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Published in: International Urogynecology Journal 7/2011

01-07-2011 | Original Article

Use of the Gynecare Prolift® system in surgery for pelvic organ prolapse: 1-year outcome

Authors: Ganesh Raj Vaiyapuri, How Chuan Han, Lih Charn Lee, Leng Aun Arthur Tseng, Heng Fok Wong

Published in: International Urogynecology Journal | Issue 7/2011

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Abstract

Introduction and hypothesis

This retrospective study reports the 1-year outcome in women who underwent mesh-augmented Prolift® surgery performed from 2006 to 2008. There were a total of 254 patients, with 128, 106 and 20 patients receiving total, anterior and posterior Prolift®, respectively.

Methods

Incidence of thigh pain was lower in 2008 compared to 2006 and 2007 (p < 0.0001). The percentage of patients requiring blood transfusions (p = 0.09), duration of IDC ≥7 days (p = 0.27), wound dehiscence and re-operation rate were lower in 2008 in contrast to 2006 and 2007 (p = 0.43). Only 209 patients (82.3%) were available for review at 1 year. There were two (1.0%) cases of recurrent vault prolapse.

Results

The subjective and objective cure rates at 1 year after this mesh implant surgery in 2006, 2007 and 2008 were 92.1% and 92.1%; 97.0% and 92.4% and 100% and 97%, respectively. The mesh erosion rate was remarkably lower in 2008 as compared to 2007 and 2006 (p < 0.001).

Conclusions

This synthetic mesh-augmented implant surgery is effective and safe, and surgical outcome appears related to the learning curve of the surgeon.
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Metadata
Title
Use of the Gynecare Prolift® system in surgery for pelvic organ prolapse: 1-year outcome
Authors
Ganesh Raj Vaiyapuri
How Chuan Han
Lih Charn Lee
Leng Aun Arthur Tseng
Heng Fok Wong
Publication date
01-07-2011
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 7/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1400-9

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