Abstract：
INTRODUCTION:This study investigated perioperative and mid-term clinical outcomes after laparoscopic sacrocolpopexy (LSCP) with light titanium-coated polypropylene (TCP) mesh in a large group of patients affected by International Continence Society stage II-IV pelvic organ prolapse (POP). METHODS:This multicenter retrospective study included 217 patients treated with LSCP using TCP mesh. We aimed to (1) analyze the intra- and postoperative complication rates according to the ICS/IUGA Complication Classification Code guidelines, (2) evaluate the anatomical results and (3) assess postoperative patient satisfaction with the Patient Global Impression Improvement questionnaire. Nonparametric Wilcoxon signed-rank tests, χ2 test and Fisher's exact test were used where appropriate. RESULTS:The intraoperative complications were two (0.9%) cases of hemorrhage, two (0.9%) cases of incidental cystotomy and four (1.8%) cases of incidental colpotomy. During the postoperative follow-up, we recorded mesh exposure in 3 (1.4%) out of 217 patients. These 3 patients were from a group of 22 women who underwent vaginal opening during surgery, while in the remaining 195 patients without incidental colpotomy, no mesh exposure was observed (13.6% vs. 0.0%, p < 0.001). No failure of the apical compartment was observed, while 3 (1.4%) out of 217 patients experienced isolated anterior recurrence, and 1 (0.4%) patient had isolated posterior recurrence. All patients reported PGI-I scores ≥ 3, and 209 patients (96.3%) had a PGI-I score ≥ 2. CONCLUSIONS:The use of light TCP mesh is safe and effective during LSCP for POP repair from both an anatomical and a functional point of view, posing a very low postoperative mesh-related complication risk.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Campagna G,Pedone Anchora L,Panico G,Caramazza D,Arcieri M,Cervigni M,Scambia G,Ercoli Adoi
10.1007/s00192-019-04146-xsubject
Has Abstractpub_date
2020-04-01 00:00:00pages
763-768issue
4eissn
0937-3462issn
1433-3023pii
10.1007/s00192-019-04146-xjournal_volume
31pub_type
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journal_title：International urogynecology journal
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abstract：INTRODUCTION:InTone(TM) (InControl Medical) is a nonimplanted vaginal device providing biofeedback and electrical stimulation of pelvic floor muscles. The purpose of this study was to assess its efficacy and usability for treating urinary incontinence (UI). METHODS:Women with UI (stress, urge, mixed) were recruited fo...
journal_title：International urogynecology journal
pub_type： 临床试验,杂志文章
doi：10.1007/s00192-014-2476-9
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abstract：INTRODUCTION AND HYPOTHESIS:To investigate sexual and anatomical outcome after Shears neovagina in patients with Mayer-von Rokitansky-Kuster-Hauser syndrome (MRKH). METHODS:Forty-three consecutive patients with MRKH syndrome underwent surgery creating a neovagina according to Shears. Follow-up was 8 years. Sexual func...
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journal_title：International urogynecology journal
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pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章,评审
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pub_type： 杂志文章
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journal_title：International urogynecology journal
pub_type： 杂志文章,随机对照试验
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journal_title：International urogynecology journal
pub_type： 杂志文章,多中心研究
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更新日期：2011-08-01 00:00:00
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pub_type： 杂志文章
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-012-1967-9
更新日期：2013-06-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04428-9
更新日期：2020-07-11 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00192-019-04149-8
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1251-9
更新日期：2011-03-01 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/s00192-014-2604-6
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-013-2085-z
更新日期：2013-11-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To evaluate the efficacy and safety of the intravesical injection of Chinese botulinum toxin A (BTX-A) in patients with interstitial cystitis/bladder pain syndrome (IC/BPS). METHODS:Between January 2003 and June 2013, 124 women with IC/BPS were studied. Of these 124 patients, 66 were treate...
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pub_type： 杂志文章
doi：10.1007/s00192-015-2631-y
更新日期：2015-07-01 00:00:00
