Long-term pelvic organ prolapse recurrence and mesh exposure following sacrocolpopexy
| Autor: | Tonya N Thomas, Marie Fidela R. Paraiso, Cecile A. Ferrando, Emily R W Davidson, Erika J. Lampert |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urology 030232 urology & nephrology Pelvic Organ Prolapse 03 medical and health sciences Gynecologic Surgical Procedures 0302 clinical medicine medicine Humans Prospective Studies Stage (cooking) Prospective survey Retrospective Studies Pelvic organ 030219 obstetrics & reproductive medicine business.industry Significant difference Obstetrics and Gynecology Retrospective cohort study Surgical Mesh Surgery Cross-Sectional Studies Treatment Outcome Median time Baseline characteristics Female Laparoscopy business |
| Zdroj: | International Urogynecology Journal. 31:1763-1770 |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | Large, long-term studies are needed to compare pelvic organ prolapse (POP) recurrence and mesh exposure following all modes of sacrocolpopexy (open, robotic, and laparoscopic). We hypothesized that the prevalence of recurrent POP and mesh exposure does not differ between modes of sacrocolpopexy. This is a retrospective cohort study with a cross-sectional, prospective survey. Participants were surveyed regarding complications, retreatments, and symptoms following sacrocolpopexy. Baseline characteristics, POP recurrence, mesh exposure, and survey responses were compared. A total of 709 participants met the criteria. Median time from sacrocolpopexy to last follow-up for all participants was 0.5 years (2 days to 13.4 years). 15.0% experienced recurrent stage 2 or greater POP or underwent retreatment (open 11.7% [95% CI 7.8–17.2%]; robotic 21.1% [95% CI 15.6–27.9%]; laparoscopic 13.8% [95% CI 10.6–17.9%]; p = 0.03). After adjusting for baseline differences there was no significant difference among groups (p = 0.30). 5.3% experienced mesh and/or suture exposure (mesh n = 19, suture n = 10, mesh and suture n = 8) with no significant difference among groups (open 7.7% [95% CI 4.6–12.5%]; robotic 3.6% [95% CI 1.7–7.6%]; laparoscopic 4.9% [95% CI 3.1–7.7%]; p = 0.20). Median time from sacrocolpopexy to survey completion was 6.5 (1.6–13.4) years. 9.2% reported evaluation or treatment for recurrent POP (open 6.3% [95% CI 2.1–16.8%]; robotic 12.5% [95% CI 6.9–21.5%]; laparoscopic 8.5% [5.1–13.8%]; p = 0.44). 6.9% reported evaluation or treatment for mesh exposure (open 6.0% [95% CI 2.1–16.2%]; robotic 3.9% [95% CI 1.3–10.7%]; laparoscopic 8.6% [5.2–13.9%]; p = 0.38). Objective and patient-reported long-term prevalence of POP recurrence and mesh exposure are low following all modes of sacrocolpopexy. |
| Databáze: | OpenAIRE |
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