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International Urogynecology Journal

Published in:

01-11-2009 | Original Article

Synthetic graft use in vaginal prolapse surgery: objective and subjective outcomes

Authors: Luisa A. Wetta, Kimberly A. Gerten, Thomas L. Wheeler II, Robert L. Holley, R. Edward Varner, Holly E. Richter

Published in: International Urogynecology Journal | Issue 11/2009

Abstract

Introduction and hypothesis

This study reports 1-year outcomes in women who underwent transvaginal pelvic organ prolapse (POP) surgery with Prolift^® transvaginal mesh.

Methods

Pre- and postoperative objective vaginal Pelvic Organ Prolapse Quantification (POP-Q) and subjective symptom and impact assessments (Pelvic Floor Distress Inventory (PFDI)-20 and Pelvic Floor Impact Questionnaire (PFIQ)-7, respectively) were performed. Postoperative vaginal tenderness, stricture, and patient satisfaction were also obtained. Paired t tests were utilized for analysis.

Results

Mean age was 61.8 ± 9.8 years; mean follow-up interval was 425.0 ± 80.0 days (range, 237–717). POP-Q measurements of Ba, Bp, and C were significantly improved (all p values < 0.001). PFDI and PFIQ subscale scores significantly improved (all p values ≤ 0.004). Thirty-five of 48 (73%) were completely satisfied, and two (4%) were not satisfied. Complications (n (percent)) included graft exposure (1 (2%)), dyspareunia (2 (4%)), and granulation tissue (3 (6%)).

Conclusions

Women undergoing transvaginal repair of POP with the Prolift^® mesh system showed significant improvement in 1-year anatomic and subjective measures.

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Title: Synthetic graft use in vaginal prolapse surgery: objective and subjective outcomes
Authors: Luisa A. Wetta
Kimberly A. Gerten
Thomas L. Wheeler II
Robert L. Holley
R. Edward Varner
Holly E. Richter
Publication date: 01-11-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 11/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0953-3

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Synthetic graft use in vaginal prolapse surgery: objective and subjective outcomes

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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