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dc.contributor.authorWong, V
dc.contributor.authorShek, K
dc.contributor.authorRane, A
dc.contributor.authorGoh, J
dc.contributor.authorKrause, H
dc.contributor.authorDietz, HP
dc.date.accessioned2017-05-03T14:21:15Z
dc.date.available2017-05-03T14:21:15Z
dc.date.issued2013
dc.date.modified2014-02-06T22:19:20Z
dc.identifier.issn0960-7692
dc.identifier.doi10.1002/uog.12433
dc.identifier.urihttp://hdl.handle.net/10072/56540
dc.description.abstractObjective Levator avulsion has been shown to be a predictor of cystocele recurrence following anterior colporrhaphy. The aim of this study was to determine if levator avulsion is a risk factor for prolapse recurrence following anterior colporrhaphy with mesh. Methods This was a retrospective analysis of data obtained from three surgical audits for subjective and objective outcomes following anterior colporrhaphy with mesh. Recurrence was defined as cystocele = Stage 2 on the prolapse quantification system of the International Continence Society; symptoms of vaginal lump/bulge; or cystocele on ultrasound, defined as maximum bladder descent to =?10?mm below the symphysis pubis. Levator avulsion was diagnosed using tomographic ultrasound imaging. Results Two hundred and nine patients were followed up at a mean of 2.2?years (range, 3?months to 5.6?years) after anterior vaginal mesh placement. 24% (51/209) had recurrent prolapse symptoms, 33% (68/209) clinical cystocele recurrence = Stage 2, and 26% (54/209) a recurrent cystocele on ultrasound. Twenty-eight out of 80 (35%) women with levator avulsion had significant sonographic cystocele recurrence (odds ratio (OR), 2.24 (95% confidence interval (CI), 1.13-4.43)). This finding was confirmed after adjusting for potential predictors of prolapse recurrence on multivariate logistic regression (OR, 2.13 (95% CI, 1.04-4.39); P = 0.04). Conclusion Levator avulsion doubles the risk of cystocele recurrence after anterior colporrhaphy with transobturator mesh.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherJohn Wiley & Sons
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom230
dc.relation.ispartofpageto234
dc.relation.ispartofissue2
dc.relation.ispartofjournalUltrasound in Obstetrics and Gynecology
dc.relation.ispartofvolume42
dc.rights.retentionY
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine
dc.subject.fieldofresearchcode119999
dc.subject.fieldofresearchcode1114
dc.titleIs Levator Avulsion a predictor for cystocele recurrence following anterior vaginal mesh?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2013
gro.hasfulltextNo Full Text
gro.griffith.authorGoh, Judith T.
gro.griffith.authorKrause, Hannah


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