keyword
https://read.qxmd.com/read/38466345/anterior-apical-transvaginal-mesh-calistar-s-for-treatment-of-advanced-urogenital-prolapse-surgical-and-functional-outcomes-at-1-year
#1
JOURNAL ARTICLE
Tsia-Shu Lo, Eyal Rom, Fazlin Harun, Lan-Sin Jhang, Wu-Chiao Hsieh, Yi-Hao Lin
INTRODUCTION AND HYPOTHESIS: Calistar-S is a single-incision synthetic mesh kit that addresses apical and anterior compartment prolapse. The aims of this study were to evaluate the short-term objective and subjective outcomes at the 1-year follow-up. The secondary objectives were to evaluate quality of life and lower urinary tract symptoms (LUTS) outcomes, as well as surgical complications. METHODS: Records of 108 patients with symptomatic advanced pelvic organ prolapse (stages III and IV) who underwent prolapse surgery using the Calistar-S system from June 2018 to August 2022 were reviewed...
March 11, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38418758/efficacy-and-safety-of-transvaginal-mesh-repair-in-a-cohort-with-a-minimum-of-10-year-follow-up
#2
JOURNAL ARTICLE
Zhibo Zhang, Jianbin Guo, Weijie Tian, Ye Zhang, Yuelun Zhang, Tianshu Sun, Jiali Duan, Xinmiao Bao, Yuan Wang, Yang Ye, Qianqian Gao, Honghui Shi, Abraham Nick Morse, Juan Chen, Lan Zhu
Although transvaginal mesh (TVM) repair is no longer used in some countries, long-term outcomes after TVM surgery are of great importance globally. However, reports with follow-up >10 years are limited. Thus, this study aimed to report outcomes in a prospective cohort with at least 10 years of follow-up. Women with stage III-IV symptomatic prolapse were approached consecutively from 2008 to 2013 at one tertiary hospital. The main outcome measure was symptomatic failure. Secondary outcomes included anatomic failure, recurrence, patient satisfaction, complications, and reoperation...
February 26, 2024: Science China. Life Sciences
https://read.qxmd.com/read/38389232/-lower-urinary-tract-injury-in-transvaginal-reconstructive-pelvic-surgery
#3
JOURNAL ARTICLE
W J Shen, Y X Lu, K Niu, Y H Zhang, W Y Wang, Y Zhao, J Ge, X L Zhang
Objective: To explore the characteristics, prevention and treatment strategies of lower urinary tract injury in transvaginal reconstructive pelvic surgery (vRPS). Methods: A retrospective analysis was conducted on 24 patients who suffered lower urinary tract injuries occuring in vRPS from January 2005 to June 2021, among which 4 cases were referred to our hospital from other hospitals. Results: (1) In our hospital, 1 952 patients underwent vRPS for anterior and (or) middle pelvic organ prolapse during that study period, with a 1...
February 25, 2024: Zhonghua Fu Chan Ke za Zhi
https://read.qxmd.com/read/38367711/transvaginal-polytetrafluoroethylene-mesh-surgery-for-pelvic-organ-prolapse-one-year-safety-and-efficacy-results
#4
JOURNAL ARTICLE
Tetsuji Soda, Hiroshi Kiuchi, Yohei Koida, Takahiro Imanaka, Takeshi Oida, Yasuhiro Matsuoka, Kenichiro Sekii
OBJECTIVES: To evaluate the efficacy and safety of the polytetrafluoroethylene (PTFE) mesh by comparing conventionally used polypropylene (PP) mesh in tension-free vaginal mesh (TVM) surgery for pelvic organ prolapse (POP). METHODS: We conducted an observational cohort study of patients who underwent TVM using a PTFE or PP mesh. PTFE was used from June 2019 to May 2021, and PP mesh from January 2018 to May 2019. Outcomes included POP recurrence, perioperative complications, and patient satisfaction...
February 15, 2024: Urology
https://read.qxmd.com/read/38319600/analysis-of-british-columbia-practice-patterns-in-the-management-of-female-stress-urinary-incontinence-with-emphasis-on-mesh-use
#5
JOURNAL ARTICLE
Lauren Eggenberger, Lauren Walgren, Sara Houlihan, Alexandra Bascom, Katherine Anderson, Kathleen A Martin Ginis, Jennifer A Locke
INTRODUCTION: Female stress urinary incontinence (SUI) is common and has a profound impact on quality of life. Suburethral slings are the most common treatment for SUI in this population. These can be placed with synthetic mesh or autologous fascia. Mesh-related complications after midurethral sling procedures are documented in the literature but the risk of complications and reoperation is lower than the use of transvaginal mesh for pelvic organ prolapse repair. In this study, we sought to evaluate local practice patterns of management of female SUI with specific emphasis on mesh use...
