Prévenir les complications de la chirurgie prothétique du prolapsus : recommandations pour la pratique clinique – Revue de la littérature

Deffieux, X.; Savary, D.; Letouzey, V.; Sentilhes, Loïc; Agostini, Aubert; Marès, P.; Pierre, Fabrice H.F.

doi:10.1016/j.jgyn.2011.09.011

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

2011

DOI: 10.1016/j.jgyn.2011.09.011

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Prévenir les complications de la chirurgie prothétique du prolapsus : recommandations pour la pratique clinique – Revue de la littérature

X. Deffieux

D. Savary

V. Letouzey

et al.

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Cited by 27 publications

References 132 publications

(256 reference statements)

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Belastungsinkontinenz der Frau im Alter

Loertzer¹,

Schneider²

2013

Urologe

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Stress incontinence is one of the major challenges in geriatric medicine. This is becoming more apparent in routine urology practice with the demographic changes in the population. A thorough diagnosis for a correct treatment of stress incontinence is as important in elderly women as it is in younger patients. This includes assessing the risk factors of incontinence and obesity, parturition, pelvic surgery and changes in hormone levels are risk factors usually found in elderly women. These are the main reasons why this patient group is most frequently affected. Treatment options do not differ significantly from these of younger women. Lifestyle modification, weight loss and supervised pelvic floor training are the mainstays of conservative therapy and surgical treatment should only be considered after these options have been exhausted. In these cases minimally invasive surgical techniques offer clear advantages especially for elderly often multimorbid women.

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Belastungsinkontinenz der Frau im Alter

Loertzer¹,

Schneider²

2013

Urologe

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Biologic Materials for Pelvic Floor Reconstruction

Gomelsky

Dmochowski

2012

Curr Bladder Dysfunct Rep

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3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients

Kdous¹,

Zhioua²

2014

Arab Journal of Urology

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ObjectivesTo evaluate the long-term efficacy and safety of transobturator four-arm mesh for treating cystoceles.Patients and methodsIn this prospective study, 105 patients had a cystocele corrected between January 2004 and December 2008. All patients had a symptomatic cystocele of stage ⩾2 according to the Baden–Walker halfway stratification. We used only the transobturator four-arm mesh kit (Surgimesh®, Aspide Medical, France). All surgical procedures were carried out by the same experienced surgeon. The patients’ characteristics and surgical variables were recorded prospectively. The anatomical outcome, as measured by a physical examination and postoperative stratification of prolapse, and functional outcome, as assessed by a questionnaire derived from the French equivalents of the Pelvic Floor Distress Inventory, Pelvic Floor Impact Questionnaire and the Pelvic Organ Prolapse–Urinary Incontinence-Sexual Questionnaire, were considered as the primary outcome measures. Peri- and postoperative complications constituted the secondary outcome measures.ResultsAt 36 months after surgery the anatomical success rate (stage 0 or 1) was 93%. On a functional level, all the scores of quality of life and sexuality were improved. The overall satisfaction score (visual analogue scale) was 71.4%. There were no perioperative adverse events. Mesh erosion was reported in 7.6% and mesh retraction in 5.7% of the patients.ConclusionsIf the guidelines and precautions are followed, vaginal prosthetic surgery for genitourinary prolapse has shown long-term benefits. It provides excellent results both anatomically and functionally. However, complications are not negligible and some are specific to prosthetic surgery.

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Prévenir les complications de la chirurgie prothétique du prolapsus : recommandations pour la pratique clinique – Revue de la littérature

Cited by 27 publications

References 132 publications

Belastungsinkontinenz der Frau im Alter

Belastungsinkontinenz der Frau im Alter

Biologic Materials for Pelvic Floor Reconstruction

3-year results of transvaginal cystocele repair with transobturator four-arm mesh: A prospective study of 105 patients

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