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International Urogynecology Journal

Published in:

01-09-2015 | Original Article

Evaluation of the single-incision Elevate system to treat pelvic organ prolapse: follow-up from 15 to 45 months

Authors: Kuan-Hui Huang, Li-Yi Huang, Li-Ching Chu, Fei-Chi Chuang, Ming-Ping Wu, Fu-Tsai Kung

Published in: International Urogynecology Journal | Issue 9/2015

Abstract

Introduction and hypothesis

The aim of this study was to assess the 2-year clinical outcomes of pelvic reconstructive surgery with the single-incision Elevate system (American Medical Systems, Minnetonka, MN, USA).

Methods

This retrospective study was conducted from November 2010 to August 2013, and included 210 patients with pelvic organ prolapse stage 3 or 4 who underwent pelvic reconstructive surgery with an Elevate system and were followed for 1 to 3 years postoperatively. Assessments included pre- and postoperative Pelvic Organ Prolapse Quantification (POP-Q) stage, Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7) and multi-channel urodynamic examinations. Anatomical success was defined as postoperative POP-Q stage 0 or I.

Results

The anatomical success rates were 95 % for the anterior vaginal wall, 99 % for the posterior vaginal wall and 94 % for the apical vaginal wall after a median 27 months of follow-up. POP-Q, UDI-6 and IIQ-7 scores, maximal flow rate and post-voiding residual urine all improved significantly after surgery. Complications included 1 case of internal bleeding, 4 cases of mesh exposure, 5 cases of recurrent prolapse that required salvage operations, and 3 cases of urine retention that required intermittent catheterization. There were no bladder or bowel injuries during surgery.

Conclusions

Pelvic reconstructive surgery with the Elevate system yielded good anatomical outcomes and symptom improvement after 2 years of follow-up.

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Title: Evaluation of the single-incision Elevate system to treat pelvic organ prolapse: follow-up from 15 to 45 months
Authors: Kuan-Hui Huang
Li-Yi Huang
Li-Ching Chu
Fei-Chi Chuang
Ming-Ping Wu
Fu-Tsai Kung
Publication date: 01-09-2015
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 9/2015
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-015-2693-x

2024 ASCO Annual Meeting

Springer Medicine

Evaluation of the single-incision Elevate system to treat pelvic organ prolapse: follow-up from 15 to 45 months

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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