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Wan Song, Tae Heon Kim, Jin Woo Chung, Won Jin Cho, Ha Na Lee, Young Suk Lee, Kyu-Sung Lee
OBJECTIVES: To evaluate anatomical and functional outcomes of the Prolift Transvaginal Mesh for treatment of pelvic organ prolapse (POP) with regard to safety and satisfaction. METHODS: We reviewed the medical records of 163 patients who underwent POP repair with Prolift Transvaginal Mesh between December 2005 and March 2012. An "optimal" anatomic outcome was defined as Pelvic Organ Prolapse Quantification System (POP-Q) stage 0, and a "satisfactory" anatomic outcome was defined as POP-Q stage 1...
September 2016: Lower Urinary Tract Symptoms
B H Li, H J Huang, Y F Song
OBJECTIVE: To evaluate the effect and safety of a modified Prolift procedure, without preceding partial trachelectomy or hysterectomy for pelvic organ prolapse (POP) with coexistent cervical elongation. METHODS: Clinical data of 72 patients that underwent a modified Prolift procedure for POP with coexistent cervical elongation, between December 2008 and June 2012 in Fuzhou General Hospital of Nanjing Military Command was retrospectively analysed. A comparison was carried out between preoperative and postoperative parameters of pelvic organ prolapse quantitation system (POP-Q), and an objective evaluation was made according to the overall cure rate and recurrence rate...
March 2016: Zhonghua Fu Chan Ke za Zhi
Pei-Ying Wu, Chih-Hung Chang, Meng-Ru Shen, Cheng-Yang Chou, Yi-Ching Yang, Yu-Fang Huang
INTRODUCTION AND HYPOTHESIS: The purpose of this study was to explore new preventable risk factors for mesh exposure. METHODS: A retrospective review of 92 consecutive patients treated with transvaginal mesh (TVM) in the urogynecological unit of our university hospital. An analysis of perioperative predictors was conducted in patients after vaginal repairs using a type 1 mesh. Mesh complications were recorded according to International Urogynecological Association (IUGA) definitions...
October 2016: International Urogynecology Journal
Isuzu Meyer, Gerald McGwin, Thomas A Swain, Mitchell D Alvarez, David R Ellington, Holly E Richter
OBJECTIVE: To report long-term objectives and subjective outcomes in women who underwent prolapse surgery with a synthetic graft augmentation. DESIGN: Retrospective analysis (Canadian Task Force classification II-3). SETTING: University hospital in the southeastern United States. PATIENTS: Women with symptomatic pelvic organ prolapse who underwent transvaginal graft augmentation using the Prolift mesh system between July 2006 and December 2008 for a minimum 5-year follow-up...
May 2016: Journal of Minimally Invasive Gynecology
Pia Heinonen, Riikka Aaltonen, Kirsi Joronen, Seija Ala-Nissilä
INTRODUCTION AND HYPOTHESIS: The aim of this study was to report long-term subjective and objective outcomes after the transvaginal mesh (TVM) procedure in long-term. Possible late-onset complications were of particular interest. METHODS: This was a retrospective analysis of TVM performed using Prolift™ transvaginal mesh measuring subjective outcome using validated questionnaires. Objective outcome was assessed using the Pelvic Organ Prolapse Quantification (POP-Q) system using two definitions: POP-Q stage ≤ 1, and vaginal wall prolapse at or above the hymen or vaginal apex not descending below the upper third of the vagina...
July 2016: International Urogynecology Journal
Jana D Illston, Jeffrey B Garris, Holly E Richter, Thomas L Wheeler
OBJECTIVES: To characterize pain and exposure after Prolift placement and identify risk factors. METHODS: A case series of women who underwent Prolift vaginal mesh were surveyed. Pain was assessed using a visual analog scale. Exposure was evaluated clinically. RESULTS: Of 183 eligible patients, 160 completed the survey, and 45 returned for examination. Mean preoperative pain score was 0.97 and postoperative was 1.35 (P = 0.12). Pre- and postoperative pain scores by compartment were: anterior (1...
December 2015: Southern Medical Journal
Tsia-Shu Lo, Enie Akhtar Nawawi, Pei-Ying Wu, Nazura bt Karim, Ahlam Al-Kharabsheh
INTRODUCTION AND HYPOTHESIS: The objective of this study was to identify the predictors for persistent urodynamic stress incontinence (P-USI) in women following extensive pelvic reconstructive surgery (PRS) with and without midurethral sling (MUS). MMETHODS: A total of 1,017 women who underwent pelvic organ prolapse (POP) surgery from January 2005 to December 2013 in our institutions were analyzed. We included 349 USI women who had extensive PRS for POP stage III or more of whom 209 underwent concomitant MUS...
