Long-term outcomes of pelvic organ prolapse repair using a mesh-capturing device when comparing single- versus multicenter use
| Autor: | Tomi S. Mikkola, Edward Morcos, Christian Falconer, Daniel Altman, Päivi Rahkola-Soisalo, Georgios Poutakidis |
|---|---|
| Přispěvatelé: | Department of Obstetrics and Gynecology, Clinicum, HUS Gynecology and Obstetrics |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Surgical volume
SURGERY 030232 urology & nephrology Urinary incontinence Effectiveness Single Center 0302 clinical medicine Quality of life 3123 Gynaecology and paediatrics QUALITY-OF-LIFE Surveys and Questionnaires Outcome Assessment Health Care Long term outcomes Medicine Pelvic organ 030219 obstetrics & reproductive medicine Pelvic floor medicine.diagnostic_test Obstetrics and Gynecology WOMEN General Medicine Middle Aged Treatment Outcome medicine.anatomical_structure Female General Gynecology medicine.symptom Safety Reoperation medicine.medical_specialty Reproduktionsmedicin och gynekologi Physical examination 03 medical and health sciences TRANSVAGINAL MESH Transvaginal mesh Obstetrics Gynecology and Reproductive Medicine Multicenter trial CENTRALIZATION Humans Patient Reported Outcome Measures Aged business.industry Pelvic Floor Surgical Mesh Surgery Pelvic organ prolapse Urinary Incontinence VOLUME RISK-FACTORS business |
| Zdroj: | Archives of Gynecology and Obstetrics |
| Popis: | Purpose The aim of this study was to compare long-term effects of high-volume surgery at a single-center to multicenter use when using a mesh-capturing device for pelvic organ prolapse (POP) repair. Methods Five years after surgery 101 (88%) at the single center were compared with 164 (81.2%) in the multicenter trial. Outcome measurements included clinical examination, prolapse-specific symptom questionnaires [Pelvic Floor Distress Inventory 20 (PFDI-20), Pelvic Floor Impact Questionnaire—short form (PFIQ-7), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12)] and pain estimation by VAS (0–10). Results Optimal apical segment outcome was 95% in the single- compared to 83.3% in the multicenter study (p p p p = 0.277). Conclusions Despite the high objective and subjective long-term effectiveness of the procedure in both regular use, and at a high-volume center, centralizing the use of a standardized capturing-device guided transvaginal mesh for POP repair reduced secondary interventions by more than half. |
| Databáze: | OpenAIRE |
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