https://scholars.lib.ntu.edu.tw/handle/123456789/452934
Title: | Comparison of recurrence rates after anterior colporrhaphy for cystocele using three different surgical techniques | Authors: | CHI-HAU CHEN Wu W.-Y. BOR-CHING SHEU SONG-NAN CHOW HO-HSIUNG LIN |
Issue Date: | 2007 | Journal Volume: | 63 | Journal Issue: | 4 | Start page/Pages: | 214-221 | Source: | Gynecologic and Obstetric Investigation | Abstract: | Aims: To compare the recurrence rates after anterior colporrhaphy for cystocele using three different surgical techniques: standard plicating, purse-string, and rolling anterior colporrhaphy. Methods: A retrospective chart review of women undergoing anterior colporrhaphy for cystocele with or without concomitant operations between 1988 and 2000 was conducted. Women were assessed by vaginal examination pre- and postoperatively at 6 weeks and over 2 years. Grades of cystocele were assessed by Baden-Walker halfway grading system. χ2 tests and ANOVAs were performed for categorical and continuous variables, respectively. Cox regressions were used to calculate recurrent rates. Results: Among the studied 363 women, 296, 33, and 34 underwent standard plicating, purse-string and rolling techniques, respectively. There was no significant difference in age, parity, menopausal status, or mean length of follow-up among the three groups. The purse-string group revealed a significantly higher risk of recurrence than the standard plicating group (hazard ratio: 2.67; 95% CI: 1.05-6.08). The severity of cystocele was another key role of determining the prognosis for recurrences (grades 3 & 4 relative to grade 1, hazard ratio: 3.35; 95% CI: 1.34-8.38). Conclusion: Our study showed that standard plicating and rolling technique provided similar anatomic cure rates. However, the purse-string technique was less effective in restoring vaginal anatomy than standard plicating anterior colporrhaphy. Copyright ? 2007 S. Karger AG. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/452934 | DOI: | 10.1159/000098116 | SDG/Keyword: | adult; aged; analysis of variance; anatomy; article; calculation; colporrhaphy; comparative study; confidence interval; controlled study; cystocele; female; follow up; hazard assessment; human; major clinical study; menopause; parity; postoperative period; preoperative evaluation; priority journal; prognosis; recurrent disease; regression analysis; retrospective study; risk assessment; surgical technique; time series analysis; vagina; Aged; Cystocele; Female; Gynecologic Surgical Procedures; Humans; Middle Aged; Recurrence; Retrospective Studies; Vagina |
Appears in Collections: | 醫學系 |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.