Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse

Gauruder-Burmester, A.; Koutouzidou, P.; Rohne, J; Gronewold, M.; Tunn, Ralf

doi:10.1007/s00192-006-0291-7

Cited by 149 publications

(69 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…reported an incidence of 1.0% for dyspareunia 8 and Gauruder-Burmester, et al (2007) reported no peri-or intraoperative complications. 10 Davila, et al (2006) in a retrospective multicentre study of 299 patients reported that the device-related complications, including pain, were demonstrated in <1% of patients. 16 In the present study none of the patients' had mesh erosion or mesh exposure till their follow up of 12 months after the mesh repair.…”

Section: Discussionmentioning

confidence: 99%

Mesh repair of vaginal wall prolapse

Kapur

Dalal²

2014

Medical Journal Armed Forces India

View full text Add to dashboard Cite

Perigee ProlapseMesh repair a b s t r a c t Background: Over the last decade, mesh augmented surgical repair is being increasingly used in pelvic organ prolapse. Perigee and Apogee are comprehensive, single-use needle suspension kits that provide a standardized delivery method for mesh or graft-augmented repairs. This study has been carried out to study the safety and efficacy of the Perigee and Apogee mesh repair systems.Methods: 10 cases of posterior vaginal wall prolapse with or without Apical prolapse underwent Apogee mesh repair surgery and 10 cases of anterior vaginal wall prolapse underwent Perigee mesh repair surgery. Depending on the findings either Apogee or Perigee or both were used. Patients were followed up for complications of the surgery if any, and for the relief of the symptoms related to prolapse and associated symptoms of bowel/ bladder dysfunction. Objective cure rate was prolapse < stage 1 as per the POPQ system. Data collected was statistically analyzed.Results: The objective and subjective cure rates were 100%. Postoperative complications were minor. No patient developed de novo urinary urge symptoms, stress urinary incontinence or UTI postoperatively. There were no operative complications like bladder injuries, hematoma and rectal injuries. The mean blood loss was 180 ml and the mean duration of surgery during the Apogee and Perigee mesh repair was 51.5 AE 2.99 min and 60.9 AE 4.65 min respectively. Conclusion:In the present study there was a significant improvement in the degree of prolapse after the mesh repair surgeries and the results were consistent even at 12 months follow up.ª 2013, Armed Forces Medical Services (AFMS). All rights reserved.

show abstract

Section: Discussionmentioning

confidence: 99%

Mesh repair of vaginal wall prolapse

Kapur

Dalal²

2014

Medical Journal Armed Forces India

View full text Add to dashboard Cite

show abstract

“…POP recurrence occurred in the operated compartment in five cases (two recurrences of rectocele after six-arm Prolift and three anterior recurrences after four-arm Prolif) and six failures were as a result of apparition of a stage 2 rectocele after isolated four-arm Prolift anterior repair. Median PDFI-20 at last follow up was 8 (range [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18], consistent with few symptoms in patients treated. No recurrence led to further surgical intervention.…”

Section: Efficacy Outcomesmentioning

confidence: 91%

“…8 The Prolift system is a commercially available macroporous polypropylene mesh used for POP repair that has been described in several previous reports. 7,[9][10][11][12][13][14] However, these data have limited follow up. The aim of the present study was to evaluate the anatomical and functional outcomes of transvaginal repair of POP using the Prolift system after a minimal follow up of 3 years.…”

Section: Introductionmentioning

confidence: 99%

Pelvic organ prolapse transvaginal repair by the Prolift system: Evaluation of efficacy and complications after a 4.5 years follow up

et al. 2012

View full text Add to dashboard Cite

Objectives: The Prolift system is a polypropylene device designed for pelvic organ prolapse repair by a transvaginal approach. Numerous studies have reported on shortterm outcomes of this procedure, but long-term studies are lacking. Methods: A retrospective study of patients who underwent pelvic organ prolapse repair by Prolift between September 2005 and September 2008 was carried out in two tertiary reference centers by two experienced surgeons. Preoperative and postoperative follow up was based on medical records of baseline and follow-up visits with complete clinical examination, including Pelvic Organ Prolapse Quantification stage. At last follow up, the Pelvic Floor Distress Inventory-20 questionnaire was assessed by telephone interview. Cure was defined as an anatomical success at last follow up, being a Pelvic Organ Prolapse Quantification stage Յ1 without further surgical intervention in any compartment. Results: A total of 75 patients were included in this analysis with a mean follow up of 53.7 Ϯ 8.8 months (range 36-72 months). Patients were treated with two-arm Prolift posterior, four-arm Prolift anterior and six-arm Prolift total in three (4%), 51 (69%) and 21 (27%) cases, respectively. At last follow up, 64 (85.3%) patients were cured , with no prolapse recurrence. Mesh exposure occurred in four (5.3%) patients. The Pelvic Floor Distress Inventory-20 symptom score was low at last follow up (median 8, range 3-18), in accordance with objective cure data. Conclusions: The Prolift system is safe and efficacious for pelvic organ prolapse repair by transvaginal approach after a 4.5-year follow up.

show abstract

“…Although the use of synthetic material in prolapse surgery seems to be very effective, as supported by high cure rates, short operating and recovery time, and low recurrence rates [2][3][4][5][6][7][8], clinical experience has shown that implantation of meshes may be associated with side effects, such as pain, mesh exposures and infection, vaginal bleeding, vaginal discharge, fistulas, and dyspareunia [9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%