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Erschienen in: International Urogynecology Journal 2/2011

01.02.2011 | Original Article

Outcome of transvaginal pelvic reconstructive surgery with Prolift after a median of 2 years’ follow-up

Erschienen in: International Urogynecology Journal | Ausgabe 2/2011

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Abstract

Introduction and hypothesis

This study seeks to analyze the medium- to long-term outcome of transvaginal pelvic reconstructive surgery using the Prolift™ system for pelvic organ prolapse.

Methods

Sixty-five patients who underwent pelvic floor reconstruction using Prolift™ were followed for 1 to 3 years postoperatively. Assessment included pre- and postoperative Pelvic Organ Prolapse Quantification (POP-Q) stage, Urogenital Distress Inventory (UDI-6), and Incontinence Impact Questionnaire (IIQ-7) scores.

Results

The overall anatomic success rate was 97% after a median of 24.5 months and 94% for the 34 women followed for more than 2 years. POP-Q stage, UDI-6, and IIQ-7 scores all improved significantly after surgery. Complications included one bladder perforation (1.5%) and one bowel perforation (1.5%), prolonged catheterization in four patients (6%), and mesh erosion in one (2%). Eight received blood transfusion (12%).

Conclusions

Prolift™ surgery yielded a good anatomical outcome and satisfactory symptom improvement that appeared to be durable after 2 years.
Literatur
1.
Zurück zum Zitat Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506CrossRefPubMed Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506CrossRefPubMed
2.
Zurück zum Zitat Fialkow MF, Newton KM, Lentz GM, Weiss NS (2008) Lifetime risk of surgical management for pelvic organ prolapse or urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:437–440CrossRefPubMed Fialkow MF, Newton KM, Lentz GM, Weiss NS (2008) Lifetime risk of surgical management for pelvic organ prolapse or urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:437–440CrossRefPubMed
3.
Zurück zum Zitat Maher C, Baessler K (2006) Surgical management of anterior vaginal wall prolapse: an evidencebased [sic] literature review. Int Urogynecol J Pelvic Floor Dysfunct 17:195–201CrossRefPubMed Maher C, Baessler K (2006) Surgical management of anterior vaginal wall prolapse: an evidencebased [sic] literature review. Int Urogynecol J Pelvic Floor Dysfunct 17:195–201CrossRefPubMed
4.
Zurück zum Zitat Birch C, Fynes MM (2002) The role of synthetic and biological prostheses in reconstructive pelvic floor surgery. Curr Opin Obstet Gynecol 14:527–535CrossRefPubMed Birch C, Fynes MM (2002) The role of synthetic and biological prostheses in reconstructive pelvic floor surgery. Curr Opin Obstet Gynecol 14:527–535CrossRefPubMed
5.
Zurück zum Zitat Baessler K, Maher CF (2006) Mesh augmentation during pelvic-floor reconstructive surgery: risks and benefits. Curr Opin Obstet Gynecol 18:560–566CrossRefPubMed Baessler K, Maher CF (2006) Mesh augmentation during pelvic-floor reconstructive surgery: risks and benefits. Curr Opin Obstet Gynecol 18:560–566CrossRefPubMed
6.
Zurück zum Zitat De Ridder D (2008) Should we use meshes in the management of vaginal prolapse? Curr Opin Urol 18:377–382CrossRefPubMed De Ridder D (2008) Should we use meshes in the management of vaginal prolapse? Curr Opin Urol 18:377–382CrossRefPubMed
7.
Zurück zum Zitat Bump RC, Mattiasson A, Bø K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17CrossRefPubMed Bump RC, Mattiasson A, Bø K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17CrossRefPubMed
8.
Zurück zum Zitat Debodinance P, Berrocal J, Clavé H, Cosson M, Garbin O, Jacquetin B et al (2004) Changing attitudes on the surgical treatment of urogenital prolapse: birth of the tension-free vaginal mesh. J Gynécol Obstét Biol Reprod 33:577–588 Debodinance P, Berrocal J, Clavé H, Cosson M, Garbin O, Jacquetin B et al (2004) Changing attitudes on the surgical treatment of urogenital prolapse: birth of the tension-free vaginal mesh. J Gynécol Obstét Biol Reprod 33:577–588
9.
