Objective: We assess the anatomical and functional results of pelvic organ prolapse (POP) repair with application of transvaginal synthetic meshes. Keywords: pelvic organ prolapse, vaginal repair, urogynecology. Methods: We analyzed a cohort of 105 women who underwent transvaginal pelvic floor repair using mesh (Elevate Prolapse Repair System). A gynecological examination, cough test, uroflowmetry and an administration of the overactive bladder Awareness Tool were done. Parametric and nonparametric methods of descriptive statistics, as well as logistic regression were used for data analysis. Results: Prolapse recurrence after vaginal repair was noted in 3.81% (n=4) of patients. The proportion of patients with de novo onset of incontinence after surgery was 8.57% (n=9). In 26.7% (n=28) of women with stress urinary incontinence (SUI), SUI symptoms persisted after surgery. The mean Qmax in the patient group was 19.5 ml/s. The mean Qmax in patients reporting bladder-emptying problems was 14 ml/s, and the mean post-void residual (PVR) was 50±15.0 ml. After surgery, the mean Qmax increased to 27.6 ml/s. The PVR after surgery decreased to 30±5.0 ml. The number of patients with bladder outlet obstruction symptoms decreased to 17 (16.19%). Conclusion: The management of genital prolapse with synthetic prostheses interposed through vaginal approach is an efficient method with good midterm outcomes.
| Published in | International Journal of Clinical Urology (Volume 2, Issue 1) |
| DOI | 10.11648/j.ijcu.20180201.14 |
| Page(s) | 20-24 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Functional Results, Overactive Bladder, Pelvic Organ Prolapse, Stress Urinary Incontinence, Vaginal Mesh
| [1] | Olsen AL, Smith VJ, Bergstrom JO et al. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997; 89:501-506. [Journal] |
| [2] | Boyles S, Weber A, Meyn L. Procedures for pelvic organ prolapse in the United States, 1979-1997. Am J Obstet Gynecol 2003; 188:108-115. [Journal] |
| [3] | Krasnopolsky VI, Ioseliani MN, Rizhinashvili ID et al. [Contemporary aspects of surgical treatment of descent and prolapse of female genital organs]. [Article in Russian] Obstet Gynecol (Russia) 1990; 8:58-61. [Journal] |
| [4] | Rosenzweig BA. Genital prolapse and lower urinary tract dysfunction. Int Urogynecol J Pelvic Floor Dysfunct 1993; 4:296-300. [Journal] |
| [5] | Enhorning GE. Simultaneous recording of intravesical and intraurethral pressure: a study of urethral closure in normal and stress incontinent women. Eur J Surg Suppl 1961;276:1-68. [Journal] |
| [6] | De Boer TA, Salvatore S, Cardozo L et al. Pelvic organ prolapse and overactive bladder. Neurourol Urodyn 2010; 29:30-39. [Journal] |
| [7] | Basu M, Duckett J. Effect of prolapse repair on voiding and the relationship to overactive bladder and detrusor overactivity. Int Urogynecol J Pelvic Floor Dysfunct 2009; 20:499-504. [Journal] |
| [8] | Digesu GA, Salvatore S, Chaliha C et al. Do overactive bladder symptoms improve after repair of anterior vaginal wall prolapsed? Int Urogynecol J Pelvic Floor Dysfunct 2007; 18:1439-1443. [Journal] |
| [9] | Nieminen K, Hiltunen R, Takala T et al. Outcomes after anterior vaginal wall repair with mesh: a randomized, controlled trial with a 3 year follow-up. Am J Obstet Gynecol 2010; 203:235-e1. [Journal] |
| [10] | Borstad E, Abdelnoor M, Staff AC et al. Surgical strategies for women with pelvic organ prolapse and urinary stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2010; 21:179-186. [Journal] |
APA Style
Vigen Malkhasyan, Malika Dzhuraeva, George Kasyan, Dmitry Pushkar. (2018). Anatomical and Functional Results of Pelvic Organ Prolapse Mesh Repair: A Prospective Study of 105 Cases. International Journal of Clinical Urology, 2(1), 20-24. https://doi.org/10.11648/j.ijcu.20180201.14
ACS Style
Vigen Malkhasyan; Malika Dzhuraeva; George Kasyan; Dmitry Pushkar. Anatomical and Functional Results of Pelvic Organ Prolapse Mesh Repair: A Prospective Study of 105 Cases. Int. J. Clin. Urol. 2018, 2(1), 20-24. doi: 10.11648/j.ijcu.20180201.14
AMA Style
