Long-term outcomes of transvaginal mesh (TVM) In patients with pelvic organ prolapse: A 5-year follow-up
| Autor: | Hector F.E. Soderini, Enrique P Ubertazzi, Camilo Fonseca Guzman, Adrian J.M. Saavedra Sanchez, Lucila I Pavan |
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| Rok vydání: | 2018 |
| Předmět: |
Reoperation
medicine.medical_specialty 030232 urology & nephrology Single Center Pelvic Organ Prolapse Urogynecology 03 medical and health sciences Gynecologic Surgical Procedures 0302 clinical medicine Quality of life Humans Medicine Adverse effect Aged Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Incidence (epidemiology) Obstetrics and Gynecology Retrospective cohort study Middle Aged Surgical Mesh Surgery Treatment Outcome Surgical mesh Reproductive Medicine Quality of Life Female business Complication Follow-Up Studies |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 225:90-94 |
| ISSN: | 0301-2115 |
| DOI: | 10.1016/j.ejogrb.2018.03.060 |
| Popis: | Objective The objective of this study was to evaluate the overall outcomes and complication rates of the transvaginal mesh (TVM) placed for the management of pelvic organ prolapse (POP) at 5-years follow up. Study design Retrospective cohort study in Urogynecology section in a single center in Argentina. Patients with prolapse stage II or higher were included. Seventy-six patients had TVM surgery for POP and 72 (95%) were available for the 5-year follow-up period. Results The cure rate using the combined criteria (leading edge ≤0 according to Pelvic Organ Prolapse Quantification System (POP-Q), no bulge symptoms and no new treatment for prolapse) was 79.2% (57/72) (95% CI 68–88%). Only 5.5% (4/72) (95% CI 1.5–13.6) were re-operated for prolapse recurrence. Mesh exposure occurred in 16.6% of cases (n = 12; 95%CI 8.9–27.3). The incidence of de-novo dyspareunia was 13.3% (2/15) (95%CI 1–40) Conclusions We observed that TVM is a durable treatment for prolapse and that adverse events were acceptable without severe complications at 5-year follow-up. |
| Databáze: | OpenAIRE |
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