skip to main content
Idioma:

Treatment of Anterior Vaginal Wall Prolapse Using Transvaginal Anterior Mesh With Apical Fixation: A Prospective Multicenter Study With up to 2 Years of Follow-up

Palma, Paulo César Rodrigues ; Monteiro, Marilene Vale de Castro ; Ledesma, Marta Alicia ; Altuna, Sebastián ; Sardi, Juan José Luis ; Riccetto, Cássio Luís Zanettini

International Neurourology Journal, 2018, 22(3), , pp.177-184 [Periódico revisado por pares]

Korea (South): Korean Continence Society

Texto completo disponível

Citações Citado por
  • Título:
    Treatment of Anterior Vaginal Wall Prolapse Using Transvaginal Anterior Mesh With Apical Fixation: A Prospective Multicenter Study With up to 2 Years of Follow-up
  • Autor: Palma, Paulo César Rodrigues ; Monteiro, Marilene Vale de Castro ; Ledesma, Marta Alicia ; Altuna, Sebastián ; Sardi, Juan José Luis ; Riccetto, Cássio Luís Zanettini
  • Assuntos: Cystocele ; Original ; Pelvic floor ; Pelvic organ prolapse ; Surgical mesh ; Urinary incontinence ; Uterine prolapse ; 비뇨기과학
  • É parte de: International Neurourology Journal, 2018, 22(3), , pp.177-184
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: To evaluate the safety and efficacy of a surgical polypropylene mesh for correction of anterior vaginal prolapse, with or without apical defects, by providing simultaneous reinforcement at the anterior and apical aspects of the vagina with a single-incision approach. This was a prospective, multicenter, single-arm study involving women with baseline stage ≥2 anterior and/or apical vaginal wall prolapse according to the Pelvic Organ Prolapse Quantification (POP-Q) system. The primary endpoint was defined as achievement of POP-Q stage ≤1 status. Additionally, patient-reported outcomes were assessed using the International Consultation on Incontinence Questionnaire-Vaginal Symptoms (ICIQ-VS). The device under evaluation was Calistar A, which is fixed posteriorly to the sacrospinous ligaments with a novel tissue-anchoring system (TAS) and anteriorly to the obturator internus muscles. Postoperative follow-ups were scheduled at 7 days and at 6, 12, and 24 months. Ninety-seven women were treated and assessed for the primary outcome. They were followed for up to 2 years (n=43), with a median of 12 months. Objective cure was achieved in 86 of the 97 patients (88.7%) (P<0.0005). The mean reduction in the ICIQ-VS scores was in the range of 70%-90% for every time point (P<0.05). No bleeding or surgical revision was reported. Mesh exposure occurred in 7 patients (7.2%), urinary retention in 5 (5.2%), de novo dyspareunia in 3 (3.1%), and urinary tract infections in 7 (7.2%). This midterm follow-up showed that apical and anterior vaginal reinforcement with a polypropylene implant fixed with a TAS provided good anatomical correction, with no major complications.
  • Editor: Korea (South): Korean Continence Society
  • Idioma: Inglês
Links
Voltar para lista de resultados

  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

Buscando em bases de dados remotas. Favor aguardar.