Long-term outcomes of transvaginal mesh surgery for pelvic organ prolapse: a retrospective cohort study
In: BMC Womens Health, 2021
academicJournal
Zugriff:
BACKGROUND: The objective of this study was to evaluate the overall outcomes and complications of transvaginal mesh (TVM) placement for the management of pelvic organ prolapse (POP) with different meshes with a greater than 10-years of follow-up. METHODS: We performed a retrospective review of patients with POP who underwent prolapse repair surgery with placement of transvaginal mesh (Prolift kit or self-cut Gynemesh) between January 2005 and December 2010. Baseline of patient characteristics were collected from the patients’ medical records. During follow-up, the anatomical outcomes were evaluated using the POP Quantification system, and the Patient Global Impression of Improvement (PGI-I) was used to assess the response of a condition to therapy. Overall postoperative satisfaction was assessed by the following question: “What is your overall postoperative satisfaction, on a scale from 0 to 10?”. Relapse-free survival was analyzed using Kaplan–Meier curves. RESULTS: In total, 134 patients were included. With a median 12-year (range 10–15) follow-up, 52 patients (38.8%) underwent TVM surgery with Prolift, and Gynemesh was used 82 (61.2%). 91% patients felt that POP symptom improved based on the PGI-I scores, and most satisfied after operation. The recurrence rates of anterior, apical and posterior compartment prolapse were 5.2%, 5.2%, and 2.2%, respectively. No significant differences in POP recurrence, mesh-associated complications and urinary incontinence were noted between TVM surgery with Prolift versus Gynemesh. CONCLUSIONS: Treatment of POP by TVM surgery exhibited long-term effectiveness with acceptable morbidity. The outcomes of the mesh kit were the same as those for self-cutmesh.
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Long-term outcomes of transvaginal mesh surgery for pelvic organ prolapse: a retrospective cohort study
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Autor/in / Beteiligte Person: | Wang, Xiaojuan ; Chen, Yisong ; Hu, Changdong ; Hua, Keqin |
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Zeitschrift: | BMC Womens Health, 2021 |
Veröffentlichung: | BioMed Central, 2021 |
Medientyp: | academicJournal |
DOI: | 10.1186/s12905-021-01505-z |
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