Abstract:
INTRODUCTION AND HYPOTHESIS:There are few direct comparisons between the first-generation trocar-guided and the second-generation single-incision mesh systems in the treatment of anterior pelvic organ prolapse (POP). Hence, the purpose of this retrospective review was to compare 18-month operative success in female patients who had undergone POP surgery with the anterior Prolift (n = 52) or the anterior Elevate mesh (n = 62). METHODS:Subjective (bulge symptoms) and objective measures (absence of anterior or apical descent beyond the hymen, POP-Q anterior stage 0 or I, no retreatment for POP) were used as the measures of surgical efficacy. Postoperative pelvic floor pain, dyspareunia, de novo overactive bladder (OAB), de novo stress urinary incontinence (SUI), and mesh exposure were addressed as complications of POP surgery. RESULTS:The two groups did not differ with regard to the subjective and objective measures of the operative efficacy. There were no between-group differences in the proportion of women reporting postoperative pelvic floor pain, dyspareunia, de novo SUI, and de novo OAB symptoms (all p values >0.05). The proportion of patients with postoperative vaginal exposure was significantly higher in the Prolift group (7.7 %) than in the Elevate group (0.0 %; p = 0.02). CONCLUSIONS:In conclusion, our results suggest that the use of the Elevate system in patients with anterior compartment prolapse results in fewer mesh erosions, but similar efficacy, compared with the Prolift mesh.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Rogowski A,Bienkowski P,Tarwacki D,Szafarowska M,Samochowiec J,Sienkiewicz-Jarosz H,Jerzak M,Baranowski Wdoi
10.1007/s00192-015-2772-zsubject
Has Abstractpub_date
2015-12-01 00:00:00pages
1815-20issue
12eissn
0937-3462issn
1433-3023pii
10.1007/s00192-015-2772-zjournal_volume
26pub_type
杂志文章abstract:INTRODUCTION:In this retrospective study, a comparison is made of the clinical efficacy of two stress urinary incontinence treatment apparatuses, a single-incision sling and a transobturator sling. METHODS:Eighty-five (single-incision n=43, transobturator n=42) consecutive patients were included in this study. Clinica...
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journal_title:International urogynecology journal
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pub_type: 临床试验,杂志文章
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pub_type: 临床试验,杂志文章
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