Zurück zum Zitat Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B (2007) Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)—a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 18:743–752CrossRefPubMed Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B (2007) Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)—a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 18:743–752CrossRefPubMed
10.
Zurück zum Zitat Lukacz ES, DuHamel E, Menefee SA, Luber KM (2007) Elevated postvoid residual in women with pelvic floor disorders: prevalence and associated risk factors. Int Urogynecol J Pelvic Floor Dysfunct 18:397–400CrossRefPubMed Lukacz ES, DuHamel E, Menefee SA, Luber KM (2007) Elevated postvoid residual in women with pelvic floor disorders: prevalence and associated risk factors. Int Urogynecol J Pelvic Floor Dysfunct 18:397–400CrossRefPubMed
11.
Zurück zum Zitat Massey JA, Abram PH (1998) Obstructed voiding in the female. Br J Urol 61:36–39CrossRef Massey JA, Abram PH (1998) Obstructed voiding in the female. Br J Urol 61:36–39CrossRef
12.
Zurück zum Zitat Barber MD, Brubaker L, Nygaard I, Wheeler TL, Schaffer J, Chen Z, Spino C, Pelvic Floor Disorders Network (2009) Defining success after surgery for pelvic organ prolapse. Obstet Gynecol 114:600–609CrossRefPubMed Barber MD, Brubaker L, Nygaard I, Wheeler TL, Schaffer J, Chen Z, Spino C, Pelvic Floor Disorders Network (2009) Defining success after surgery for pelvic organ prolapse. Obstet Gynecol 114:600–609CrossRefPubMed
13.
Zurück zum Zitat de Tayrac R, Devoldere G, Renaudie J, Villard P, Guilbaud O, Eglin G, French Ugytex Study Group (2007) Prolapse repair by vaginal route using a new protected low-weight polypropylene mesh: 1-year functional and anatomical outcome in a prospective multicentre study. Int Urogynecol J Pelvic Floor Dysfunct 18:251–256CrossRefPubMed de Tayrac R, Devoldere G, Renaudie J, Villard P, Guilbaud O, Eglin G, French Ugytex Study Group (2007) Prolapse repair by vaginal route using a new protected low-weight polypropylene mesh: 1-year functional and anatomical outcome in a prospective multicentre study. Int Urogynecol J Pelvic Floor Dysfunct 18:251–256CrossRefPubMed
14.
Zurück zum Zitat Abdel-Fattah M, Ramsay I, West of Scotland Study Group (2008) Retrospective multicentre study of the new minimally invasive mesh repair devices for pelvic organ prolapse. BJOG 115:22–30PubMed Abdel-Fattah M, Ramsay I, West of Scotland Study Group (2008) Retrospective multicentre study of the new minimally invasive mesh repair devices for pelvic organ prolapse. BJOG 115:22–30PubMed
15.
Zurück zum Zitat Gauruder-Burmester A, Koutouzidou P, Rohne J, Gronewold M, Tunn R (2007) Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse. Int Urogynecol J Pelvic Floor Dysfunct 18:1059–1064CrossRefPubMed Gauruder-Burmester A, Koutouzidou P, Rohne J, Gronewold M, Tunn R (2007) Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse. Int Urogynecol J Pelvic Floor Dysfunct 18:1059–1064CrossRefPubMed
16.
Zurück zum Zitat Yan A, Anne M, Karine A, Vanessa F, Christophe P, Anne T et al (2004) Cystocele repair by a synthetic vaginal mesh secured anteriorly through the obturator foramen. Eur J Obstet Gynecol Reprod Biol 115:90–94CrossRefPubMed Yan A, Anne M, Karine A, Vanessa F, Christophe P, Anne T et al (2004) Cystocele repair by a synthetic vaginal mesh secured anteriorly through the obturator foramen. Eur J Obstet Gynecol Reprod Biol 115:90–94CrossRefPubMed
17.
Zurück zum Zitat Altman D, Väyrynen T, Engh ME, Axelsen S, Falconer C, Nordic Transvaginal Mesh Group (2008) Short-term outcome after transvaginal mesh repair of pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 19:787–793CrossRefPubMed Altman D, Väyrynen T, Engh ME, Axelsen S, Falconer C, Nordic Transvaginal Mesh Group (2008) Short-term outcome after transvaginal mesh repair of pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 19:787–793CrossRefPubMed
18.
