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Title of Journal: Int Urogynecol J

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Abbravation: International Urogynecology Journal

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Springer-Verlag

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1433-3023

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Surgery for cystocele III do all cystoceles invol

Authors: John O L DeLancey
Publish Date: 2012/01/27
Volume: 23, Issue: 6, Pages: 665-667
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Abstract

The randomized trial by Altman et al 1 that is the focus of this discussion adds important information about the outcome of surgery for a specific subset of women with anterior vaginal wall prolapse in whom surgeons felt that an operation to improve apical support was not needed The fact that these cystoceles were treated both with and without mesh in the absence of an operation directed to improve apical descent has attracted attention of surgeons interested in this topic I have been asked to comment on the way in which the findings of this study are related to current concepts concerning the pathophysiology of anterior vaginal prolapse cystocele and specifically the role of apical support in the formation of cystoceleIn both treatment groups substantial improvement in anterior vaginal wall support was achieved without apical suspension This raises the following question how does the success of these operations in treating cystocele relate with the fact that a strong

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  7. TVT: On Midurethral Tape Positioning and its Influence on Continence
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  12. Outcomes and follow-up after obstetric anal sphincter injuries
  13. Laparoscopic sacral colpoperineopexy: abdominal versus abdominal–vaginal posterior graft attachment
  14. Intrasphincteric injections of autologous muscular cells in women with refractory stress urinary incontinence: a prospective study
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  16. Urinary nerve growth factor correlates with the severity of urgency and pain
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