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Archives of Gynecology and Obstetrics

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01-04-2014 | General Gynecology

Mesh implantation for pelvic organ prolapse improves quality of life

Authors: Atilla Yesil, Dirk Watermann, Juliane Farthmann

Published in: Archives of Gynecology and Obstetrics | Issue 4/2014

Abstract

Purpose

The use of alloplastic meshes for repair of female pelvic organ prolapse (POP) has recently been discussed for its indications and safety. Mesh exposure and chronic pelvic pain are among the risks that need to be addressed to the patients. The purpose of this prospective observational study is to investigate the effect of vaginal mesh implantation on pelvic floor-related quality of life (QoL).

Methods

55 patients were included in this prospective multicenter study. A validated QoL questionnaire comprising items on prolapse symptoms and bladder, bowel and sexual function was used. QoL data were acquired before and 1 year after POP surgery. Patients underwent POP surgery with implantation of either Prolift^® or Seratom^® mesh.

Results

Quality of life scores improved significantly after surgery. Prolapse complaints were reduced from 4.43 to 0.26 (p < 0.001), and bladder and bowel complaints improved from 3.03 to 1.46 (p < 0.001) and from 1.93 to 1.60 (p < 0.01) at follow-up. Furthermore, the sexual function score improved from 2.31 to 1.12 postoperatively (p < 0.01).

Conclusion

Despite the risks discussed for vaginal mesh repair, we observed a statistically significant improvement of pelvic floor-related quality of life of POP patients.

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Title: Mesh implantation for pelvic organ prolapse improves quality of life
Authors: Atilla Yesil
Dirk Watermann
Juliane Farthmann
Publication date: 01-04-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 4/2014
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-013-3052-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mesh implantation for pelvic organ prolapse improves quality of life

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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