Total transvaginal mesh (TVM) technique for treatment of pelvic organ prolapse: a 3-year prospective follow-up study.
In: International urogynecology journal, Jg. 21 (2010-12-01), Heft 12, S. 1455-62
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Zugriff:
Introduction and Hypothesis: To evaluate clinical outcomes at 3 years following total transvaginal mesh (TVM) technique to treat vaginal prolapse.
Methods: Prospective, observational study in patients with prolapse ≥ stage II. Success was defined as POP-Q-stage 0-I and absence of surgical re-intervention for prolapse. Secondary outcome measures were: quality of life (QOL), prolapse-specific inventory (PSI), impact on sexual activity and complications.
Results: Ninety women underwent TVM repair, 72 a hysterectomy. Anatomical failure rate was 20.0% at 3 years. Three patients required re-intervention for prolapse. Improvements in QOL- and PSI-scores were observed at 1 and 3 years. Vaginal mesh extrusion occurred in 14.4% patients. After 3 years, 4.7% asymptomatic extrusions remained present. Of 61 sexually active women at baseline, a significant number of patients (41%) ceased sexual activity by 3 years; de novo dyspareunia was reported by 8.8%. One vesico-vaginal fistula resolved after surgery.
Conclusion: Medium-term results demonstrate that the TVM technique provides a durable prolapse repair.
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Total transvaginal mesh (TVM) technique for treatment of pelvic organ prolapse: a 3-year prospective follow-up study.
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Autor/in / Beteiligte Person: | Jacquetin, B ; Fatton, B ; Rosenthal, C ; Clavé, H ; Debodinance, P ; Hinoul, P ; Gauld, J ; Garbin, O ; Berrocal, J ; Villet, R ; Salet Lizée, D ; Cosson, M |
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Zeitschrift: | International urogynecology journal, Jg. 21 (2010-12-01), Heft 12, S. 1455-62 |
Veröffentlichung: | London : Springer, 2010 |
Medientyp: | academicJournal |
ISSN: | 1433-3023 (electronic) |
DOI: | 10.1007/s00192-010-1223-0 |
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