Transvaginal mesh repair of pelvic organ prolapse by the transobturator-infracoccygeal hammock technique: Long-term anatomical and functional outcomes

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
الوصف
تدمد:07332467
DOI:10.1002/nau.20956