Medium-term comparison of uterus preservation versus hysterectomy in pelvic organ prolapse treatment with Prolift?mesh

详细信息    查看全文

• 作者：Li-Yi Huang ; Li-Ching Chu ; Hsin-ju Chiang…
• 关键词：Midterm ; Mesh exposure ; Prolift ; TVM ; Uterine prolapse ; Uterus sparing
• 刊名：International Urogynecology Journal
• 出版年：2015
• 出版时间：July 2015
• 年：2015
• 卷：26
• 期：7
• 页码：1013-1020
• 全文大小：165 KB
• 参考文献：1.Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501-06PubMed View Article
  2.Denman MA, Gregory WT, Boyles SH, Smith V, Edwards SR, Clark AL (2008) Reoperation 10?years after surgically managed pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 198:555.e1-55.e5View Article
  3.Feiner B, Jelovsek J, Maher C (2009) Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review. BJOG 116:15-4PubMed View Article
  4.Falagas ME, Velakoulis S, Iavazzo C, Athanasiou S (2007) Mesh-related infections after pelvic organ prolapse repair surgery. Eur J Obstet Gynecol Reprod Biol 134:147-56PubMed View Article
  5.Margulies RU, Lewicky-Gaupp C, Fenner DE, McGuire EJ, Clemens JQ, DeLancey JO (2008) Complications requiring reoperation following vaginal mesh kit procedures for prolapse. Am J Obstet Gynecol 199:678.e1-78.e4View Article
  6.Jacquetin B, Hinoul P, Gauld J, Fatton B, Rosenthal C, Clavé H et al (2013) Total transvaginal mesh (TVM) technique for treatment of pelvic organ prolapse: a 5-year prospective follow-up study. Int Urogynecol J 24:1679-686PubMed View Article
  7.Neuman M, Lavy Y (2007) Conservation of the prolapsed uterus is a valid option: medium term results of a prospective comparative study with the posterior intravaginal slingoplasty operation. Int Urogynecol J 18:889-93View Article
  8.Long C-Y, Hsu C-S, Jang M-Y, Liu C-M, Chiang P-H, Tsai E-M (2011) Comparison of clinical outcome and urodynamic findings using “Perigee and/or Apogee-versus “Prolift anterior and/or posterior-system devices for the treatment of pelvic organ prolapse. Int Urogynecol J 22:233-39PubMed View Article
  9.McDermott CD, Terry CL, Woodman PJ, Hale DS (2011) Surgical outcomes following total Prolift: colpopexy versus hysteropexy. Aust N Z J Obstet Gynaecol 51:61-6PubMed View Article
  10.Haylen BT, De Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J et al (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21:5-6PubMed View Article
  11.Khaja A, Winlove P, Waterfield M, Oriolowo A, Adekanmi OA, Freeman RM (2014) Is anatomical failure following anterior vaginal repair associated with weak native vaginal tissues? A biomechanical and immunohistochemical study. Int Urogynecol J 25:181-87PubMed View Article
  12.Weemhoff M, Vergeldt TF, Notten K, Serroyen J, Kampschoer PH, Roumen FJ (2012) Avulsion of puborectalis muscle and other risk factors for cystocele recurrence: a 2-year follow-up study. Int Urogynecol J 23:65-1PubMed Central PubMed View Article
  13.Dwyer PL, O’Reilly BA (2004) Transvaginal repair of anterior and posterior compartment prolapse with Atrium polypropylene mesh. BJOG 111:831-36PubMed View Article
  14.Gadonneix P, Ercoli A, Salet-Lizée D, Cotelle O, Bolner B, Van Den Akker M, Villet R (2004) Laparoscopic sacrocolpopexy with two separate meshes along the anterior and posterior vaginal walls for multicompartment pelvic organ prolapse. J Am Assoc Gynecol Laparosc 11:29-5PubMed View Article
  15.Lo T-S (2010) One-year outcome of concurrent anterior and posterior transvaginal mesh surgery for treatment of advanced urogenital prolapse: case series. J Minim Invasive Gynecol 17:473-79PubMed View Article
  16.Huang KH, Chuang FC, Fu HC, Kung FT (2012) Polypropylene mesh as an alternative option for uterine preservation in pelvic reconstruction in patients with uterine prolapse. J Obstet Gynaecol Res 38:97-01PubMed View Article
  17.Gutman R, Maher C (2013) Uterine-preserving POP surgery. Int Urogynecol J 24:1803-813PubMed View Article
  18.Huang W-C, Lin T-Y, Lau H-H, Chen S-S, Hsieh C-H, Su T-H (2011) Outcome of transvaginal pelvic reconstructive surgery with Prolift after a median of 2?years-follow-up. Int Urogynecol J 22:197-03PubMed View Article
  19.Simon M, Debodinance P (2011) Vaginal prolapse repair using the Prolift kit: a registry of 100 successive cases. Eur J Obstet Gynecol Reprod Biol 158:104-09PubMed View Article
  20.de Landsheere L, Ismail S, Lucot J-P, Deken V, Foidart J-M, Cosson M (2012) Surgical intervention after transvaginal Prolift mesh repair: retrospective single-center study including 524 patients with 3?years-median follow-up. Am J Obstet Gynecol 206:83.e1-3.e7View Article
  21.Hong M-K, Chu T-Y, Wei Y-C, Ding D-C (2013) High success rate and considerable adverse events of pelvic prolapse surgery with Prolift: A single center experience. Taiwan J Obstet Gynecol 52:389-94PubMed View Article
  22.Wu M-P, Long C-Y, Huang K-H, Chu C-C, Liang C-C, Tang C-H (2012) Changing trends of surgical approaches for uterine prolapse: an 11-year population-based nationwide descriptive study. Int Urogynecol J 23:865-72PubMed Vie
• 作者单位：Li-Yi Huang (1)
  Li-Ching Chu (2)
  Hsin-ju Chiang (1)
  Fei-Chi Chuang (1)
  Fu-Tsai Kung (1)
  Kuan-Hui Huang (1)
  
  1. Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao-Sung Dist., Kaohsiung, Taiwan, 83301
  2. Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chiayi, Taiwan
  
• 刊物主题：Gynecology; Urology/Andrology;
• 出版者：Springer London
• ISSN：1433-3023

文摘

Introduction and hypothesis We conducted a medium-term assessment of clinical outcomes and complications after surgical repair of pelvic organ prolapse (POP) using Prolift?mesh, and sought to determine whether concomitant hysterectomy clinically influenced the outcome of pelvic reconstruction in patients without a prior history of urogenital surgery. Methods Patients diagnosed with POP-Q stage 3/4 uterine prolapse at a tertiary referral urogynecology unit in South Taiwan who had undergone POP repair with Prolift mesh from May 2007 to July 2010 were identified by chart review. Concomitant hysterectomy was performed in 24 patients (hysterectomy group), and uterus-sparing surgery in 78 (uterus-sparing group) Preoperative and postoperative subjective assessments of urinary and prolapse symptoms, objective POP-Q score, urodynamic examination, and postoperative adverse events were compared between the groups. Results The mean follow-up periods were 25.7?months (range 6.2?–?3.1?months) and 31.7?months (range 6.0?–?8.4?months) in the concomitant hysterectomy and uterus-sparing groups, respectively. There were no between-group differences in functional and anatomic outcomes after surgery. No statistically significant differences were found in postoperative adverse events between the groups. Conclusions Pelvic reconstruction using Prolift with concomitant hysterectomy and uterus-sparing surgery have similar anatomic and functional results at 2.5?years. Therefore, we consider uterus-sparing surgery to be an alternative to hysterectomy in uterine prolapse repair.