1. Trocar-guided mesh repair of vaginal prolapse using partially absorbable mesh: 1 year outcomes.
- Author
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Milani AL, Hinoul P, Gauld JM, Sikirica V, van Drie D, and Cosson M
- Subjects
- Dyspareunia etiology, Female, Humans, Middle Aged, Pain, Postoperative etiology, Pelvic Organ Prolapse surgery, Pelvic Pain diagnosis, Pelvic Pain etiology, Prospective Studies, Quality of Life, Treatment Outcome, Surgical Instruments, Surgical Mesh adverse effects, Uterine Prolapse surgery
- Abstract
Objective: To evaluate anatomic and functional outcomes at 1-year following trocar-guided transvaginal prolapse repair using a partially absorbable mesh., Study Design: Prospective multicentre cohort study at 11 international sites. One hundred twenty-seven patients with pelvic organ prolapse stage ≥ III had surgery and were evaluated at 3 months and 1-year postsurgery compared with baseline. Instruments of measurements: Pelvic Organ Prolapse Quantification, Pelvic Floor Distress Inventory-20, Pelvic Floor Impact Questionnaire-7, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12, and Patients Global Impression of Change., Results: Anatomic success, defined as prolapse stage ≤ I in the treated vaginal compartments, was 77.4% (95% confidence interval, 69.0-84.4%). Significant improvements in bother, quality of life, and sexual function were detected at 3 months and 1 year compared with baseline. At 1-year after surgery, 86.2% of patients indicated their prolapse situation to be "much better." Mesh exposure rate was 10.2% and rate of de novo dyspareunia 2% at 1 year., Conclusion: These results demonstrate improved anatomic support, associated with excellent functional improvements, without apparent safety concerns., (Crown Copyright © 2011. Published by Mosby, Inc. All rights reserved.)
- Published
- 2011
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