Vaginal enterocele after cystectomy: A case report

Table 1 Vaginal enterocele case literatures review

Ref.	Case	Age	Surgry	Time to pop after surgry	Type and stage	Approach	Method	Relaspe	Follow up
Okada et al[13]	1	78	Cystectomy and Hysterectomy	3 mo	Stage III Anterior enterocele	Transvaginal	Suture with Polytetrafluoroethylene mesh	No	6 mo
Shaker[8]	1	75	Cystectomy and Hysterectomy	10 mo	Stage III Anterior enterocele	Transvaginal	Suture	No	4 mo
Stav et al[14]	1	70	Cystectomy	16 mo	Stage III Anterior enterocele	Transvaginal	Suture with polypropylene mesh	Yes	2 mo
	2	71	Cystectomy	18 mo	Stage IV Anterior enterocele	Transvaginal	Suture	No	10 mo
	3	69	Cystectomy,hysterectomy and Anterior vaginal repair	10 mo	Stage IV Anterior enterocele	Transvaginal	Suture	No	5 mo (Died)
	4	44	Cystectomy,ileal conduit and chemotherap	2 mo	Stage III Anterior enterocele	Transvaginal	Suture with bilateral iliococcygeal suspension	Three weeks later developed a colo-vaginal fistula	10 mo (Died)
	5	65	Cystectomy,ileal conduit	7 mo	Stage IV Anterior enterocele	Transvaginal	Colpocleisis	Yes	6 mo
Graefe et al[15]	1	67	Cystectomy,ileal conduit	8 mo	Stage IV Anterior enterocele	Transvaginal	Suture with Polypropylene mesh	No	16 mo
	2	76	Cystectomy,ileal conduit	12 mo	Stage IV Anterior enterocele and vaginal vault prolapse	Transvaginal	Suture with Polypropylene mesh	No	4 mo
Lin et al[2]	1	55	Robotic-assisted cystectomy with ileal conduit (previous hysterectomy)	4 mo	Stage IV with denuded anterior vaginal wall enterocele	Transvaginal	6 wk later native tissue repair, 52 wk later Suture with biological graft, 78 wk completion perineorrhaphy	Yes, 6 wk later vaginal wall dehiscence 52 wk later recurrent dehiscence 78 wk recurrent dehiscence	5 yr
	2	68	Robotic-assisted cystectomy with ileal conduit (previous hysterectomy)	1 yr	Stage II prolapse of the anterior wall and vault anterior vaginal wall prolapse	Transvaginal	56 wk later suture and reconstruction for an enterocele prolapsing, 80 wk later partial vaginectomy, 86 wk suture with biological graft	Yes, 56 wk later anterior vaginal wall prolapse, 80 wk later recurrent vaginal bulge. 86 wk later recurrent bulge	21 mo
	3	73	Robotic-assisted radical cystectomy, hysterectomy and ileal conduit	14 wk	Anterior vaginal wall prolapse	Transvaginal	Suture	NO	11 mo
	4	73	Robotic-assisted radical cystectomy hysterectomy	28 mo	Vaginal eversion andvaginal dehiscence	Transvaginal	Suture and colpocleisis, levatorplasty, perineorrhaphy	Yes, 4 mo later vaginal dehiscence	3 wk
	5	79	Robotic-assisted radical cystectomy hysterectomy	11 wk	Vaginal dehiscenceanda window of thickened peritoneal tissue	Transvaginal	Suture and enterocele repair, colpocleisis and aperineorrhaphy	No	8 mo