January 30, 2024: Canadian Urological Association Journal
https://read.qxmd.com/read/38269852/clinician-perspectives-on-hysterectomy-versus-uterine-preservation-in-pelvic-organ-prolapse-surgery-a-systematic-review-and-meta-analysis
#6
REVIEW
Irene Porcari, Pier Carlo Zorzato, Mariachiara Bosco, Simone Garzon, Francesca Magni, Stefano Salvatore, Massimo P Franchi, Stefano Uccella
BACKGROUND: Previous reviews on hysterectomy versus uterine-sparing surgery in pelvic organ prolapse (POP) repair did not consider that the open abdominal approach or transvaginal mesh use have been largely abandoned. OBJECTIVES: To provide up-to-date evidence by examining only studies investigating techniques currently in use for POP repair. SEARCH STRATEGY: MEDLINE and Embase databases were searched from inception to January 2023. SELECTION CRITERIA: We included randomized and non-randomized studies comparing surgical procedures for POP with or without concomitant hysterectomy...
January 25, 2024: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/38229131/transvaginal-extraperitoneal-single-port-laparoscopic-sacrocolpopexy-for-apical-prolapse-after-total-subtotal-hysterectomy-chinese-surgeons-initial-experience
#7
JOURNAL ARTICLE
Zhiying Lu, Yisong Chen, Chengzhen Xiao, Keqin Hua, Changdong Hu
BACKGROUND: To introduce a novel technique of transvaginal extraperitoneal single-port laparoscopic sacrocolpopexy (ESLS) for apical prolapse and to evaluate the feasibility and short-term outcomes of this technique. METHODS: Sixteen patients were enrolled to undergo ESLS between January 2020 and May 2021. Perioperative outcomes were included. Short-term results were assessed by Pelvic Floor Distress Inventory-20 (PFDI-20), Pelvic Organ Prolapse Quantification (POP-Q) scores, mesh exposure and prolapse recurrence...
January 16, 2024: BMC Surgery
https://read.qxmd.com/read/38216272/the-changes-in-bladder-function-and-symptoms-after-robot-assisted-sacrocolpopexy-and-transvaginal-mesh-surgery-for-pelvic-organ-prolapse
#8
JOURNAL ARTICLE
Chia-Hua Chang, Tsung-Hsien Su, Hui-Hsuan Lau
OBJECTIVE: This study is aimed to compare the impact on bladder function and symptoms between robotic sacrocolpopexy (RSC) and transvaginal mesh surgery (TVM) in women with pelvic organ prolapse. MATERIALS AND METHODS: This prospective controlled study enrolled patients who received RSC or TVM at our hospital between March 2020 and June 2022. We compared preoperative and postoperative bladder function between two groups by using a questionnaire of lower urinary tract symptom (LUTs) for subjective assessment and urodynamic study for objective assessment...
January 2024: Taiwanese Journal of Obstetrics & Gynecology
https://read.qxmd.com/read/38211759/robotic-assisted-laparoscopic-removal-of-mid-urethral-mesh-slings-eroded-into-the-bladder
#9
Shreeya Popat, Gjanje Smith-Mathus, Alvaro Lucioni, Una J Lee
INTRODUCTION AND OBJECTIVES: Depending on the indication, there are multiple surgical approaches for the removal of mid-urethral mesh slings (MUS): transvaginal, endoscopic, open abdominal, and robotic. Here, we demonstrate the robotic approach to treat MUS that have eroded into the bladder. The robotic approach offers excellent exposure, visualization, and accessibility. Compared to endoscopic approaches, the entire arm of the sling can be removed from the bladder wall, the bladder repaired, and the foreign body completely eliminated...
January 9, 2024: Urology
https://read.qxmd.com/read/38083162/advanced-flexible-transvaginal-mesh-with-high-visibility-under-computerized-tomography-ct-scan
#10
JOURNAL ARTICLE
Shadi Houshyar, Tanushree Saha, Hong Yin, Rumbidzai Zizhou, Chaitali Dekiwadia, Elena Pirogova, Elisa L Hill-Yardin, Justin Mc Yeung, Kate Fox, Ivan Cole
Pelvic floor disorders, including pelvic organ prolapse (POP) and stress urinary incontinence (SUI), are serious and very common. Surgery is commonly undertaken to restore the strength of the vaginal wall using transvaginal surgical mesh (TVM). However, up to 15% of TVM implants result in long-term complications, including pain, recurrent symptoms, and infection.Clinical Relevance- In this study, a new bioengineered TVM has been developed to address these issues. The TVM is visible using noninvasive imaging techniques such as computed tomography (CT); it has a highly similar structural profile to human tissue and potential to reduce pain and inflammation...
