Perioperative outcomes of the Prolift pelvic floor repair systems following introduction to a urogynecology teaching service.

International Urogynecology Journal and Pelvic Floor Dysfunction
Marianna AlperinHalina Zyczynski

Abstract

The safety information of the vaginal mesh systems upon introduction to a teaching urogynecology service is limited to date. To determine the frequency of perioperative complications associated with the use of Prolift kits (Gynecare/Ethicon, Somerville, NJ, USA) by a teaching urogynecology service, data from the first 100 consecutive women were analyzed. The primary outcome was any deviation from a normal intraoperative or perioperative course. Complications were graded using the Dindo morbidity scale. Univariate analyses were performed to identify risk factors. Complications included bladder perforation (2%), blood transfusion (2%), mesh exposure (4%), and urinary tract infections (28%). Eleven percent of women reported postoperative pain, and 34% required catheterization at discharge for incomplete bladder emptying. Univariate analysis showed no association between morbidities and patient characteristics, attending experience, or fellow involvement. The integration of Prolift kits for prolapse repair into a urogynecology training program can be achieved with few perioperative complications.

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Citations

Sep 3, 2010·International Urogynecology Journal·Boris GabrielMichel Cosson
Dec 15, 2010·International Urogynecology Journal·Axel SauerwaldFriedrich Wolff
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Sep 14, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·I OuzaidV Delmas
Feb 9, 2011·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Colleen D McDermottDouglass S Hale
Nov 7, 2013·Obstetrics and Gynecology International·Elizabeth A FrankmanHalina M Zyczynski
Sep 22, 2009·American Journal of Obstetrics and Gynecology·Sujatha D PathiMarlene M Corton
Sep 1, 2010·Female Pelvic Medicine & Reconstructive Surgery·Jonathan P ShepherdHalina M Zyczynski
Feb 28, 2013·Female Pelvic Medicine & Reconstructive Surgery·Marianna AlperinHalina M Zyczynski

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