dc.contributor.author | Wong, V | |
dc.contributor.author | Shek, K | |
dc.contributor.author | Rane, A | |
dc.contributor.author | Goh, J | |
dc.contributor.author | Krause, H | |
dc.contributor.author | Dietz, HP | |
dc.date.accessioned | 2017-05-03T14:21:15Z | |
dc.date.available | 2017-05-03T14:21:15Z | |
dc.date.issued | 2013 | |
dc.date.modified | 2014-02-06T22:19:20Z | |
dc.identifier.issn | 0960-7692 | |
dc.identifier.doi | 10.1002/uog.12433 | |
dc.identifier.uri | http://hdl.handle.net/10072/56540 | |
dc.description.abstract | Objective 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.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | John Wiley & Sons | |
dc.publisher.place | United Kingdom | |
dc.relation.ispartofstudentpublication | N | |
dc.relation.ispartofpagefrom | 230 | |
dc.relation.ispartofpageto | 234 | |
dc.relation.ispartofissue | 2 | |
dc.relation.ispartofjournal | Ultrasound in Obstetrics and Gynecology | |
dc.relation.ispartofvolume | 42 | |
dc.rights.retention | Y | |
dc.subject.fieldofresearch | Medical and Health Sciences not elsewhere classified | |
dc.subject.fieldofresearch | Paediatrics and Reproductive Medicine | |
dc.subject.fieldofresearchcode | 119999 | |
dc.subject.fieldofresearchcode | 1114 | |
dc.title | Is Levator Avulsion a predictor for cystocele recurrence following anterior vaginal mesh? | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.date.issued | 2013 | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Goh, Judith T. | |
gro.griffith.author | Krause, Hannah | |