Prospective evaluation of paravaginal defect repair with and without apical suspension: a 6-month postoperative follow-up with MRI, clinical examination, and questionnaires

Arenholt, Louise Thomsen Schmidt; Pedersen, Birthe D.; Glavind, Karin; Greisen, Susanne; Bek, Karl Møller; Glavind‐Kristensen, Marianne

doi:10.1007/s00192-018-3807-z

Cited by 12 publications

(3 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A total of 29 articles were assessed in their entirety, and out of those, 12 articles were included in the meta-analysis. After exclusion of systematic reviews, individual studies were excluded after full-text review owing to non-routine methods of scoring levator ani avulsion [ 23 , 24 ], short follow-up period of 6 weeks [ 25 ], a lack of a control group [ 26 ] and the inclusion of the entire cohort [ 27 ] in a subsequent larger study involved in this meta-analysis [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

Is levator ani avulsion a risk factor for prolapse recurrence? A systematic review and meta-analysis

2022

View full text Add to dashboard Cite

Introduction and hypothesis Levator ani muscle avulsion as a risk factor for prolapse recurrence is not well established. This systematic review was aimed at evaluating the correlation between levator ani avulsion and postoperative prolapse recurrence with meta-analysis, specifically, the risk of subjective or objective prolapse recurrence and reoperation. Methods The protocol was registered in the International Prospective Register of Systematic Reviews (registration number CRD42021256675). A systematic literature search was conducted using PubMed, EMBASE and Cochrane Database of Systematic Reviews to identify all peer-reviewed studies that described levator avulsion in women and investigated operative and postoperative outcomes. All peer-reviewed, English-language cohort studies in those with and without levator avulsion with a minimum of 3 months’ follow-up were included. Pooled unadjusted and adjusted odds ratios were calculated for subjective recurrence, objective recurrence and rates of re-operation. The Cochrane Collaboration Risk of Bias In Non-Randomized Studies (RoBINS) and The Grading of Recommendations Assessment, Development and Evaluation (GRADE) tools were used to assess the quality of the studies included. Results Twelve studies with a total of 2,637 subjects and a follow-up period 0.3–6.4 years were identified. There were insufficient data to report a pooled adjusted risk for subjective recurrence and reoperation. On low to moderate quality-adjusted data, the pooled odds of objective recurrence was not significantly associated with levator ani avulsion (aOR 1.68; 95% CI 0.78–3.66). Conclusion Levator ani avulsion has not been confirmed as a risk factor for objective prolapse recurrence. Further evidence is needed to investigate the correlation between levator ani avulsion and the risk of subjective recurrence and reoperation.

show abstract

Section: Resultsmentioning

confidence: 99%

Is levator ani avulsion a risk factor for prolapse recurrence? A systematic review and meta-analysis

2022

View full text Add to dashboard Cite

show abstract

“…According to the literature, this problem affects up to 50% of nulliparous women, and its frequency increases with age and parity, and is more common after menopause [2]. Isolated apical defect refers to downward displacement of the vaginal apex, uterus or cervix [3]. In some cases, POP may be asymptomatic and therefore this defect is often detected only at a signi cant advancement of the disease or when testing is performed for another reason.…”

Section: Introductionmentioning

confidence: 99%

Long-term follow-up of surgery of an isolated apical defect using synthetic materials and their effect on quality of life and satisfaction with life

Zalewski

Kołodyńska

Rodriguez

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Pelvic organ prolapse is an extremely important therapeutic problem and affects up to 50% of nulliparous women, and its frequency increases with age and parity and is more common after menopause. This ailment has a negative impact on many aspects of life, significantly reducing its quality. Nowadays, not only the cure of the problem, but also the improvement of the quality of life and life satisfaction of patients is of great importance for doctors, therefore the assessment of these aspects should also be constantlyevaluated. The objective of this study was to determine the quality of life and satisfaction with life of patients before, 1 year and 3 years after performing the surgery of an isolated apical defect using BSC synthetic mesh. Methods: Of 60 patients with an isolated apical defect, 45 had sufficient medical records for the analysis. Evaluation comprised the P-QOL and the SWLS questionnaires conducted three times. Results: The results obtained for the P-QOL questionnaire carried out after 3 years show that the quality of life of the patients improved. A statistically significant increase in the quality of life was achieved in almost all domains (p <0.05). Conclusion: The results obtained after completing the SWLS questionnaire indicate that 3 years after the surgery, patients' satisfaction with life showed an upward trend. Surgical treatment of an isolated apical defect using the AMI BSC kit results in an improvement in the quality of life in the majority of patients, even in a long-term evaluation.

show abstract

“…Several techniques and surgical approaches have been used for cystocele correction. These were performed by transvaginal and/or transabdominal approach and involved the use of native tissue or prosthesis [2] , [3] .…”

Section: Introductionmentioning

confidence: 99%

Transvaginal and transobturator autologous vaginal tape cystocele treatment: About an uncommon case

Slaoui

Slaoui²,

Himmi

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Prospective evaluation of paravaginal defect repair with and without apical suspension: a 6-month postoperative follow-up with MRI, clinical examination, and questionnaires

Cited by 12 publications

References 30 publications

Is levator ani avulsion a risk factor for prolapse recurrence? A systematic review and meta-analysis

Is levator ani avulsion a risk factor for prolapse recurrence? A systematic review and meta-analysis

Long-term follow-up of surgery of an isolated apical defect using synthetic materials and their effect on quality of life and satisfaction with life

Transvaginal and transobturator autologous vaginal tape cystocele treatment: About an uncommon case

Contact Info

Product

Resources

About