Short-term Outcomes of Laparoscopic Repair of Paravaginal Defects
Prolapse, Vaginal, Paravaginal Cystocele
About this trial
This is an interventional treatment trial for Prolapse, Vaginal
Eligibility Criteria
Inclusion Criteria:
- female patient with cystocele of lateral type ( paravaginal defect )
Exclusion Criteria:
- previous retropubic surgery,
- uterine prolapse,
- stress urinary incontinence or
- morbid obesity
Sites / Locations
Arms of the Study
Arm 1
Other
laparoscopic paravaginal repair
patient enrolled in this arm were offered laparoscopic paravaginal repair by Using a 10mm laparoscope, video camera, was introduced through the umbilical trocar. Another 5 mm in suprapubic area and two 10 mm trocars in right and left lateral abdominal sides were introduced. The larger trocar was needed to accommodate the passage of needles into the abdomen. Spacing of trocars sufficiently from each other was needed to facilitate laparoscopic suturing. Transperitoneal approach to retropubic space was used. Two to four polypropylene sutures were applied on each side. Sutures were tied with intracorporeal technique All cases received diclofenac potassium 100 mg and meperidine hydrochloride 50 mg intramuscular with anesthesia recovery and 12 hours later second dose of diclofenac potassium was given. Also 40-60 mg Enoxaparin was given 6-12 hours postoperatively as subcutaneous injection. Foley's catheter was removed 6 hours postoperative