Vaginal prolapse surgery with transvaginal mesh: results of the Austrian registry

Bjelic‐Radisic, Vesna; Aigmueller, Thomas; Preyer, Oliver; Ralph, G.; Geiss, Ingrid; Müller, G.; Riss, P.; Klug, P. W.; Konrad, Martin; Wagner, Gabi; Medl, M.; Umek, Wolfgang; Lozano, Paz Vaquero; Tamussino, Karl; Tammaa, A

doi:10.1007/s00192-014-2333-x

Cited by 36 publications

(21 citation statements)

References 14 publications

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“…A strength of our study was that bladder injury was confirmed or refuted by cystoscopy in nearly all patients and it may be assumed that the occurrence of 1.5 % bladder perforations is accurate. Similarly, the rate of bleeding complications was in line with previous reports on other transvaginal mesh kits and did not cause any long-term sequelae [8,9,11]. However, given that one patient required emergency embolization of a uterine arterial branch because of profuse hemorrhage during surgery, the question of which interventional resources should be available when performing trocar-guided mesh kit procedures is raised again.…”

Section: Discussionsupporting

confidence: 81%

“…The decrease mostly derived from fewer intraoperative bladder perforations and fewer surgical interventions to treat mesh complications during follow-up. For transvaginal Prolift® mesh, bladder perforation rates range between 0 and 2 % [8][9][10] and for ten different pooled kits this rate was reported to be 0.8 % [11]. A strength of our study was that bladder injury was confirmed or refuted by cystoscopy in nearly all patients and it may be assumed that the occurrence of 1.5 % bladder perforations is accurate.…”

Section: Discussionmentioning

confidence: 66%

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Pelvic organ prolapse repair using the Uphold™ Vaginal Support System: a 1-year multicenter study

et al. 2016

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Introduction and hypothesis The objective was to assess safety and clinical outcomes in women operated on using the Uphold™ Lite Vaginal Support System. Methods We carried out a 1-year, multicenter, prospective, single cohort study of 207 women with symptomatic Pelvic Organ Prolapse Quantification (POP-Q) stage ≥2 apical pelvic organ prolapse, with or without concomitant anterior vaginal wall prolapse. Safety data were collected using a standardized questionnaire. Anatomical outcome was assessed by the POP-Q and subjective outcomes by the Pelvic Floor Distress Inventory after 2 months and 1 year using a one-way repeated measures analysis of variance. Pain was evaluated using a visual analog scale. Results The overall rate of serious complications was 4.3 % (9 out of 207 patients), including 3 patients with bladder perforations, 1 with bleeding >1,000 ml, 2 who had undergone reoperations with complete mesh removal because of pain, and 3 surgical interventions during follow-up because of mesh exposure. POP-Q stage ≤1 after 1 year was 94 % and subjective symptom relief was reported by 91 % of patients (p < 0.001). Pain after 2 months and 1 year was 60 % lower compared with the preoperative mean (p < 0.001). Minor complications occurred in 20 women (9.7 %) and were dominated by lower urinary tract dysfunction. No predisposing risk factors for complications were found. Conclusions The Uphold™ Lite procedure in women with apical pelvic organ prolapse provided satisfactory restoration of vaginal topography and symptom relief. However, serious complication rates were largely comparable with those of other transvaginal mesh kits.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 66%

Pelvic organ prolapse repair using the Uphold™ Vaginal Support System: a 1-year multicenter study

et al. 2016

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“…Of 45 articles, 37 and 38 articles reported on objective and subjective outcomes respectively. Four articles reported on Bde novo stress urinary incontinence (SUI)^or Brecurrent prolapse,^where it was unclear how these were measured [3][4][5][6]. Three papers reported on outcomes that were a composite of objective and subjective measurements (de novo SUI, presence of SUI, prolapse cure) [7][8][9].…”

Section: Resultsmentioning

confidence: 99%

Heterogeneity in post-intervention prolapse and urinary outcome reporting: a one-year review of the International Urogynecology Journal

Globerman

Robert

2015

Int Urogynecol J

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This research highlights the diversity in outcome reporting for prolapse, incontinence, and overactive bladder after an intervention in the last year of publications alone. This can lead to serious challenges in the generation of higher order evidence, such as systematic reviews and meta-analyses. As a subspecialty, we need to aim for more cohesive reporting so as to allow for robust comparison and evidence dissemination.

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“…Surgical hernia registries in general and national registries, like the Swedish TVT database and the Austrian TVT database have been previously successfully established and improved the quality of surgery after the implementation [17,18]. However, the Austrian registry was timely limited and Swedish registry is obligatory and under auspices of the government.…”

Section: Discussionmentioning

confidence: 99%

Registry of implants for the reconstruction of pelvic floor in males and females: A feasibility case series

Barski

Gerullis

Ecke

et al. 2017

International Journal of Surgery

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h i g h l i g h t sA new web-based registry for the evaluation of implant assisted surgery for POP and SUI in males and females is presented. The presented case series show the feasibility of the registry with the need for indication based evaluation. The maximum score of cure was reached by 25e100% of patients depending on the indication. The preliminary results support the initiation of prospective registry according to IDEAL. a r t i c l e i n f o t r a c tIntroduction: Most aspects of implant-assisted reconstruction of pelvic floor in males and females are under debate and the research is not standardized. Registries are supposed to shed light to the indications, surgical techniques and material properties and to establish a standardized evaluation. Methods: A working group was formed to create an online platform for registration and outcome measurement of implant-assisted operations for pelvic organ prolapse (POP) and female and male stress urinary incontinence (SUI). 20 patients with modified mesh materials were evaluated over 23 months

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Vaginal prolapse surgery with transvaginal mesh: results of the Austrian registry

Abstract: The 6.8% rate of intra- and perioperative complications is in line with previous reports. Visceral injury was rare. The 12% rate of mesh exposure is consistent with previous series.

Cited by 36 publications

References 14 publications

Pelvic organ prolapse repair using the Uphold™ Vaginal Support System: a 1-year multicenter study

Pelvic organ prolapse repair using the Uphold™ Vaginal Support System: a 1-year multicenter study

Heterogeneity in post-intervention prolapse and urinary outcome reporting: a one-year review of the International Urogynecology Journal

Registry of implants for the reconstruction of pelvic floor in males and females: A feasibility case series

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