Efficacy and safety of skeletonized mesh implants for advanced pelvic organ prolapse: 12-month follow-up

World Journal of Urology
A Y WeintraubNaama Marcus-Braun

Abstract

To evaluate the efficacy and safety of skeletonized mesh implants for advanced pelvic organ prolapse (POP). Women with advances POP underwent repair of stage III or greater anterior or posterior and apical compartment prolapse using skeletonized mesh implants (Seratom PA MR MN(®) system-SERAG-WIESSNER, Naila, Germany). Anatomical outcomes were assessed using pelvic organ prolapse quantification staging and functional outcomes were self-reported by the patients at 6 weeks, 6 and 12 months. Anatomical and functional cure rates, post-operative pain and dyspareunia as well as intra and post-operative complications were reported. Success was defined as a composite of no bulge symptoms and no prolapse beyond the hymenal ring. At 12 months, data were available for 103 of the 105 patients originally recruited. Intra-operative complications included 2 (2 %) cases of cystotomy that were corrected vaginally. The immediate post-operative complications included 1 patient (1 %) with UTI, 4 (3.9 %) cases of self-resolved hematomas, and 6 (5.8 %) cases of bladder outlet obstruction. At 12 months, a high success rate and low complication rate was noted. Recurrence of prolapse was reported by 7 (6.6 %) patients. However, only 4 (3.8 %) underwent...Continue Reading

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Citations

May 27, 2016·World Journal of Urology·Antonio Simone LaganàSalvatore Giovanni Vitale
Jun 24, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Carolyn BotrosPeter Sand
Dec 7, 2019·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Elad LeronJacob Bornstein
Jun 26, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Omri LevorJacob Bornstein

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