele and UDSI who were treated with a Perigee system (Group I, n=68) plus TVT-O procedure or traditional anterior colporrhaphy (Group II, n=47) plus TVT-O procedure.
  • All patients were followed up for more than 1 year.
  • Objective and subjective symptoms were evaluated at one year postoperatively.
  • Statistical analysis was performed using SPSS software.

Results

  • The objective cure rates for cystocele at one year were significantly higher in Group I than in Group II (98.5% and 86.9%, P=0.018), respectively.
  • The cure rates for UDSI in the two groups were 91.0% vs. 91.3% (P=1.000).
  • Symptomatic improvement of frequency was better in Group I than Group II (87.7% vs. 70.0%, P=0.030).
  • There were no significant differences with regard to intraoperative and postoperative complications between the two groups.

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