Erschienen in:
01.11.2009 | Original Article
Synthetic graft use in vaginal prolapse surgery: objective and subjective outcomes
verfasst von:
Luisa A. Wetta, Kimberly A. Gerten, Thomas L. Wheeler II, Robert L. Holley, R. Edward Varner, Holly E. Richter
Erschienen in:
International Urogynecology Journal
|
Ausgabe 11/2009
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Abstract
Introduction and hypothesis
This study reports 1-year outcomes in women who underwent transvaginal pelvic organ prolapse (POP) surgery with Prolift® transvaginal mesh.
Methods
Pre- and postoperative objective vaginal Pelvic Organ Prolapse Quantification (POP-Q) and subjective symptom and impact assessments (Pelvic Floor Distress Inventory (PFDI)-20 and Pelvic Floor Impact Questionnaire (PFIQ)-7, respectively) were performed. Postoperative vaginal tenderness, stricture, and patient satisfaction were also obtained. Paired t tests were utilized for analysis.
Results
Mean age was 61.8 ± 9.8 years; mean follow-up interval was 425.0 ± 80.0 days (range, 237–717). POP-Q measurements of Ba, Bp, and C were significantly improved (all p values < 0.001). PFDI and PFIQ subscale scores significantly improved (all p values ≤ 0.004). Thirty-five of 48 (73%) were completely satisfied, and two (4%) were not satisfied. Complications (n (percent)) included graft exposure (1 (2%)), dyspareunia (2 (4%)), and granulation tissue (3 (6%)).
Conclusions
Women undergoing transvaginal repair of POP with the Prolift® mesh system showed significant improvement in 1-year anatomic and subjective measures.