Outcomes with porcine graft placement in the anterior vaginal compartment in patients who undergo high vaginal uterosacral suspension and cystocele repair

American Journal of Obstetrics and Gynecology
Thomas L WheelerR Edward Varner

Abstract

The purpose of this study was to prospectively assess the cases of patients who had undergone a high uterosacral suspension and anterior repair with anterior compartment placement of porcine dermis graft. Thirty-six patients who underwent transvaginal high uterosacral suspension and cystocele repair with graft augmentation from June 2001 to July 2004 were identified from the University of Alabama at Birmingham Genitourinary Disorders database. Analysis included the pre- and postoperative Pelvic Organ Prolapse Quantification examinations and incontinence impact questionnaire-7/urogenital distress inventory-6. Mean Pelvic Organ Prolapse Quantification Ba improved from +3.3 +/- 2.2 cm to -0.6 +/- 1.7 cm (P < .01). Postoperative Ba was prolapse stage II or greater in 50% of subjects. Mean incontinence impact questionnaire-7 scores improved from 36.2 +/- 31.9 to 15.6 +/- 26.2 (P < .01), as did mean urogenital distress inventory-6 scores from 58.2 +/- 26.8 to 23.8 +/- 22.6 (P < .01). Significant improvements in Pelvic Organ Prolapse Quantification measures, urinary symptoms, and the impact of incontinence were seen after the operation. However, a significant proportion of patients had Pelvic Organ Prolapse Quantification stage II pro...Continue Reading

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Citations

Jan 25, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Jose E RoblesJose M Berian
Feb 1, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Thomas L WheelerR Edward Varner
Jun 6, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Ayman MahdyGamal Ghoniem
Feb 18, 2009·International Urogynecology Journal and Pelvic Floor Dysfunction·Fabrice SergentLoïc Marpeau
Dec 10, 2009·International Urogynecology Journal·Lone MouritsenGunnar Lose
Oct 22, 2013·International Urogynecology Journal·Christopher Maher
Oct 22, 2013·International Urogynecology Journal·Matthew D Barber, Christopher Maher
Sep 22, 2007·Current Opinion in Obstetrics & Gynecology·Tam H LeDonald R Ostergard
May 22, 2007·Clinical Obstetrics and Gynecology·Chi Chiung Grace ChenMarie Fidela R Paraiso
Sep 1, 2007·Clinical Obstetrics and Gynecology·Kimberly A Gerten, Holly E Richter
Feb 10, 2010·Clinical Obstetrics and Gynecology·Daniel M Morgan, Kindra Larson
Oct 9, 2007·Current Opinion in Urology·Sender Herschorn
May 19, 2012·Current Opinion in Urology·J Christian Winters
Nov 1, 2012·Plastic and Reconstructive Surgery·Ladin A Yurteri-Kaplan, Robert E Gutman
Mar 20, 2012·The Journal of Urology·J Christian Winters
Jun 10, 2008·Journal of Minimally Invasive Gynecology·Jim W Ross
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Aug 31, 2010·American Journal of Surgery·Fabrice SergentClaude Bunel
Feb 2, 2010·American Journal of Obstetrics and Gynecology·Rebecca U MarguliesDaniel M Morgan
Sep 24, 2013·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Ayman MahdyGamal M Ghoniem
Nov 4, 2008·Obstetrics and Gynecology·Miles Murphy, UNKNOWN Society of Gynecologic Surgeons Systematic Review Group
Nov 4, 2008·Obstetrics and Gynecology·Vivian W SungUNKNOWN Society of Gynecologic Surgeons Systematic Review Group

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