1. Evaluation of a transvaginal mesh delivery system for the correction of pelvic organ prolapse: subjective and objective findings at least 1 year after surgery.
- Author
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Culligan PJ, Littman PM, Salamon CG, Priestley JL, and Shariati A
- Subjects
- Aged, Chi-Square Distribution, Female, Follow-Up Studies, Gynecologic Surgical Procedures instrumentation, Gynecologic Surgical Procedures methods, Humans, Middle Aged, Patient Satisfaction, Quality of Life, Retrospective Studies, Suburethral Slings, Surveys and Questionnaires, Treatment Outcome, Gynecologic Surgical Procedures adverse effects, Pelvic Organ Prolapse surgery, Surgical Mesh
- Abstract
Objective: We sought to track objective and subjective outcomes ≥1 year after transvaginal mesh system to correct prolapse., Study Design: This was a retrospective cohort study of 120 women who received a transvaginal mesh procedure (Avaulta Solo, CR Bard Inc, Covington, GA). Outcomes were pelvic organ prolapse quantification values; Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores; and a surgical satisfaction survey. "Surgical failure" was defined as pelvic organ prolapse quantification point >0, and/or any reports of vaginal bulge., Results: Of 120 patients, 116 (97%) were followed up for a mean of 14.4 months (range, 12-30). In all, 74 patients had only anterior mesh, 21 only posterior mesh, and 21 both meshes. Surgical cure rate was 81%. Surgical failure was more common if preoperative point C ≥+2 (35% vs 16%; P = .04). Mesh erosion and de novo pain occurred in 11.7% and 3.3%, respectively. Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores improved (P < .01)., Conclusion: Objective and subjective improvements occurred at ≥1 year, yet failure rates were high when preoperative point C was ≥+2., (Copyright © 2010 Mosby, Inc. All rights reserved.)
- Published
- 2010
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