July 2023: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://read.qxmd.com/read/37996329/polypropylene-anterior-apical-single-incision-uphold-lite-mesh-surgery-in-women-with-severe-pelvic-organ-prolapse-outcome-at-53-months-follow-up
#11
JOURNAL ARTICLE
Tsia-Shu Lo, Fazlin Harun, Sandy Chua, Yu-Hua Shen, Yiap Loong Tan, Wu-Chiao Hsieh
BACKGROUND AND PURPOSE: We present this current study to complement with mesh inlays plausible benefits (UPHOLD-LITE System) on available long-term study amidst FDA's concern on mesh complications. This study aims to assess the medium-term outcomes of UPHOLD-LITE system for treatment of advanced pelvic organ prolapse (POP) and its complications, and lower urinary tract symptoms. METHODS: This is a retrospective case series of 53 months follow-up of 123 consecutive patients who underwent UPHOLD-LITE system...
November 22, 2023: Journal of the Formosan Medical Association
https://read.qxmd.com/read/37980818/immunobiology-of-foreign-body-response-to-composite-placl-gelatin-electrospun-nanofiber-meshes-with-mesenchymal-stem-stromal-cells-in-a-mouse-model-implications-in-pelvic-floor-tissue-engineering-and-regeneration
#12
JOURNAL ARTICLE
Saeedeh Darzi, Janet Alappadan, Kallyanashis Paul, Permita Mazdumder, Anna Rosamilia, Yen Bach Truong, Caroline Gargett, Jerome Werkmeister, Shayanti Mukherjee
Pelvic Organ Prolapse (POP) is a common gynaecological disorder where pelvic organs protrude into the vagina. While transvaginal mesh surgery using non-degradable polymers was a commonly accepted treatment for POP, it has been associated with high rates of adverse events such as mesh erosion, exposure and inflammation due to serious foreign body response and therefore banned from clinical use after regulatory mandates. This study proposes a tissue engineering strategy using uterine endometrium-derived mesenchymal stem/stromal cells (eMSC) delivered with degradable poly L-lactic acid-co-poly ε-caprolactone (PLACL) and gelatin (G) in form of a composite electrospun nanofibrous mesh (P + G nanomesh) and evaluates the immunomodulatory mechanism at the material interfaces...
October 23, 2023: Biomater Adv
https://read.qxmd.com/read/37934879/use-of-autologous-fascia-in-midurethral-sling-surgeries-comparison-of-transobtrator-and-retropubic-ways
#13
JOURNAL ARTICLE
Harun Ozdemir, Yunus Çolakoglu, Kemal Topaloğlu, Emin Taha Keskin, Metin Savun, Ali Ayten, Alkan Çubuk, Abdulmuttalip Şimşek
OBJECTIVES: To compare autologous transobturator-tape (A-TOT) and autologous transvaginal tape (A-TVT) surgeries in terms of effectivity and complications. MATERIAL AND METHODS: Preoperative data, duration of the operation, complications and postoperative visual analogue scores were noted. Patients were assessed 12 months after surgery. An objective cure was defined as a negative CST and no need for reoperation due to SUI. Subjective cure was defined as a PGI-I score ≤ 2...
2023: Ginekologia Polska
https://read.qxmd.com/read/37898047/a-comparison-between-the-vaginal-patch-plastron-associated-with-the-anterior-sacrospinous-fixation-and-the-uphold%C3%A2-lite-vaginal-support-system-for-the-treatment-of-advanced-anterior-vaginal-wall-prolapse
#14
JOURNAL ARTICLE
Alessandro Ferdinando Ruffolo, Celine Giordano, Benjamin Lambert, Stefano Salvatore, Marine Lallemant, Michel Cosson
OBJECTIVE: The aim of the present study was to compare efficacy and safety of the vaginal patch plastron (VPP) associated to the anterior sacrospinous fixation (SSLF-A) with a TVM procedure (Uphold™ LITE support-system) for the treatment of the advanced anterior vaginal wall prolapse. STUDY DESIGN: Single-center retrospective study. Women with symptomatic anterior prolapse ≥ III stage according to the POP-quantification (POP-Q) system and submitted to the VPP associated with the SSLF-A or to the Uphold™ procedure were included...
October 21, 2023: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/37816497/unilateral-levator-avulsion-increases-the-risk-of-de-novo-stress-urinary-incontinence-after-cystocele-repair
#15
JOURNAL ARTICLE
Pan Hu, Lubin Liu, Ling Dai, Ying Wang, Li Lei
INTRODUCTION: Patients without concurrent baseline stress urinary incontinence (SUI) can develop de novo SUI after transvaginal mesh surgery (TVM) for cystocele repair. Surgeons should be aware of de novo SUI risk factors after TVM. METHODS: A total of 1124 women who were underwent TVM surgeries were recruited and assessed for eligibility from January 1, 2012 to April 30, 2021. All data related to patients and surgeries was collected, which included general conditions, clinical examination, surgery records, and follow-up results...
