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Erschienen in: International Urogynecology Journal 11/2009

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.
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Metadaten
Titel
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
Publikationsdatum
01.11.2009
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 11/2009
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-0953-3

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