Objective and subjective outcome 3 years after synthetic transobturator nonabsorbable anterior mesh use in symptomatic advanced pelvic organ prolapse surgery
| Autor: | Pei-Ying Wu, Leng Boi Pue, Tsia-Shu Lo, Enie Akhtar bt Nawawi |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Stress incontinence
medicine.medical_specialty transobturator mesh business.industry Chronic pain Obstetrics and Gynecology Urinary incontinence Retrospective cohort study pelvic organ prolapse medicine.disease lcsh:Gynecology and obstetrics perigee Surgery law.invention Randomized controlled trial Quality of life sacrospinous fixation law Median follow-up medicine medicine.symptom Sexual function business lcsh:RG1-991 |
| Zdroj: | Gynecology and Minimally Invasive Therapy, Vol 4, Iss 2, Pp 37-40 (2015) |
| ISSN: | 2213-3070 |
| DOI: | 10.1016/j.gmit.2015.01.004 |
| Popis: | Background: The management of using a mesh graft in the anterior compartment is reported to lead to a higher rate of recurrent prolapse after anterior colporrhaphy than after mesh repair. Several randomized controlled trials (RCTs) have shown no significantly superior subjective cure rates or reoperation rates, despite better anatomical cure rates with synthetic mesh compared with traditional anterior colporrhaphy for anterior compartment defects, however, the follow-up period in most RTCs was only 1 year. Objective: To evaluate the objective and subjective outcome in women with symptomatic advanced pelvic organ prolapse (POP) who underwent sacrospinous fixation (SSF) with anterior vaginal mesh (AVM). We postulated that in the hands of well-trained surgeons, AVM plus SSF yields better long-term success rates with a low rate of mesh-related complications. We studied the long-term postoperative outcomes of SSF with AVM. Study design: This was a retrospective study of 114 patients who underwent surgery for POP between January 2006 and March 2010. Patient assessment at baseline and 3-year postoperative follow-up was analyzed. SSF plus AVM was performed for apical and anterior compartment repair. Primary outcome was objective cure (POP Quantification Stage ≤ 1) and subjective cure defined as a negative response to Questions 2 and 3 on the POP Distress Inventory 6. Secondary outcomes were complications, symptoms severity, and quality of life as measured using validated questionnaires. Results: Postoperative data for 114 patients were analyzed. Median follow up was 59.6 months. All patients completed a minimum of 3 years follow up. The objective cure rate was 100% for anterior and apical compartments and 90.4% for posterior compartment. Regarding the individual compartment, the cure rate was significantly high (p |
| Databáze: | OpenAIRE |
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