Cystocele repair by transobturator four arms mesh: Monocentric experience of first 123 patients

Cyril Eboue, Naama Marcus-Braun, Peter Von Theobald

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Introduction and hypothesis: The aims of the study were to evaluate the per- and post-operative complications and outcomes after cystocele repair with transobturator mesh. Methods: A retrospective continuous series study was conducted over a period of 3 years. Clinical evaluation was up to 1 year with additional telephonic interview performed after 34 months on average. When stress urinary incontinence (SUI) was associated with the cystocele, it was treated with the same mesh. Results: One hundred twenty-three patients were treated for cystocele. Per-operative complications occurred in six patients. After 1 year, erosion rate was 6.5%, and only three cystoceles recurred. After treatment of SUI with the same mesh, 87.7% restored continence. Overall patient's satisfaction rate was 93.5%. Conclusions: Treatment of cystocele using transobturator four arms mesh appears to reduce the risk of recurrence at 1 year, along with high rate of patient's satisfaction. The transobturator path of the prosthesis arms seems devoid of serious per- and post-operative risks and allows restoring continence when SUI is present.

Original languageEnglish
Pages (from-to)85-93
Number of pages9
JournalInternational Urogynecology Journal
Issue number1
StatePublished - Jan 2010
Externally publishedYes


  • Cystocele
  • Stress urinary incontinence
  • Transobturator mesh


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