{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:35:20Z","timestamp":1747186520350,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T00:00:00Z","timestamp":1655942400000},"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":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>In this study, we retrospectively analyzed the medium\u2010term efficacy and safety of surgery with transobturator two\u2010arm transvaginal mesh for cystocele and to verify whether the anterior arms are necessary for Japanese\u2010style transvaginal mesh surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study included 203 patients with cystocele who underwent transobturator two\u2010arm transvaginal mesh at our hospital between August 2015 and June 2017 and received appropriate follow\u2010up care for at least 48\u2009months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The Pelvic Organ Prolapse Quantification stage was III in all the patients. Intraoperative complications included two cases of bladder injury and one case of more than 200\u2009mL of blood loss. The mean observation period was 51.9\u00a0months, and prolapse recurred in the operated compartment in nine patients (4.4%). No cases of mesh exposure were observed. In comparing the preoperative characteristics of the 9 patients with prolapse recurrence at the surgical site with those of the other 194 patients, we found that the recurrence rate was significantly higher among patients in whom point Ba being 3.5\u00a0cm or more and among patients younger than 66\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Transobturator two\u2010arm transvaginal mesh for cystocele was as good and safe as the procedure previously reported with four\u2010arm mesh; thus, it was possible to omit the anterior mesh arms in Japanese\u2010style transvaginal mesh surgery. Patients should be informed preoperatively that prolapse recurs at a significantly higher rate among younger patients and in those whose point Ba being 3.5\u00a0cm or more.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15340","type":"journal-article","created":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T11:55:08Z","timestamp":1655985308000},"page":"2466-2473","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Are anterior mesh arms necessary in Japanese\u2010style transvaginal mesh surgery for cystocele?"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5586-0743","authenticated-orcid":false,"given":"Masaki","family":"Watanabe","sequence":"first","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masami","family":"Takeyama","sequence":"additional","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoko","family":"Kuwata","sequence":"additional","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromi","family":"Kashihara","sequence":"additional","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chikako","family":"Kato","sequence":"additional","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miho","family":"Hirota","sequence":"additional","affiliation":[{"name":"Arakawa Chemical Industries, Ltd.  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