Tension-free vaginal mesh procedure for pelvic organ prolapse: A single-center experience of 310 cases with 1-year follow up.
In: International Journal of Urology, Jg. 17 (2010-04-01), Heft 4, S. 353-358
Online
academicJournal
Zugriff:
Objective: To prospectively evaluate the efficacy of a tension-free vaginal mesh (TVM) procedure for pelvic organ prolapse (POP). Methods: Between December 2005 and April 2008, 310 female patients (mean age 67.2 years, range 42–84) with POP underwent TVM procedures at our institute. Fifty-six individuals were qualified as stage 2 according to the POP quantification system and 162 and 92 were stage 3 and 4, respectively. One hundred ninety-one patients underwent anterior TVM, and seven underwent posterior TVM. One hundred twelve cases underwent both anterior and posterior TVM procedures. Each patient was systematically assessed at 1, 3, 6 and 12 months after surgery. Quality of life (QOL) was also assessed by using the Short Form-36 and the prolapse-QOL questionnaires. Results: Perioperative complications were the following: five bladder injuries (1.6%), no rectal injuries and three hemorrhages greater than 400 mL (1.0%). The anatomical cure rate (% stage 0 cases) at 3, 6 and 12 months after surgery were 94.1%, 93.5%, and 92.3%, respectively. Short Form-36 and prolapse-QOL parameters were significantly improved, and maintained during the follow-up period. Postoperative complications were the following: five pelvic hematomas (1.6%), one wound infection (0.3%), 10 vaginal mesh extrusions (3.2%), and three cases of pelvic pain (1.0%). Complications concerning lower urinary tract function were: eight cases of postoperative stress urinary incontinence (2.6%), three cases of transient urinary retention (1.0%), and two cases of de novo overactive bladder (0.6%). Conclusions: The TVM procedure provides a good outcome at 1 year with a low incidence of surgical complications and recurrence. Further evaluation with a longer follow up is needed. [ABSTRACT FROM AUTHOR]
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Tension-free vaginal mesh procedure for pelvic organ prolapse: A single-center experience of 310 cases with 1-year follow up.
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Autor/in / Beteiligte Person: | Takahashi, Satoru ; Obinata, Daisuke ; Sakuma, Takahiro ; Nagane, Yusuke ; Sato, Katsuhiko ; Mochida, Junichi ; Ichinose, Taketo ; Yamaguchi, Kenya |
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Zeitschrift: | International Journal of Urology, Jg. 17 (2010-04-01), Heft 4, S. 353-358 |
Veröffentlichung: | 2010 |
Medientyp: | academicJournal |
ISSN: | 0919-8172 (print) |
DOI: | 10.1111/j.1442-2042.2010.02469.x |
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