Sidra Amir, Jaweria Faisal, Sadia Kanwal, Zebun Nisa, Hadia Aziz.
Recurrence of cystocele after anterior colporrhaphy versus anterior polypropylene mesh repair: a randomized controlled trial.
Isra Med J Jan ;12(3):121-5.

Objective: To assess the recurrence of cystocele at post-surgical follow up after Anterior Mesh repair versus Anterior Colporrhaphy. Study Design: A Randomized Clinical Trial. Place and Duration: At Obstetrics and Gynecology Department of Pakistan Institution of Medical Sciences & Hospital, Islamabad from 1 st March 2012 to 30th June 2018. Methodology: Eighty-Four patients with age of 21 years or more were selected who had 2nd degree cystocele or more. Forty-two patients were operated by Anterior Mesh repair (Group A) and forty-two patients were operated by Anterior Colporrhaphy (Group B). The anterior vaginal wall prolapse recurrence was noted clinically in line with POP-Q Scoring method. Postoperative evaluations were performed at 1 year and 5 years for recurrence of prolapse. Results: At one year follow-up visit recurrence of prolapse was noticed more in case of anterior Colporrhaphy (9.5%), versus anterior Mesh repair (0%, P=0.03). At 5-year follow-up, no new recurrence was found in remaining patients in both groups. The study shows no statistically significant difference (p-value- .087) between the means of the Recurrence at different levels and type of treatment (Mesh Operation and Anterior colporrhaphy). Conclusion: Polypropylene anterior Mesh repair is equivalent to anterior Colporrhaphy in the management of cystocele in terms of post-surgical recurrence.

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