Zurück zum Zitat Hinoul P, Ombelet WU, Burger MP, Roovers JP (2008) A prospective study to evaluate the anatomic and functional outcome of a transobturator mesh kit (prolift anterior) for symptomatic cystocele repair. J Minim Invasive Gynecol 15:615–620CrossRefPubMed Hinoul P, Ombelet WU, Burger MP, Roovers JP (2008) A prospective study to evaluate the anatomic and functional outcome of a transobturator mesh kit (prolift anterior) for symptomatic cystocele repair. J Minim Invasive Gynecol 15:615–620CrossRefPubMed
19.
Zurück zum Zitat van Raalte HM, Lucente VR, Molden SM, Haff R, Murphy M (2008) One-year anatomic and quality-of-life outcomes after the Prolift procedure for treatment of posthysterectomy prolapse. Am J Obstet Gynecol 199(694):e1–e6PubMed van Raalte HM, Lucente VR, Molden SM, Haff R, Murphy M (2008) One-year anatomic and quality-of-life outcomes after the Prolift procedure for treatment of posthysterectomy prolapse. Am J Obstet Gynecol 199(694):e1–e6PubMed
20.
Zurück zum Zitat Dwyer PL, O'Reilly BA (2004) Transvaginal repair of anterior and posterior compartment prolapse with Atrium polypropylene mesh. BJOG 111:831–836CrossRefPubMed Dwyer PL, O'Reilly BA (2004) Transvaginal repair of anterior and posterior compartment prolapse with Atrium polypropylene mesh. BJOG 111:831–836CrossRefPubMed
21.
Zurück zum Zitat Benson JT, Lucente V, McClellan E (1996) Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 175:1418–1422CrossRefPubMed Benson JT, Lucente V, McClellan E (1996) Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 175:1418–1422CrossRefPubMed
22.
Zurück zum Zitat De Vita D, Araco F, Gravante G, Sesti F, Piccione E (2008) Vaginal reconstructive surgery for severe pelvic organ prolapses: a 'uterine-sparing' technique using polypropylene prostheses. Eur J Obstet Gynecol Reprod Biol 139:245–251CrossRefPubMed De Vita D, Araco F, Gravante G, Sesti F, Piccione E (2008) Vaginal reconstructive surgery for severe pelvic organ prolapses: a 'uterine-sparing' technique using polypropylene prostheses. Eur J Obstet Gynecol Reprod Biol 139:245–251CrossRefPubMed
23.
Zurück zum Zitat Lin TY, Su TH, Wang YL, Lee MY, Hsieh CH, Wang KG et al (2005) Risk factors for failure of transvaginal sacrospinous uterine suspension in the treatment of uterovaginal prolapse. J Formos Med Assoc 104:249–253PubMed Lin TY, Su TH, Wang YL, Lee MY, Hsieh CH, Wang KG et al (2005) Risk factors for failure of transvaginal sacrospinous uterine suspension in the treatment of uterovaginal prolapse. J Formos Med Assoc 104:249–253PubMed
24.
Zurück zum Zitat Whiteside JL, Weber AM, Meyn LA, Walters MD (2004) Risk factors for prolapse recurrence after vaginal repair. Am J Obstet Gynecol 191:1533–1538CrossRefPubMed Whiteside JL, Weber AM, Meyn LA, Walters MD (2004) Risk factors for prolapse recurrence after vaginal repair. Am J Obstet Gynecol 191:1533–1538CrossRefPubMed
25.
Zurück zum Zitat Altman D, Falconer C (2007) Perioperative morbidity using transvaginal mesh in pelvic organ prolapse repair. Obstet Gynecol 109:303–308CrossRefPubMed Altman D, Falconer C (2007) Perioperative morbidity using transvaginal mesh in pelvic organ prolapse repair. Obstet Gynecol 109:303–308CrossRefPubMed
26.
Zurück zum Zitat Le TH, Kon L, Bhatia NN, Ostergard DR (2007) Update on the utilization of grafts in pelvic reconstruction surgeries. Curr Opin Obstet Gynecol 19:480–489CrossRefPubMed Le TH, Kon L, Bhatia NN, Ostergard DR (2007) Update on the utilization of grafts in pelvic reconstruction surgeries. Curr Opin Obstet Gynecol 19:480–489CrossRefPubMed
27.
Zurück zum Zitat Su TH, Lau HH, Huang WC, Chen SS, Lin TY, Hsieh CH et al (2009) Short term impact on female sexual function of pelvic floor reconstruction with the Prolift procedure. J Sex Med 6:3201–3207CrossRefPubMed Su TH, Lau HH, Huang WC, Chen SS, Lin TY, Hsieh CH et al (2009) Short term impact on female sexual function of pelvic floor reconstruction with the Prolift procedure. J Sex Med 6:3201–3207CrossRefPubMed
Metadaten
Titel
Outcome of transvaginal pelvic reconstructive surgery with Prolift after a median of 2 years’ follow-up
Publikationsdatum
01.02.2011
Erschienen in
International Urogynecology Journal / Ausgabe 2/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1259-1

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