학술논문
Total transvaginal mesh (TVM) technique for treatment of pelvic organ prolapse: a 3-year prospective follow-up study.
Document Type
Article
Author
Source
Subject
*PELVIC organ prolapse
*FEMALE reproductive organ diseases
*OBSTETRICS surgery complications
*GENITOURINARY diseases
*UROLOGY
*POLYPROPYLENE
*HYSTERECTOMY
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Language
ISSN
0937-3462
Abstract
Introduction and hypothesis: To evaluate clinical outcomes at 3 years following total transvaginal mesh (TVM) technique to treat vaginal prolapse. Methods: Prospective, observational study in patients with prolapse ≥stage II. Success was defined as POP-Q-stage 0-I and absence of surgical re-intervention for prolapse. Secondary outcome measures were: quality of life (QOL), prolapse-specific inventory (PSI), impact on sexual activity and complications. Results: Ninety women underwent TVM repair, 72 a hysterectomy. Anatomical failure rate was 20.0% at 3 years. Three patients required re-intervention for prolapse. Improvements in QOL- and PSI-scores were observed at 1 and 3 years. Vaginal mesh extrusion occurred in 14.4% patients. After 3 years, 4.7% asymptomatic extrusions remained present. Of 61 sexually active women at baseline, a significant number of patients (41%) ceased sexual activity by 3 years; de novo dyspareunia was reported by 8.8%. One vesico-vaginal fistula resolved after surgery. Conclusion: Medium-term results demonstrate that the TVM technique provides a durable prolapse repair. [ABSTRACT FROM AUTHOR]