Efficacy and Safety of "Tension-free" Placement of Gynemesh PS for the Treatment of Anterior Vaginal Wall Prolapse / 대한배뇨장애요실금학회지
International Neurourology Journal
; : 34-42, 2010.
Article
in En
| WPRIM
| ID: wpr-31676
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To evaluate the efficacy and safety of the tension-free placement of a monofilament polypropylene mesh for the repair of an anterior vaginal wall prolapse (AVWP). MATERIALS ANDMETHODS:
Women aged > or = 30 years with an AVWP stage of II or greater were included. Forty-nine women underwent trans-vaginal repair using a Gynemesh(TM) PS. Forty-six women who had symptomatic stress urinary incontinence received a midurethral sling (MUS). At the 12-month follow-up, evaluations were made for changes in the Pelvic Organ Prolapse Quantification (POP-Q) stage and Pelvic Floor Distress Inventory. Cure was defined as a POP-Q stage of 0 and improvement as a stage of I. Complications were also evaluated.RESULTS:
The cure rate was 71.4%, and the improvement rate was 18.4%. Obstructive/discomfort, irritative, and stress subscale scores of the Urinary Distress Inventory anterior and posterior subscale scores of the POP Distress Inventory and the obstructive subscale score of the Colo-Rectal-Anal Distress Inventory were significantly improved. Thirty-two of the 46 women (69.6%) who received MUS procedures reported no leakage after surgery. Complications were 2 cases of increased intraoperative bleeding and 1 case of vaginal erosion.CONCLUSIONS:
Trans-vaginal repair using a Gynemesh(TM) PS is a feasible and effective procedure for the treatment of AVWP with no significant complications.Key words
Full text:
1
Index:
WPRIM
Main subject:
Polypropylenes
/
Prolapse
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Urinary Incontinence
/
Follow-Up Studies
/
Pelvic Floor
/
Suburethral Slings
/
Pelvic Organ Prolapse
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Lower Urinary Tract Symptoms
/
Hemorrhage
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Animals
/
Female
/
Humans
Language:
En
Journal:
International Neurourology Journal
Year:
2010
Type:
Article