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Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift™ technique)—a case series multicentric study

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Abstract

Our goal was to report the preliminary results of a transvaginal mesh repair of genital prolapse using the Prolift™ system. This retrospective multicentric study includes 110 patients. All patients had a stage 3 (at the hymen) or stage 4 (beyond the hymen) prolapse. Total mesh was used in 59 patients (53.6%), an isolated anterior mesh in 22 patients (20%) and an isolated posterior mesh in 29 patients (26.4%). We report one bladder injury sutured at surgery and two haematomas requiring secondary surgical management. At 3 months, 106 patients were available for follow-up. Mesh exposure occurred in five patients (4.7%), two of them requiring a surgical management. Granuloma without exposure occurred in three patients (2.8%). Failure rate (recurrent prolapse even asymptomatic or low grade symptomatic prolapse) was 4.7%. According to the perioperative and immediate post-operative results, Prolift™ repair seems to be a safe technique to correct pelvic organ prolapse. Anatomical and functional results must be assessed with a long-term follow-up to confirm the effectiveness and safety of the procedure.

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Acknowledgements

The authors would like to thank Dr. Annick Larochelle and Dr. Corinne Dabadie for their contribution with the collection of data.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Hôtel Dieu, University Hospital, Clermont-Ferrand, France

    B. Fatton, J. Amblard & B. Jacquetin

  2. Department of Obstetrics and Gynecology, General Hospital, Dunkerque, France

    P. Debodinance

  3. Department of Obstetrics and Gynecology, Jeanne de Flandre, University Hospital, Lille, France

    M. Cosson

  4. Urogynecologic unit, Hôtel-Dieu, Boulevard Léon Malfreyt, 63003, Clermont-Ferrand Cedex, France

    B. Fatton

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  1. B. Fatton
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  2. J. Amblard
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  3. P. Debodinance
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  4. M. Cosson
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  5. B. Jacquetin
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Correspondence to B. Fatton.

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Fatton, B., Amblard, J., Debodinance, P. et al. Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift™ technique)—a case series multicentric study. Int Urogynecol J 18, 743–752 (2007). https://doi.org/10.1007/s00192-006-0234-3

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  • DOI: https://doi.org/10.1007/s00192-006-0234-3

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