Anterior-apical single-incision mesh surgery (uphold): 1-year outcomes on lower urinary tract symptoms, anatomy and ultrasonography

International Urogynecology Journal
Tsia-Shu LoMa Clarissa Uy-Patrimonio

Abstract

Our primary objective is to determine the presence of SUI at 6-12 months after surgery. The secondary objective is to determine the objective and subjective outcomes of POP. A retrospective study conducted between February 2015 and July 2016 at Chang Gung Memorial Hospital. The subjects had had symptomatic anterior or apical prolapse with stage III or IV and undergone pelvic reconstructive surgery using Uphold™ LITE. Patients completed a 3-day voiding diary, urodynamic study, real-time ultrasonography and validated quality-of-life questionnaires at baseline and 12-month follow-up. Primary outcome was the absence of USI. Secondary outcomes included the objective cure rate of POP, ≤ stage 1 at the anterior/apical vaginal wall, and the subjective cure rate, negative feedback to POPDI-6. Ninety-five women were eligible. Six were excluded because of incomplete data. The postoperative de novo USI and SUI were 22.7 and 19.7%, respectively. There was significant improvement of USI in patients who had MUS insertion (93.8%) and bladder outlet obstruction (96.7%). The objective and subjective cure rate for prolapse was 95.5 and 94.3%, respectively. POP-Q measurements pre- and postoperatively were significantly improved at all points excep...Continue Reading

References

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Dec 16, 2017·Taiwanese Journal of Obstetrics & Gynecology·Tsia-Shu LoMa Clarissa Uy-Patrimonio

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Citations

Sep 19, 2019·International Urogynecology Journal·Moshe GillorHans Peter Dietz
Jun 14, 2020·International Urogynecology Journal·Mathilde BideauRenaud de Tayrac
Aug 18, 2020·International Urogynecology Journal·Lucie AllègreBrigitte Fatton
Mar 9, 2021·Taiwanese Journal of Obstetrics & Gynecology·Mou-Jong SunTsung-Hsien Su
Jun 30, 2021·International Urogynecology Journal·Georgios PoutakidisEdward Morcos
Aug 22, 2021·Obstetrics and Gynecology Clinics of North America·Visha TailorSteven Edward Swift

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