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International Urogynecology Journal

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01.11.2011 | Original Article

Transvaginal mesh surgery for pelvic organ prolapse—Prolift+M: a prospective clinical trial

verfasst von: Salil Khandwala, Chaandini Jayachandran

Erschienen in: International Urogynecology Journal | Ausgabe 11/2011

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Abstract

Introduction and hypothesis

This study deals with assessment of safety, efficacy, and potential complications of Prolift+M system to correct uterovaginal prolapse.

Methods

We analyzed a prospective cohort treated with the Gynecare PROLIFT+M mesh system between October 2008 and March 2010. A composite score that included subjective/objective cure and lack of complications was used to assess treatment success.

Results

One hundred sixty-seven women (age 65.1 ± 11.2 years, BMI 29.2 ± 5.8 kg/m²) were treated for pelvic organ prolapse using the PROLIFT+M system. Seven anterior Prolift+M, 42 posterior Prolift+M, and 118 total Prolift+M mesh surgeries were performed in patients with stage II or greater degrees of prolapse. Mean operative time was 122.7 ± 43.9 min. Mean intraoperative blood loss was 119.4 ± 125.3 ml. Our composite success score was 72.5% (treatment failures per POP-Q stage 1.4%, perception of bulge 4.4%, erosions 3.6%, pain/dyspareunia 3.7%, incontinence 0.7%, de novo urge urinary incontinence 8.7%, voiding dysfunction 0.6%, recurrent urinary tract infection 2.2%, and anal incontinence 2.2%).

Conclusions

Prolift+M surgery is safe and effective with minimal postoperative morbidities.

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Titel: Transvaginal mesh surgery for pelvic organ prolapse—Prolift+M: a prospective clinical trial
verfasst von: Salil Khandwala
Chaandini Jayachandran
Publikationsdatum: 01.11.2011
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 11/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1482-4

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Transvaginal mesh surgery for pelvic organ prolapse—Prolift+M: a prospective clinical trial

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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