{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:02:53Z","timestamp":1773792173254,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2008,6,10]],"date-time":"2008-06-10T00:00:00Z","timestamp":1213056000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2008,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Anterior colporrhaphy has been shown to have limited medium\u2010term success rates in cystocele repair. Many clinicians use mesh implants, but their safety and efficacy are controversial. We therefore performed an external surgical audit using three\u2010 and four\u2010dimensional pelvic floor ultrasound to study the short\u2010 to medium\u2010term results of transobturator mesh placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010six women who had undergone transobturator mesh anterior repair using the Perigee<jats:sup><jats:italic>TM<\/jats:italic><\/jats:sup> system were invited back for a follow\u2010up appointment conducted by two non\u2010surgeons. The appointment consisted of a standardized interview, clinical examination using the International Continence Society Pelvic Organ Prolapse Quantification system (ICS POP\u2010Q) and translabial ultrasound examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up time was 10 (range, 2\u201324) months. There had been no major intra\u2010 or postoperative complications. Thirty\u2010six (78%) patients were subjectively satisfied with the outcome of the procedure. Cystocele recurrence (Stage 2 or 3) was observed in six (13%) patients. There were three (6.5%) cases of mesh erosion. On translabial ultrasound, we observed cystocele recurrence dorsal to the mesh in five women, associated with a marked change in mesh axis on Valsalva, implying dislodgment of the superior anchoring arms. The mesh was measured at a mean of 21 (range, 8.8\u201337.3; SD, 7.0) mm in length.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>At 10\u2010month follow\u2010up the Perigee procedure seems to be safe and effective for cystocele repair, with a satisfaction rate of 78%. In some women recurrence may occur due to dislodgment of the superior anchoring arms. Copyright \u00a9 2008 ISUOG. Published by John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.5361","type":"journal-article","created":{"date-parts":[[2008,6,10]],"date-time":"2008-06-10T11:18:50Z","timestamp":1213096730000},"page":"82-86","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Transobturator mesh for cystocele repair: a short\u2010 to medium\u2010term follow\u2010up using 3D\/4D ultrasound"],"prefix":"10.1002","volume":"32","author":[{"given":"K. L.","family":"Shek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. 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A clinical and radiological study","volume":"16","author":"Adekanmi OA","year":"2005","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(76)90751-1"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.119073"},{"key":"e_1_2_6_5_2","first-page":"S72","article-title":"Cystoceles: does anterior repair fail because of weak vaginal wall tissue?","volume":"16","author":"Adekanmi OA","year":"2005","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(96)00322-5"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.119081"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2003.12.001"},{"issue":"2","key":"e_1_2_6_9_2","first-page":"S35","article-title":"A pilot study of the anterior transobturator mesh (ATOM) repair technique for anterior vaginal wall prolapse","author":"Greenland HP","year":"2005","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1072"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1945"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.3962"},{"key":"e_1_2_6_13_2","first-page":"S40","article-title":"Prospective, multicenter trial evaluating the Perigee system with polypropylene mesh for cystocele repair","volume":"18","author":"Moore RM","year":"2007","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"e_1_2_6_14_2","first-page":"S51","article-title":"Anatomic support and visceral function following anterior colporrhaphy versus polypropylene mesh transobturator prolapse repair: AVIA trial","volume":"18","author":"Nguyen JN","year":"2007","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/b136174"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.5361","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.5361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T14:35:27Z","timestamp":1697553327000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.5361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,6,10]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008,7]]}},"alternative-id":["10.1002\/uog.5361"],"URL":"https:\/\/doi.org\/10.1002\/uog.5361","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,6,10]]},"assertion":[{"value":"2008-01-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2008-06-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}