One-year objective and functional outcomes of a randomized clinical trial of vaginal mesh for prolapse.
Am J Obstet Gynecol
; 206(1): 86.e1-9, 2012 Jan.
Article
em En
| MEDLINE
| ID: mdl-21974992
ABSTRACT
OBJECTIVE:
The purpose of this study was to show 12-month outcomes of a randomized trial that compared vaginal prolapse repair with and without mesh. STUDYDESIGN:
Women with stage ≥2 prolapse were assigned randomly to vaginal repair with or without mesh. The primary outcome was prolapse stage ≤1 at 12 months. Secondary outcomes included quality of life and complications.RESULTS:
All 65 evaluable participants were followed for 12 months after trial stoppage for mesh exposures. Thirty-two women had mesh repair; 33 women had traditional repair. At 12 months, both groups had improvement of pelvic organ prolapse-quantification test points to similar recurrence rates. The quality of life improved and did not differ between groups 96.2% mesh vs 90.9% no-mesh subjects reported a cure of bulge symptoms; 15.6% had mesh exposures, and reoperation rates were higher with mesh.CONCLUSION:
Objective and subjective improvement is seen after vaginal prolapse repair with or without mesh. However, mesh resulted in a higher reoperation rate and did not improve 1-year cure.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Próteses e Implantes
/
Procedimentos Cirúrgicos em Ginecologia
/
Telas Cirúrgicas
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Prolapso Uterino
Tipo de estudo:
Clinical_trials
Limite:
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Am J Obstet Gynecol
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Estados Unidos