Evaluation of single-incision apical vaginal suspension for treatment of pelvic organ prolapse
| Autor: | Feng-Hsiang Tang, Cheng-Yu Long, Shih-Hsiang Chou, Yung-Shun Juan, Kun-Ling Lin, Zi-Xi Loo, Yi-Yin Liu |
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| Rok vydání: | 2018 |
| Předmět: |
Vaginal suspension
medicine.medical_specialty Pelvic Organ Prolapse 03 medical and health sciences 0302 clinical medicine Gynecologic Surgical Procedures Postoperative Complications Quality of life Lower Urinary Tract Symptoms medicine Humans 030212 general & internal medicine Stage (cooking) Pelvic examination Aged Retrospective Studies Pelvic organ 030219 obstetrics & reproductive medicine medicine.diagnostic_test Urinary symptoms business.industry Obstetrics and Gynecology Middle Aged Surgical Mesh Surgery medicine.anatomical_structure Reproductive Medicine Single incision Vagina Female business |
| Zdroj: | European journal of obstetrics, gynecology, and reproductive biology. 247 |
| ISSN: | 1872-7654 |
| Popis: | To present a comprehensive evaluation of anterior/apical and/or posterior prolapse repair systems with a focus on safety and surgical efficacy.Two hundred and twenty women with pelvic organ prolapse (POP) stage II-IV were referred for single-incision transvaginal mesh procedures in a single institution. Pre- and postoperative assessments included pelvic examination, urodynamic studies, and personal interviews about patients' quality of life and urinary symptoms.The anatomical success rate was 92.3 % (203/220), regardless of primary or de-novo POP, at 12-38 month follow-up. The POP quantification parameters, except total vaginal length, improved significantly after surgery (p0.05). Complications included bladder injury (one case), mesh exposure (six cases) and urinary retention that required intermittent catheterization (five cases). There were no cases of bowel injury during surgery. The results indicated that 29 % of patients had de-novo stress urinary incontinence and 7.7 % of patients had de-novo POP after surgery.The apical vaginal suspension system is a safe and effective procedure, creating good anatomical restoration and significant improvement in quality of life. However, the rate of de-novo POP in the anterior compartment of the vagina (31.8 %) seems high after treatment with apical and posterior prolapse repair systems. |
| Databáze: | OpenAIRE |
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