March 2016: International Urogynecology Journal
Cheng Liu, Wenying Wu, Qing Yang, Ming Hu, Yang Zhao, Li Hong
OBJECTIVE: To investigate the correlation between pelvic organ prolapse quantitation (POP-Q) indication points and the incidence of occult stress urinary incontinence (OSUI) and its impact on prognosis. METHODS: Retrospective study medical records of 93 patients with pelvic organ prolapse (POP) staged at III-IV, of which underwent pelvic reconstruction operations with Prolift system from Jan. 2007 to Sept. 2012. None of these patients had clinical manifestations of stress urinary incontinence (SUI) before surgery, and in which 44 patients were included in study group (POP complicated with OSUI) because they were identified with OSUI, another 49 patients as control group (simple POP)...
June 2015: Zhonghua Fu Chan Ke za Zhi
Artur Rogowski, Przemyslaw Bienkowski, Dariusz Tarwacki, Monika Szafarowska, Jerzy Samochowiec, Halina Sienkiewicz-Jarosz, Malgorzata Jerzak, Wlodzimierz Baranowski
INTRODUCTION AND HYPOTHESIS: There are few direct comparisons between the first-generation trocar-guided and the second-generation single-incision mesh systems in the treatment of anterior pelvic organ prolapse (POP). Hence, the purpose of this retrospective review was to compare 18-month operative success in female patients who had undergone POP surgery with the anterior Prolift (n = 52) or the anterior Elevate mesh (n = 62). METHODS: Subjective (bulge symptoms) and objective measures (absence of anterior or apical descent beyond the hymen, POP-Q anterior stage 0 or I, no retreatment for POP) were used as the measures of surgical efficacy...
December 2015: International Urogynecology Journal
Jamie M Bartley, Larry T Sirls, Kim A Killinger, Judith A Boura
OBJECTIVES: To explore the need for secondary surgical procedures after transvaginal prolapse repair with mesh. METHODS: Women that had prolapse repair (Prolift(®) or Elevate(®)) were reviewed for reoperation and clinical/demographic data such as prior prolapse repair, prolapse grade, operative details, length of stay (LOS) and time to reoperation. Pearson's Chi-square, Fisher's exact tests and Wilcoxon rank tests were used. RESULTS: 77/335 women (23%) had 100 additional procedures...
April 2015: International Urology and Nephrology
Lei Zhang, Lan Zhu, Tao Xu, Shuo Liang, Jinghe Lang
OBJECTIVE: We aimed to evaluate the incidence and predisposing factors of postoperative voiding difficulty and mesh-related complications. METHODS: In this prospective cohort study, 206 consecutive women with advanced pelvic organ prolapse underwent surgical repair with the Prolift mesh kit at Peking Union Medical College Hospital, with a mean follow-up of 4.2 years. Postoperative voiding difficulty was defined as postvoid bladder volume of 100 mL or more (or more than one third of voided volume)...
August 2015: Menopause: the Journal of the North American Menopause Society
Li-Yi Huang, Li-Ching Chu, Hsin-Ju Chiang, Fei-Chi Chuang, Fu-Tsai Kung, Kuan-Hui Huang
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...
July 2015: International Urogynecology Journal
Konrad Futyma, Paweł Miotła, Aleksandra Bartuzi, Izabela Winkler, Ernest Lis, Beata Kulik-Rechberger, Tomasz Rechberger
OBJECTIVES: Approximately 20% of women suffer from pelvic organ prolapse (POP) and stress urinary incontinence (SUI). Furthermore, POP and overactive bladder (OAB) symptoms often coexist. Midurethral slings and mesh surgeries are both considered to be risk factors for de novo OAB symptoms. The aim of our study was to determine whether simultaneous midurethral sling insertion at the time of pelvic organ prolapse mesh surgery further increases the risk of de novo OAB. MATERIALS AND METHODS: The study group consisted of 234 women who underwent surgery in our department between August 2007 and October 2009 (114 patients underwent surgery because of coexisting POP and SUI, and 120 underwent surgery because POP alone)...
