التفاصيل البيبلوغرافية
العنوان: |
Transvaginal mesh repair of pelvic organ prolapse by the transobturator-infracoccygeal hammock technique: Long-term anatomical and functional outcomes |
المؤلفون: |
Jean-Patrick Schaal, Maysoon Al-Khattabi, Aude Ricbourg, Benoit Resch, Loïc Marpeau, Fabrice Sergent |
المصدر: |
Neurourology and Urodynamics. 30:384-389 |
بيانات النشر: |
Wiley, 2010. |
سنة النشر: |
2010 |
مصطلحات موضوعية: |
Pelvic organ, medicine.medical_specialty, Pelvic floor, Mesh repair, business.industry, Urology, Urinary incontinence, Surgery, medicine.anatomical_structure, Medicine, Sex organ, Neurology (clinical), medicine.symptom, business, Adverse effect, Sexual function, Partial excision |
الوصف: |
Aims To evaluate long-term anatomical and functional outcomes of the transobturator-infracoccygeal hammock repair for complex genital prolapse with a porcine collagen-coated polypropylene mesh. Methods A prospective observational study comparing pre- and postoperative outcomes, using pelvic organ prolapse quantification (POP-Q) measurements, pelvic floor distress inventory (PFDI), and pelvic floor impact questionnaire (PFIQ) scores. Results One hundred fourteen women with recurrent, advanced, or posthysterectomy genital prolapse were enrolled. During follow-up (median value 57 months), 101 patients were available for assessment. Overall anatomical success rate was 96%, with significant improvement in quality-of-life. Three patients experienced symptomatic recurrent posterior prolapse. Seven had persistent stress urinary incontinence. Mesh exposure occurred in 6.9% of cases, including an infected hematoma that required partial excision of the mesh. No severe adverse event or change in sexual function was observed. Conclusions The transobturator-infracoccygeal hammock is well tolerated with effective long-term anatomical and functional results for complex genital prolapse. In our experience and compared to the data of the literature, the use of collagen-coated versus uncoated polypropylene meshes seems to decrease local morbidity. Neurourol. Urodynam. 30:384–389, 2011. © 2010 Wiley-Liss, Inc. |
تدمد: |
0733-2467 |
DOI: |
10.1002/nau.20956 |
URL الوصول: |
https://explore.openaire.eu/search/publication?articleId=doi_________::0ce7d79e814090e5fdaad52f7027f89b https://doi.org/10.1002/nau.20956 |
Rights: |
CLOSED |
رقم الانضمام: |
edsair.doi...........0ce7d79e814090e5fdaad52f7027f89b |
قاعدة البيانات: |
OpenAIRE |