Transvaginal repair of genital prolapse using the Prolift® Technique: A prospective study

被引:11
|
作者
Ouzaid, I. [1 ]
Hermieu, J. -F. [1 ]
Misrai, V. [1 ]
Gosseine, P. -N. [1 ]
Ravery, V. [1 ]
Delmas, V. [1 ]
机构
[1] Univ Paris Diderot, Hop Bichat Claude Bernard, AP HP, Grp Hosp Univ Paris Nord,Clin Urol, F-75018 Paris, France
来源
PROGRES EN UROLOGIE | 2010年 / 20卷 / 08期
关键词
Cystocele; Rectocele; Genital prolapse; Vaginal route; Transvaginal mesh; Polypropylene mesh; MESH; EFFICACY;
D O I
10.1016/j.purol.2010.01.013
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective. - To evaluate the efficacy and to report the follow-up of transvaginal repair of genital prolapse using a tension free vaginal mesh. Patients and methods. - Twenty-eight women were treated for genital prolapse with the Prolift (R) technique and followed prospectively. Preoperative prolapse treatment, associated treatment, complications were reported. Postoperatively, efficacy and complications were reported. Patients were examined at one, three, six and 12 months then yearly. Treatment failure defined as Pelvic Organ Prolapse Quantification (POP-Q) stage II or more. Results. - The mean age was 68 years. The median follow-up was 12 months. Ten (35%) and 14 (50%) patients had a stage II and III/IV cystocele respectively. Nineteen (67%) patients had stage II/III rectocele. We reported one bladder injury (3.5%) sutured during surgery and one haematoma (3.5%) requiring secondary management. Important buttock pain appeared in two patients (7%) treated with a total mesh on clay 1 and 6 weeks after surgery respectively. They were both relieved after cutting one posterior arm of the mesh. De novo stress incontinence appeared in one (3.5%) patient and urgency in two (7%) patients. Mesh exposure occurred in one (3.5%) patient requiring a minimal surgical management. One patient (3.5%) declared dyspareunia. Success was reached in 96.5% patients. Conclusion. - The transvaginal mesh was a safe and efficient technique to treat genital prolapse. (C) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:578 / 583
页数:6
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