Native tissue cystocele repair using the vaginal plastron technique. A step-by step educative video.

Aim of the study We present the case of a native tissue cystocele repair using the surgical technique of the vaginal plastron.

Materials and methods The vaginal plastron technique represents a repair of a lateral anterior defect. A deepithelialized vaginal strip, left attached to the cystocele, is attached to the tendinous arch of the pelvic fascia by three lateral unabsorbable sutures on each side. The lateral defect is repaired by Conventional anterior colporrhaphy is performed to repair the central defect.

Results A 69 year old patient with an endometrial carcinoma stage FIGO IB complained of a symptomatic pelvic organ prolapse (POP) stage 4 (POP-Q). Upon patient demand, vaginal hysterectomy and POP repair were planned. Anatomical results (objective outcome) and patient satisfaction (subjective outcome) were excellent on post-operative follow-up at 6 months and no complications occurred.

Conclusion The vaginal plastron technique is especially useful in menopausal women presenting large mixed cystoceles and in whom abdominal repair with mesh is technically not recommended and standard colporrhaphy is associated with high risk of recurrence. It provides the advantages of lateral and central repair without mesh.

Publication History

Article published online:
07 October 2020