Reoperation rate for traditional anterior vaginal repair: analysis of 207 cases with a median 4-year follow-up

Kapoor, Dharmesh S.; Nemcova, Marika; Pantazis, Konstantinos; Brockman, Paula; Bombieri, L.; Freeman, Robert

doi:10.1007/s00192-009-0991-x

Cited by 41 publications

(19 citation statements)

References 21 publications

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“…The learning curve and surgical skills are discussed to be related to mesh-erosion rates as well as mesh quality [22][23][24] and operation technique. These factors may contribute to the wide-ranging number of occurrence of mesh exposure.…”

Section: Discussionmentioning

confidence: 99%

Transvaginal single-incision mesh reconstruction for recurrent or advanced anterior vaginal wall prolapse

Marschke

Hengst

Schwertner-Tiepelmann

et al. 2014

Arch Gynecol Obstet

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We hereby present a trial of a high-risk group of patients requiring reconstruction of anterior and apical vaginal wall in mostly recurrent prolapse situation. Our data support the hypothesis of improved anatomical and functional results and less mesh shrinkage caused by the single-incision technique with fixation in sacrospinous ligament in combination with modification in mesh quality compared to former multi-incision techniques.

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Section: Discussionmentioning

confidence: 99%

Transvaginal single-incision mesh reconstruction for recurrent or advanced anterior vaginal wall prolapse

Marschke

Hengst

Schwertner-Tiepelmann

et al. 2014

Arch Gynecol Obstet

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“…Traditionally, pessaries have been used as a temporary measure to control symptoms while awaiting surgery, or as a permanent alternative to surgery for women who are medically unfit and those who have declined surgery or who wish to have children [9,10]. However, it has been shown that vaginal pessaries are a viable treatment option for any woman with POP [11][12][13]. Kapoor et al [13] reported that nearly two-thirds of women with symptomatic POP chose a vaginal pessary rather than surgery as the initial treatment.…”

Section: Introductionmentioning

confidence: 98%

A 5‐year prospective study of vaginal pessary use for pelvic organ prolapse

Lone¹,

Thakar²,

Sultan³

et al. 2011

Intl J Gynecology & Obste

108

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“…The discrepancy between recurrence and reoperation rates has been previously reported. In a study of 207 cases that had anterior colporrhaphy, Kapoor et al reported a 12% recurrence rate with only a 3.4% reoperation rate (19). This discrepancy could be explained in different aspects.…”

Section: Discussionmentioning

confidence: 99%

The outcome of transobturator anterior vaginal wall prolapse repair using porcine dermis graft: intermediate term follow-up

Mahdy¹,

Karp

Davila

et al. 2013

Int. braz j urol.

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Introduction and Hypothesis:We evaluated the anatomical success and complications of Perigee® with porcine dermis Graft in the repair of anterior vaginal wall prolapse (AVWP) Materials and Methods: After Institutional Review Board (IRB) approval, the charts of all patients who underwent AVWP repair using the Perigee/InteXen® kit from July 2005 to July 2009 were reviewed. Patients who had less than 6-month follow-up were excluded. Preoperative data including patient age, previous AVWP repairs, hysterectomy status, preoperative dyspareunia and pertinent physical findings were collected and recorded. Postoperative success was defined as anatomical stage 0 or I using the Pelvic Organ Prolapse Quantification (POP-Q) scoring system. Graft related complications were also recorded. Results: Out of 89 patients, 69 completed at least 6-month follow-up. Median follow-up was 13 (6-48) months. Seventeen patients (25%) had previous AVWP repair and 32 (46%) had previous hysterectomy. Preoperatively, AVWP stage II was found in 9 (13%), stage III in 27 (39%) and stage IV in 33 (48%) patients. Anatomic success was found in 48 (69%) patients, with 23 (33%) having stage 0 and 25 (36%) stage I AVWP. Intraoperative complications included incidental cystotomy in one patient and bladder perforation in one. Postoperative complications included vaginal exposure and dyspareunia in one case, wound dehiscence in one and tenderness over the graft arm with dyspareunia in one. Conclusions: The use of porcine dermis in AVWP repair is safe with minimal graft related complications; however, anatomical success is lower than that reported with the use of synthetic grafts.

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Reoperation rate for traditional anterior vaginal repair: analysis of 207 cases with a median 4-year follow-up

Cited by 41 publications

References 21 publications

Transvaginal single-incision mesh reconstruction for recurrent or advanced anterior vaginal wall prolapse

Transvaginal single-incision mesh reconstruction for recurrent or advanced anterior vaginal wall prolapse

A 5‐year prospective study of vaginal pessary use for pelvic organ prolapse

The outcome of transobturator anterior vaginal wall prolapse repair using porcine dermis graft: intermediate term follow-up

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