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Anatomical and Functional Outcomes of Prolift Transvaginal Mesh for Treatment of Pelvic Organ Prolapse

Title
Anatomical and Functional Outcomes of Prolift Transvaginal Mesh for Treatment of Pelvic Organ Prolapse
Authors
Song, WanKim, Tae HeonChung, Jin WooCho, Won JinLee, Ha NaLee, Young SukLee, Kyu-Sung
Ewha Authors
이하나
SCOPUS Author ID
이하나scopus
Issue Date
2016
Journal Title
LUTS-LOWER URINARY TRACT SYMPTOMS
ISSN
1757-5664JCR Link1757-5672JCR Link
Citation
vol. 8, no. 3, pp. 159 - 164
Keywords
pelvic organ prolapseProlift Transvaginal Meshtreatment outcome
Publisher
WILEY-BLACKWELL
Indexed
SCIE; SCOPUS WOS scopus
Abstract
ObjectivesTo evaluate anatomical and functional outcomes of the Prolift Transvaginal Mesh for treatment of pelvic organ prolapse (POP) with regard to safety and satisfaction. MethodsWe reviewed the medical records of 163 patients who underwent POP repair with Prolift Transvaginal Mesh between December 2005 and March 2012. An optimal anatomic outcome was defined as Pelvic Organ Prolapse Quantification System (POP-Q) stage 0, and a satisfactory anatomic outcome was defined as POP-Q stage 1. ResutsA total of 163 patients were included in this study, with a mean age (range) of 61.6 (35-83)years. An anterior mesh was used in 110 patients, and combined anterior and posterior mesh was used in 53 patients. The mean follow-up period after POP repair was 40.4 (12-63) months. Optimal anatomic outcomes for anterior, apical, and posterior prolapse were achieved in 55.9, 69.2, and 65.8% of cases, respectively. Optimal or satisfactory anatomic outcomes for anterior, apical, and posterior prolapse occurred in 76.7, 85.0, and 82.5% of cases, respectively. Mean values for points in the POP-Q, urinary distress inventory (UDI), and pelvic organ prolapsed distress inventory (POPDI) in the Pelvic Floor Distress Inventory (PFDI) were all significantly improved after the operation. The overall satisfaction rate for the operation was 84.7%. Five patients (3.1%) were diagnosed with vaginal erosion and treated with partial excision of the mesh without evidence of infection. ConclusionsPelvic organ prolapse repair using Prolift Transvaginal Mesh is an effective and safe procedure without significant complications.
DOI
10.1111/luts.12090
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의료원 > 의료원 > Journal papers
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