Abstract:
INTRODUCTION AND HYPOTHESIS:The aim of this study was to compare the results of repair of isolated, recurrent, posterior vaginal wall prolapse using standard posterior colporrhaphy versus non-absorbable polypropylene mesh in a routine health care setting. METHODS:This cohort study was based on prospectively collected data from the Swedish National Register for Gynaecological Surgery. All patients operated for recurrent, posterior vaginal wall prolapse in Sweden between 1 January 2006 and 30 October 2016 were included. A total of 433 women underwent posterior colporrhaphy, and 193 were operated using non-absorbable mesh. Data up to 1 year were collected. RESULTS:The 1-year patient-reported cure rate was higher for the mesh group compared with the colporrhaphy group, with an odds ratio (OR) of 2.06 [95% confidence interval (CI) 1.03-4.35], corresponding to a number needed to treat of 9.7. Patient satisfaction (OR = 2.38; CI 1.2-4.97) and improvement (OR = 2.13; CI 1.02-3.82) were higher in the mesh group. However, minor surgeon-reported complications were more frequent with mesh (OR = 2.74; CI 1.51-5.01). Patient-reported complications and re-operations within 12 months were comparable in the two groups. CONCLUSIONS:For patients with isolated rectocele relapse, mesh reinforcement enhances the likelihood of success compared with colporrhaphy at 1-year follow-up. Also, in our study, mesh repair was associated with greater patient satisfaction and improvement of symptoms, but an increase in minor complications. Our study indicates that the benefits of mesh reinforcement may outweigh the risks of this procedure for women with isolated recurrent posterior prolapse.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Nüssler E,Granåsen G,Nüssler EK,Bixo M,Löfgren Mdoi
10.1007/s00192-018-03856-ysubject
Has Abstractpub_date
2019-10-01 00:00:00pages
1679-1687issue
10eissn
0937-3462issn
1433-3023pii
10.1007/s00192-018-03856-yjournal_volume
30pub_type
杂志文章abstract:INTRODUCTION:In July 2011, the US Food and Drug Administration (FDA) issued a safety communication regarding serious complications associated with surgical mesh for pelvic organ prolapse, prompting increased media and public attention. This study sought to analyze internet search activity and news article volume after ...
journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
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journal_title:International urogynecology journal
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journal_title:International urogynecology journal
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journal_title:International urogynecology journal
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abstract:INTRODUCTION AND HYPOTHESIS:Double Incontinence (DI) is incontinence of urine and stool and is an extreme manifestation of pelvic floor dysfunction. The objective of this study was to estimate the prevalence and incidence of DI and the risk factors in elderly women in São Paulo, Brazil. METHODS:This was a prospective ...
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journal_title:International urogynecology journal
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,随机对照试验
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pub_type: 已发布勘误
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更新日期:2020-02-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 历史文章,杂志文章
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更新日期:2011-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-02-01 00:00:00
abstract::Bladder dysfunction is a very prevalent disorder and often refractory to behavioral and pharmacologic therapies. Sacral nerve stimulation is an approved method of managing urinary urgency, frequency, urge incontinence, and urinary retention. Alternative approaches to neuromodulation are being developed. The purpose of...
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pub_type: 杂志文章,评审
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更新日期:2010-12-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00192-018-3757-5
更新日期:2019-04-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00