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Trends in Urogynecology—Transvaginal Mesh Surgery in Germany.
In: Journal of Clinical Medicine, Jg. 13 (2024-02-15), Heft 4, S. 987-1002
Online
academicJournal
Zugriff:
Background: Pelvic organ prolapse constitutes a prevalent condition associated with a considerable impact on the quality of life. The utilization of transvaginal mesh surgery for managing POP has been a subject of extensive debate. Globally, trends in TVM surgery experienced significant shifts subsequent to warnings issued by the FDA. Methods: This study aims to explore temporal patterns in transvaginal mesh surgery in the German healthcare system. A comprehensive analysis was conducted on in-patient data from the German Federal Statistical Office spanning 2006 to 2021. A total of 1,150,811 operations, each associated with specific codes, were incorporated into the study. Linear regression analysis was employed to delineate discernible trends. Results: The trends in transvaginal mesh surgery within the anterior compartment exhibited relative stability (p = 0.147); however, a significant decline was noted in all other compartments (posterior: p < 0.001, enterocele surgery: p < 0.001). A subtle increasing trend was observed for uterine-preserving transvaginal mesh surgery (p = 0.045). Conclusion: Surgical trends over the specified timeframe demonstrate how POP management has evolved globally. Notably, despite observed fluctuations, transvaginal mesh surgery remains a viable option, particularly for specific cases with a high risk of relapse and contraindications to alternative surgical approaches. [ABSTRACT FROM AUTHOR]
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Trends in Urogynecology—Transvaginal Mesh Surgery in Germany.
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Autor/in / Beteiligte Person: | Degirmenci, Yaman ; Stewen, Kathrin ; Dionysopoulou, Anna ; Schiestl, Lina Judit ; Hofmann, Konstantin ; Skala, Christine ; Hasenburg, Annette ; Schwab, Roxana |
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Zeitschrift: | Journal of Clinical Medicine, Jg. 13 (2024-02-15), Heft 4, S. 987-1002 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 2077-0383 (print) |
DOI: | 10.3390/jcm13040987 |
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