October 10, 2023: Journal of Obstetrics and Gynaecology Research
https://read.qxmd.com/read/37809779/comparative-analysis-of-transvaginal-natural-orifice-transluminal-endoscopic-surgery-versus-laparoendoscopic-single-site-sacrocolpopexy-for-pelvic-organ-prolapse-a-propensity-score-matching-study
#16
JOURNAL ARTICLE
Yan Chen, Youjun Zhou, Liping Tan, Shihui Chen, Chunhua Wu, Yanling Liang, Nannan Sun, Juan Liu
PURPOSE: To compare the safety, feasibility, and effectiveness of transvaginal natural orifice transluminal endoscopic sacrocolpopexy (vNOTES-SC) and laparoendoscopic single-site sacrocolpopexy (LESS-SC) for pelvic organ prolapse (POP). METHOD: Ninety-four patients with POP who underwent vNOTES-SC or LESS-SC from October 2016 to November 2018 were included. The propensity score matching method was used for 1:1 matching between the two surgery groups. After matching, the general perioperative indicators, surgical complications, and the subjective and objective therapeutic effects of the two groups 3 years post-surgery were analyzed...
September 2023: Heliyon
https://read.qxmd.com/read/37761358/modified-vaginal-mesh-procedure-with-dynamesh-%C3%A2-pr4-for-the-treatment-of-anterior-apical-vaginal-prolapse
#17
JOURNAL ARTICLE
Chia-Ju Lin, Chih-Ku Liu, Hsiao-Yun Hsieh, Ming-Jer Chen, Ching-Pei Tsai
(1) Background: Treating female pelvic organ prolapse (POP) is challenging. Surgical meshes have been used in transvaginal surgeries since the 1990s, but complications such as mesh exposure and infection have been reported. Polyvinylidene fluoride (PVDF) mesh, known for its stability and non-reactive properties, has shown promise in urogynecological surgeries. (2) Methods: A retrospective analysis was conducted on 27 patients who underwent a modified PVDF vaginal mesh repair procedure using DynaMesh® -PR4 and combined trans-obturator and sacrospinous fixation techniques...
September 18, 2023: Diagnostics
https://read.qxmd.com/read/37746427/is-a-mesh-really-a-mess-a-self-tailored-polypropylene-mesh-as-a-retropubic-tension-free-vaginal-tape-under-local-anesthesia-in-a-tertiary-healthcare-center-experience-in-india
#18
JOURNAL ARTICLE
Sidhartha Kalra, Sovan Hota, Atanu Kumar Pal, Lalgudi N Dorairajan, Sreerag Kodakkattil Sreenivasan, Vishal Narkhede
Objective The primary objective of this study was to evaluate the feasibility of performing retropubic mid-urethral transvaginal tape (TVT) with self-tailored ordinary polypropylene mesh (STOM) under sedation and local anesthesia in female patients with stress urinary incontinence (SUI). The second objective was to evaluate perioperative and immediate postoperative complications, success rates, and cost-effectivity. Materials and methods Forty-two subjects treated for stress urinary incontinence using STOM under local anesthesia were reviewed...
August 2023: Curēus
https://read.qxmd.com/read/37637007/hemorrhage-occluder%C3%A2-pin-to-control-life-threatening-bleeding-during-the-removal-of-an-infected-sacrocolpopexy-mesh-a-case-report
#19
Sara B Papp, Shivani Gaitonde, Shadman Baig, Philippe E Zimmern
Vaginal mesh exposures and infections are recognized complications of open and laparoscopic sacrocolpopexy performed for vault prolapse. In severe cases, complete sacrocolpopexy mesh removal may be necessary. This case report presents a 72-year-old woman with previous mesh sacrocolpopexy who presented with infected mesh and recurrent vaginal bleeding despite multiple attempts at surgical transvaginal mesh excision. A life-threatening massive hemorrhage occurred intra-operatively. After several failed attempts to control bleeding, hemorrhage Occluder™ Pins were successfully placed by vascular surgery to control presacral veins...
September 2023: Case Reports in Women's Health
https://read.qxmd.com/read/37606212/prevention-of-complications-of-surgical-treatment-of-stage-iii-iv-cystocele-using-light-polypropylene-mesh
#20
JOURNAL ARTICLE
Roman Banakhevych, Klavdiia Akymova, Kateryna Pariienko, Vsevolod Nechaiev
OBJECTIVE: The purpose of study was to report the subjective and objective results of different methods of surgical treatment of cystocele using the transvaginal Mesh-system. METHODOLOGY: A prospective study was conducted from January 2017 to December 2020 comparing anterior colporrhaphy with vaginal mesh and two distinct types of vaginal wall repair sutures in the surgical treatment of cystocele. The primary endpoint was the incidence rate of vaginal wall erosion complications 12 months after surgery...
August 22, 2023: Urologia
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