Three-year outcome of transvaginal mesh repair for the treatment of pelvic organ prolapse

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• 作者：Cheng-Yu Long^a ; ^b ; Chun-Shuo Hsu^c ; ^{0830263@kmhk.kmu.edu.tw} ; Chin-Hu Wu^d ; Cheng-Min Liu^a ; Chiu-Lin Wang^b ; Eing-Mei Tsai^a ; ^d
• 关键词：Detrusor overactivity ; Pelvic organ prolapse ; Transvaginal mesh repair ; Urodynamic study ; Vaginal erosion
• 刊名：European Journal of Obstetrics and Gynecology and Reproductive Biology
• 出版年：2012
• 期刊代码：92_03012115
• 类别：med
• 出版时间：March, 2012
• 卷：161
• 期：1
• 页码：105-108
• 文件大小：178 K

摘要

Objective

To evaluate the clinical and urodynamic outcomes of transvaginal mesh repair (TVM) for the treatment of pelvic organ prolapse (POP).

Study design

One hundred and twenty-four women with POP stage II to IV were scheduled for a TVM procedure. Preoperative and postoperative assessments included pelvic examination, urodynamic testing, and a personal interview about urinary symptoms using a standard questionnaire.

Results

We found a significant improvement at points Aa, Ba, C, Ap, and Bp (P < 0.001) except for total vaginal length (P = 0.08), and the overall success rate was 93.5%(116/124). Various urinary symptoms improved significantly following TVM (P < 0.01). In addition, residual urine, functional urethral length, and the rate of detrusor overactivity, improved significantly after surgery (P < 0.05). Apart from vaginal erosion (14/124; 11.3%), the rates of other surgical complications were acceptably low.

Conclusion

TVM is an effective procedure for the treatment of POP and urinary symptoms, this being possibly related to postoperative release of urethral obstruction. Vaginal erosion is less likely to occur beyond the learning curve.