(2004) found three urologic factors that were strongly associated with recurrent urinary tract infections in post-menopausal women: urinary incontinence, presence of a
cystocele, and post-void residual urine.
de Tayrac, "Voiding difficulties after vaginal mesh
cystocele repair: does the perivesical dissection matter?," International Urogynecology Journal, vol.
Through representing a different physiopathological situation, a similar effect of the fascia impairment has been recently observed for the phenomenal development of the
cystocele. Symptoms are dramatic after 40% impairment of the pubocervical fascia [74].
Preoperative physical examination, surgical alertness, and imaging diagnostics (US and CT) enabled to diagnose preoperatively scrotal
cystocele [19-21].
A randomised study on 389 women compared Prolift mesh kit with native tissue for repair of
cystocele by anterior colporrhaphy.
Research on mesh use in
cystocele repair shows vaginal mesh can contract by 10 per cent a year and up to 85 per cent at eight years.
TABLE 1 Risk factors for recurrent UTIs in women (10-21) Premenopausal women Modifiable Non-modifiable Contraceptive use Lewis non-secretor blood type * Spermicides * Spermicide-coated condoms * Oral contraceptives Intercourse [greater than or Congenital urinary tract anomalies equal to] 4 times/month Urinary tract obstruction History of UTI in the patient or her mother Postmenopausal women Atrophic vaginitis History of premenopausal UTI
Cystocele Catheterization Incontinence Declining functional status Incomplete emptying Not proven to be associated with UTI in pre- or postmenopausal women Postcoital voiding habits Douching Caffeine consumption Bubble baths Sexually transmitted infections Body mass index Non-cotton underwear Chronic disease UTI, urinary tract infection.
When comparing the two procedure groups, there were statistically significant differences with regard to age, vaginal parity and the finding of
cystocele (Table 2).
Prospective randomized trial of polyglactin 910 mesh to prevent recurrence of
cystoceles and rectoceles.
After the full-thickness vaginal incision is made with the scalpel, the dissection is performed sharply with Metzenbaum scissors and is more like the dissection done for
cystocele repair than for a retropubic sling.
I was diagnosed with a
cystocele prolapse, caused by oestrogen leaving my body at the end of the menopause and weakening my almost non-existent pelvic floor muscles.