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International Urogynecology Journal

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Open Access 01-05-2011 | Original Article

Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair

Authors: Richard I. Reid, Hui You, Kehui Luo

Published in: International Urogynecology Journal | Issue 5/2011

Abstract

Introduction and hypothesis

This study aims to compare native tissue abdominal and vaginal paravaginal repair, and to investigate whether surgical outcome was independent of operative route.

Methods

Retrospective comparison of 111 displacement cysto-urethrocoeles, repaired between 1997 and 2007. Treatment was by surgeon assignment, 52 women having abdominal (APVR) and 59 vaginal paravaginal repairs. Main outcome measures were same-site prolapse recurrence, time to failure and surgical complications. Initial reliability was evaluated by chi-square test, 10-year durability by Kaplan–Meier survival analysis and Cox proportional hazards model.

Results

When examined in the Cox proportional hazards model, anatomic results of APVR were more durable than a mechanically analogous transvaginal operation done [95% CI = 1.029–2.708 (p value = 0.038)]. Kaplan–Meier curves plateaued within 38 months. Symptom resolution was broadly equivalent. Surgical complication rate was 3.6%.

Conclusions

Site-specific re-suture of torn native tissue has genuine curative potential. Most of the long-term success was attributable to site-specific repair, rather than non-specific scar formation.

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Title: Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair
Authors: Richard I. Reid
Hui You
Kehui Luo
Publication date: 01-05-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 5/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1347-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Site-specific prolapse surgery. I. Reliability and durability of native tissue paravaginal repair

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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