Anchorless implant for the treatment of advanced anterior and apical vaginal prolapse – Medium term follow up

Levy, Gil; Padoa, Anna; Marcus, Naama; Beck, Anat; Fekete, Zoltán; Cervigni, Mauro

doi:10.1016/j.ejogrb.2020.01.005

Cited by 2 publications

(2 citation statements)

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“…Our study presents the longest SRS implant follow-up and it builds upon previously reported SRS outcome data [ 9 , 10 ]. Comparisons may be made with recently reported outcomes for other types of mesh that are still in use.…”

Section: Discussionmentioning

confidence: 59%

“…Early clinical experience with this anchorless device in 20 women with anterior vaginal wall prolapse (with and without apical prolapse) showed implant safety with normalization of the post-operative Pelvic Organ Prolapse Quantification (POP-Q) measurements [ 9 ]. Over a medium-term follow-up of 27.7 months in 70 patients implanted with the SRS device there was an anatomical success rate of 94.3% (Ba ≤ −2 cm) without any cases of mesh erosion or chronic pain [ 10 ]. In every case the Ba point was above the hymen.…”

Section: Introductionmentioning

confidence: 99%

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Surgical treatment of advanced anterior wall and apical vaginal prolapse using the anchorless self-retaining support implant: long-term follow-up

et al. 2022

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Introduction and hypothesis Following health notification by the FDA in 2008 of serious complications with transvaginal mesh for anterior pelvic organ prolapse, there has been a return to native tissue repairs. Earlier work with a self-retaining support (SRS) implant showed a high anatomical success rate with minimal implant-related complications over a medium-term follow-up. It is proposed that post-implant complications are more a consequence of the method of mesh anchoring rather than the implant itself. Our system incorporates an ultralight mesh with a frame that provides level I, II, and III support without the need for fixation. The first long-term outcomes of SRS implantation are presented. Methods A prospective multicenter trial was conducted using two consecutive identical protocols of the use of the SRS implant in women with symptomatic anterior compartment prolapse extending their follow-up to 36 months. Anatomical success (Pelvic Organ Prolapse Quantification stage 0 or 1 or a Ba ≤ −2) was recorded along with subjective success as defined by regular quality-of-life (PFDI-20 and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire) assessments. Results Sixty-seven patients completed 36 months of follow-up. Mean Ba measurements improved from 3.1 (−1 to 6) cm to −2.8 (−1 to −3) cm and C point from 0.4 (−8 to 6) cm to −6.9 (−10 cm to 1) cm. accumulating to a significant anatomical success rate of 94.3%. Subjective success based on question #3 of the PFDI-20, analyzed for the index surgical compartment, reached 95.7%. Post-operative complications included 2 cases of urinary retention, 1 minor frame exposure, 1 case of delayed voiding dysfunction, and 2 cases of de novo stress urinary incontinence. Untreated pre-operative second-degree Bp measurements had increased in 27% at follow-up. Conclusion The long-term outcome of the SRS implant shows an excellent subjective and objective success with minimal risk of complications or need for reintervention.

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Section: Discussionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 99%