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International Urogynecology Journal

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Open Access 01-06-2010 | Original Article

Midline fascial plication under continuous digital transrectal control: which factors determine anatomic outcome?

Authors: Alfredo L. Milani, Mariella I. J. Withagen, Karlijn J. Schweitzer, Erica W. M. Janszen, Mark E. Vierhout

Published in: International Urogynecology Journal | Issue 6/2010

Abstract

Introduction and hypothesis

The aim of the study was to report anatomic and functional outcome of midline fascial plication under continuous digital transrectal control and to identify predictors of anatomic failure.

Methods

Prospective observational cohort. Anatomic success defined as POP-Q stage ≤ I of the posterior compartment. Validated questionnaires to measure bother and impact on quality of life. Logistic regression to identify risk factors for anatomic failure.

Results

Two hundred thirty-three patients with posterior pelvic organ prolapse (POP) stage ≥ II underwent midline fascial plication under continuous digital transrectal control. Median follow-up was 14 months (12–35 months), and anatomic success was 80.3% (95% CI 75–86). Independent predictors of failure were posterior compartment POP stage ≥ III [OR 8.7 (95% CI 2.7–28.1)] and prior colposuspension [OR 5.6 (95% CI 1.1–27.8)]. Sixty-three percent of patients bothered by obstructed defaecation experienced relief after surgery.

Conclusions

Anatomic and functional outcomes were good. Risk factors for anatomic failure were initial size of posterior POP (stage ≥ III) and prior colposuspension.

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Title: Midline fascial plication under continuous digital transrectal control: which factors determine anatomic outcome?
Authors: Alfredo L. Milani
Mariella I. J. Withagen
Karlijn J. Schweitzer
Erica W. M. Janszen
Mark E. Vierhout
Publication date: 01-06-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1097-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Midline fascial plication under continuous digital transrectal control: which factors determine anatomic outcome?

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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