Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Letouzey, V; Ulrich, D; Balenbois, E; Cornille, A; de Tayrac, R; Fatton, B.
Utero-vaginal suspension using bilateral vaginal anterior sacrospinous fixation with mesh: intermediate results of a cohort study.
Int Urogynecol J. 2015; 26(12):1803-1807
Doi: 10.1007/s00192-015-2748-z
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Gold ehem Ulrich Daniela
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- Abstract:
- Pelvic organ prolapse is a major burden for the public health system, affecting up to 30 % of all women. One mesh kit has been introduced for pelvic organ prolapse surgery that can be inserted via a single anterior incision with the mesh arms driven through the sacrospinous ligament in a tension-free manner. The aim of this study was to describe the medium-term results of this vaginal mesh kit procedure for the combined treatment of the anterior vaginal wall and vault prolapse. This is a longitudinal case series of patients undergoing an anterior mesh operation between 2009 and 2013. All patients presenting with symptomatic stage II prolapse or higher were included when a minimum follow-up of 12 months was achieved. A structured interview and clinical examination were performed pre- and postoperatively. One hundred and eighteen consecutive patients were operated with the Uphold® system during the study period. Three patients did not complete the 12-month follow-up and were excluded from the analysis, leaving 115 patients. Anatomical success at a mean follow-up of 23 months was 93 %, with a patient satisfaction rate of 95 %. Four patients (8 %) experienced de novo dyspareunia related to the mesh. The reoperation rate for mesh-related complications was 3.4 %; no patients were re-operated for POP recurrence. The subjective and objective cure rates were high and the mesh-related re-operation rate was 3 % in the medium term, suggesting that this surgical technique may be an option for women requiring anterior and apical prolapse repair.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Body Mass Index -
- Cohort Studies -
- Female -
- Humans -
- Ischium -
- Ligaments - surgery
- Middle Aged -
- Parity -
- Pelvic Organ Prolapse - surgery
- Sacrum -
- Surgical Mesh -
- Time Factors -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Pelvic organ prolapse
- Tension-free
- Sacrospinous ligament
- Uphold (R)
- Dyspareunia