September 2014: Ginekologia Polska
Sébastien Kozal, Thomas Ripert, Younes Bayoud, Johan Menard, Ioannis Nicolacopoulos, Laurence Bednarzyck, Frederic Staerman, Stéphane Larré
INTRODUCTION: We assess midterm morbidity and functional outcomes using the Prolift (Gynecare/Ethicon, Somerville, NJ) system and identify potential related risk factors. The Prolift mesh system to treat genital prolapse was introduced in 2005. It was withdrawn from the market in early 2013 after rising doubts about safety. METHODS: Over a 7-year period, we retrospectively analyzed a cohort of 112 consecutive patients who underwent the Prolift procedure since 2006...
September 2014: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
George Kasyan, Karina Abramyan, Alexander A Popov, Mikhail Gvozdev, Dmitry Pushkar
INTRODUCTION: To evaluate the rates of complications of pelvic organ prolapse repair and to determine their risk factors. MATERIAL AND METHODS: The study included 677 patients operated for pelvic organ prolapse with trocar guided Prolift mesh. Patients were followed up within 1 and 3 months. A phone interview was conducted and patients with complaints were invited and evaluated in office settings. RESULTS: Mean age was 60 years. For the phone interview, 86...
2014: Central European Journal of Urology
Fuat Demirci, Oya Demirci, Zehra Nihal Dolgun, Birgül Karakoç, Elif Demirci, Aslı Somunkıran, Cem Iyibozkurt, Erhan Karaalp
BACKGROUND: Pelvic organ prolapse is an important problem for women. To overcome this issue, different operational technics are in use, such as abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure. AIMS: This study assessed perioperative complications in abdominal sacrocolpopexy, sacrospinous fixation, and the total Prolift procedure. STUDY DESIGN: Retrospective comparative study. METHODS: Perioperative complications were defined as any complication occurring during surgery or the first 6 weeks postoperatively...
June 2014: Balkan Medical Journal
Simone Dos Reis Brandão da Silveira, Jorge Milhem Haddad, Zsuzsanna Ilona Katalin de Jármy-Di Bella, Fernanda Nastri, Miriam Goncalves Markos Kawabata, Silvia da Silva Carramão, Claudinei Alves Rodrigues, Edmund Chada Baracat, Antonio Pedro Flores Auge
INTRODUCTION AND HYPOTHESIS: This trial aimed to compare the outcomes of native vaginal tissue repair versus polypropylene mesh repair for the treatment of severe genital prolapse. METHODS: This multicenter randomized trial included 184 women, with POP-Q stage 3 or 4. They were randomly assigned to undergo surgical treatment using native tissue repair (n = 90) or synthetic mesh repair (n = 94). Native tissue repair surgery was performed according to site-specific defects, including sacrospinous ligament fixation for apical defects...
March 2015: International Urogynecology Journal
Zainab A Khan, Lee Thomas, Simon J Emery
PURPOSE: To evaluate the anatomical, functional and post-operative outcomes of polypropylene mesh (Prolift™) in the surgical management of pelvic organ prolapse (POP). METHODS: A single-centre observational study of 106 successive patients, who underwent Prolift™ mesh repair (POP ≥ 2) with a median follow-up of 4 years, was performed. Outcomes of interest measured included patient demographics, intra and post-operative complications, concomitant procedures for POP or urinary incontinence...
December 2014: Archives of Gynecology and Obstetrics
Wenyan Wang, Lan Zhu, Bing Wei, Jinghe Lang
BACKGROUND: During the past decade, graft materials have been widespread used in the vagina in order to correct pelvic organ prolapse. The aim of this study was to describe and compare the exact anatomical position of the puncture devices and their relations to the relevant anatomical structures in the Prolift(TM) and a modified pelvic reconstructive surgery with mesh. METHODS: Twelve fresh cadavers were allocated randomly to either the Prolift(TM) or the modified pelvic reconstructive surgery group...
2014: Chinese Medical Journal
P Chaloupka, M Smažinka, M Havíř
OBJECTIVE: To describe a case of a severe postoperative bleeding after Total Prolift procedure for vaginal vault prolapse. DESIGN: Case study. SETTINGS: Department of Obstetrics and Gynecology, Medical Faculty in Pilsen, Charles University in Prague. CASE: A 55-year-old woman underwent a surgery with a Prolift procedure for vaginal prolapse after hysterectomy. The surgery was carried out without any complications. In the first 24 hours after Prolift surgery we diagnosed massive bleeding and hypovolemic shock...
January 2014: Ceská Gynekologie
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