Vigen Malkhasyan, Malika Dzhuraeva, George Kasyan, Dmitry Pushkar. Anatomical and Functional Results of Pelvic Organ Prolapse Mesh Repair: A Prospective Study of 105 Cases. Int J Clin Urol. 2018;2(1):20-24. doi: 10.11648/j.ijcu.20180201.14
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Download@article{10.11648/j.ijcu.20180201.14,
author = {Vigen Malkhasyan and Malika Dzhuraeva and George Kasyan and Dmitry Pushkar},
title = {Anatomical and Functional Results of Pelvic Organ Prolapse Mesh Repair: A Prospective Study of 105 Cases},
journal = {International Journal of Clinical Urology},
volume = {2},
number = {1},
pages = {20-24},
doi = {10.11648/j.ijcu.20180201.14},
url = {https://doi.org/10.11648/j.ijcu.20180201.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20180201.14},
abstract = {Objective: We assess the anatomical and functional results of pelvic organ prolapse (POP) repair with application of transvaginal synthetic meshes. Keywords: pelvic organ prolapse, vaginal repair, urogynecology. Methods: We analyzed a cohort of 105 women who underwent transvaginal pelvic floor repair using mesh (Elevate Prolapse Repair System). A gynecological examination, cough test, uroflowmetry and an administration of the overactive bladder Awareness Tool were done. Parametric and nonparametric methods of descriptive statistics, as well as logistic regression were used for data analysis. Results: Prolapse recurrence after vaginal repair was noted in 3.81% (n=4) of patients. The proportion of patients with de novo onset of incontinence after surgery was 8.57% (n=9). In 26.7% (n=28) of women with stress urinary incontinence (SUI), SUI symptoms persisted after surgery. The mean Qmax in the patient group was 19.5 ml/s. The mean Qmax in patients reporting bladder-emptying problems was 14 ml/s, and the mean post-void residual (PVR) was 50±15.0 ml. After surgery, the mean Qmax increased to 27.6 ml/s. The PVR after surgery decreased to 30±5.0 ml. The number of patients with bladder outlet obstruction symptoms decreased to 17 (16.19%). Conclusion: The management of genital prolapse with synthetic prostheses interposed through vaginal approach is an efficient method with good midterm outcomes.},
year = {2018}
}
TY - JOUR T1 - Anatomical and Functional Results of Pelvic Organ Prolapse Mesh Repair: A Prospective Study of 105 Cases AU - Vigen Malkhasyan AU - Malika Dzhuraeva AU - George Kasyan AU - Dmitry Pushkar Y1 - 2018/09/12 PY - 2018 N1 - https://doi.org/10.11648/j.ijcu.20180201.14 DO - 10.11648/j.ijcu.20180201.14 T2 - International Journal of Clinical Urology JF - International Journal of Clinical Urology JO - International Journal of Clinical Urology SP - 20 EP - 24 PB - Science Publishing Group SN - 2640-1355 UR - https://doi.org/10.11648/j.ijcu.20180201.14 AB - Objective: We assess the anatomical and functional results of pelvic organ prolapse (POP) repair with application of transvaginal synthetic meshes. Keywords: pelvic organ prolapse, vaginal repair, urogynecology. Methods: We analyzed a cohort of 105 women who underwent transvaginal pelvic floor repair using mesh (Elevate Prolapse Repair System). A gynecological examination, cough test, uroflowmetry and an administration of the overactive bladder Awareness Tool were done. Parametric and nonparametric methods of descriptive statistics, as well as logistic regression were used for data analysis. Results: Prolapse recurrence after vaginal repair was noted in 3.81% (n=4) of patients. The proportion of patients with de novo onset of incontinence after surgery was 8.57% (n=9). In 26.7% (n=28) of women with stress urinary incontinence (SUI), SUI symptoms persisted after surgery. The mean Qmax in the patient group was 19.5 ml/s. The mean Qmax in patients reporting bladder-emptying problems was 14 ml/s, and the mean post-void residual (PVR) was 50±15.0 ml. After surgery, the mean Qmax increased to 27.6 ml/s. The PVR after surgery decreased to 30±5.0 ml. The number of patients with bladder outlet obstruction symptoms decreased to 17 (16.19%). Conclusion: The management of genital prolapse with synthetic prostheses interposed through vaginal approach is an efficient method with good midterm outcomes. VL - 2 IS - 1 ER -
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