International Neurourology Journal 2010;14:43-47 Initial Experience with Concomitant ProliftTM System and Tension-Free Vaginal Tape Procedures in Patients with Stress Urinary Incontinence and Cystocele Hyoung-Keun Park, Sung-Hyun Paick, Byung-Ki Lee, Myung-Beom Kang, Kyung-Kyu Jun and Hyeong-Gon Kim Department of Urology, College of Medicine, Konkuk University, Seoul, Korea This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

International Neurourology Journal 2010;14:43-47 INTRODUCTION The objective of this study is to report our initial experience about the feasibility, effectiveness, and safety of transobturator tension-free vaginal mesh (ProliftTM) and concomitant tension-free vaginal tape (TVT) as a treatment of female anterior vaginal wall prolapse associated with stress urinary incontinence(SUI). MATERIALS AND METHODS We reviewed the charts of patients who underwent ProliftTM and TVT between April 2009 and March 2010. All patients had a physical examination and staging of cystocele. According to the International Continence Society system 2, 5 and 3 women had stage grade II, III and IV respectively. All the patients underwent pelvic examination 1, 3, 6 month and 1 year after operation and anatomical and functional outcomes were recorded. An anatomic cure after intervention was defined as stage 0 and an improvement was defined as stage I. Anatomic failures were defined as stage II or higher on the last physical examination.

International Neurourology Journal 2010;14:43-47 RESULTS The mean follow-up was 7.1 (1-11) months. Overall success rate of cystocele repair was 90%. The anatomical cure rate of cystocele was 50%. The cystocele repair improved 4 patients, but failed in 1. SUI was cured in all patients. No significant complications including bladder or vessel injury and mesh related erosion occurred. The postoperative complication was transient voiding difficulty (2 cases). CONCLUSIONS These preliminary results suggest that ProliftTM and TVT offer a safe and effective treatment for female anterior vaginal wall prolapse and SUI. However, a long-term follow up is necessary in order to support the good result maintenance.

International Neurourology Journal 2010;14:43-47 Table 1. Clinical characteristics of 10 patients.

International Neurourology Journal 2010;14:43-47 Table 2. Change of Pelvic Organ Prolapse Quantification (POP-Q) stage before and after operation