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Pelvic organ prolapse repair with a trocarless mesh system: two-year results

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Abstract

Introduction and hypothesis

Our aim was to investigate the efficacy of the EndoFast Reliant™ system, which is a novel trocarless mesh technology for the treatment of pelvic organ prolapse (POP).

Methods

This was a retrospective cohort study including 31 female patients with POP who underwent vaginal repair. Total follow-up duration was 24 months. All patients were evaluated with a clinical history, POP-Q measures, pelvic ultrasound, body mass index (BMI), questionnaires on symptoms, and quality of life scoring system.

Results

The mean age was 53 ± 9.7 years, and the mean BMI was 28.5 ± 3.9 kg/m2. The BMI of 20 patients was < 30 kg/m2. No intraoperative complications occurred. Prolapse was anatomically resolved in 87.1% of patients at 2-year follow-up. Four patients presented stage 1 non-symptomatic prolapse recurrence. De novo stress urinary incontinence developed in four (12.9%) cases and de novo urgency developed in two (6.4%) cases; all were diagnosed and treated easily with oral medication. One case of mesh exposure was found and treated conservatively. There was no migration of fasteners or mesh. Urinary retention, postoperative groin pain, and dyspareunia were not observed.

Conclusions

The EndoFast Reliant™ system was found successful with high success rates, short learning time and very low complication rates in our study. However, further prospective studies with higher patient numbers and longer follow-up durations are needed to reach definitive conclusions.

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Abbreviations

POP:

Pelvic organ prolapse

ASC:

Abdominal sacro-colpopexy

POP-Q:

Pelvic Organ Prolapse-Quantification

BMI:

Body mass index

UDI-6:

Urinary Distress Inventory

IIQ-7:

Incontinence Impact Questionnaire

FSFI:

Female Sexual Function Index

PFDI-20:

Pelvic Floor Distress Inventory

SUI:

Stress urinary incontinence

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Authors and Affiliations

  1. Urology Clinic, Health Sciences University Dr.Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey

    Guner Yildiz

  2. Department or Urology, Selçuk University, School of Medicine, Konya, Turkey

    Ozcan Kilic, Ali Furkan Batur & Murat Akand

Authors
  1. Guner Yildiz
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  2. Ozcan Kilic
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  3. Ali Furkan Batur
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  4. Murat Akand
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Correspondence to Guner Yildiz.

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Ethical approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

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Yildiz, G., Kilic, O., Batur, A.F. et al. Pelvic organ prolapse repair with a trocarless mesh system: two-year results. Int Urogynecol J 31, 1641–1646 (2020). https://doi.org/10.1007/s00192-019-04072-y

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  • DOI: https://doi.org/10.1007/s00192-019-04072-y

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