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International Urogynecology Journal

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01-03-2015 | Original Article

Comparison between Elevate Anterior/Apical system and Perigee system in pelvic organ prolapse surgery: clinical and sonographic outcomes

Authors: Tsia-Shu Lo, Nazura bt Karim, Eileen Feliz M. Cortes, Pei-Ying Wu, Yi-Hao Lin, Yiap Loong Tan

Published in: International Urogynecology Journal | Issue 3/2015

Abstract

Objective

The aim of this study was to assess the incidence of de novo stress urinary incontinence (SUI) and sonographic features of implanted transvaginal mesh in continent women treated with Elevate^™ anterior/apical [single-incision mesh (SIM-A)] or Perigee^™ [transvaginal mesh with sacrospinous fixation (TVM + SSF)] in extensive pelvic organ reconstruction surgery.

Methods

This prospective observational study was done from May 2010 to January 2013. Patients were recruited from two tertiary centers, and the Elevate^™ and Perigee^™ systems were compared. Patients who had overt or occult SUI, previous prolapse or mesh insertion were excluded.

Result

Fifty-seven patients in the SIM-A group and sixty-one in the TVM + SSF group were analysed. All completed a minimum of 1-year follow-up. Groups were demographically and statistically similar. There was a significantly high incidence of de novo SUI postoperatively in the SIM-A group. The objective and subjective cure rate of pelvic organ prolapse (POP) were comparable between groups, with incidence of mesh erosion in the SIM-A group and three in the TVM + SSF group. Sonographic evaluation showed significant increase in mesh length in the SIM-A group.

Conclusion

Elevate^™ a offered lower incidence of mesh erosion and comparable results on anatomical POP correction; however, incidence of de novo SUI was high. There is an apparent lengthening of implanted Elevate® mesh sonographically.

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Title: Comparison between Elevate Anterior/Apical system and Perigee system in pelvic organ prolapse surgery: clinical and sonographic outcomes
Authors: Tsia-Shu Lo
Nazura bt Karim
Eileen Feliz M. Cortes
Pei-Ying Wu
Yi-Hao Lin
Yiap Loong Tan
Publication date: 01-03-2015
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 3/2015
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-014-2492-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison between Elevate Anterior/Apical system and Perigee system in pelvic organ prolapse surgery: clinical and sonographic outcomes

Abstract

Objective

Methods

Result

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Result

Conclusion

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