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Prospective study of transobturator mesh kit (Prolift™) in pelvic reconstructive surgery with vaginal hysterectomy after 3 years’ follow-up

  • General Gynecology
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Abstract

Introduction and hypothesis

This study is to analyze prospectively the anatomical and functional outcomes of transvaginal pelvic reconstructive surgery using the Prolift™ system for pelvic organ prolapse (POP) with hysterectomy.

Methods

A prospective, observational, noncomparative study was conducted in 80 patients with prolapse ≥2. Postoperative pelvic organ prolapse quantification stage was the main outcome measure. Anatomical cure was defined as vaginal vault stage 0 and improvement as stage 1. Secondary outcomes include pelvic floor distress inventory-20, incontinence impact questionnaire short form-7, and pelvic floor impact questionnaire short form-7.

Results

A total of 80 patients were recruited. The cure and improvement rates were 96.3 % (77/80) and 3.7 % (3/80) respectively at 1 year. At the follow-up of 3-years, the cure rates were 93.3 % (70/75). Among the five patients, three had stage 2 anterior wall prolapse, two had stage 2 posterior wall prolapse. Only one patient with intraoperative adverse event (rectal perforation) was encountered. Postoperative complications included prolonged catheterization in three patients (3.7 %), postoperative stress urinary incontinence in five patients (6.25 %) and asymptomatic mesh extrusions in five patients (6.25 %). All of them occurred within 1 year follow-up. Significant improvements in quality of life were detected at 1 and 3 years compared with baseline.

Conclusion

The total Prolift™ system surgery represents a safe, simple and useful treatment for severe POP with satisfactory objective clinical outcomes.

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Abbreviations

POP-Q:

Pelvic organ prolapse quantification

POP:

Pelvic organ prolapse

PFDI-20:

Pelvic floor distress inventory-20

IIQ-7:

Incontinence impact questionnaire short form -7

PFIQ-7:

Pelvic floor impact questionnaire short form -7

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Conflict of interest

I declare that there is no conflict of interest between the authors.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Fu Zhou General Hospital, 156, xi’er huan North Road, Fu Zhou, 350025, Fujian, China

    Feng-Mei Wang, Chun-Ni He & Yan-Feng Song

Authors
  1. Feng-Mei Wang
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  2. Chun-Ni He
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  3. Yan-Feng Song
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Corresponding author

Correspondence to Yan-Feng Song.

Additional information

The article supported by the Fujian Provincial Youth Talent Project 2008F3087.

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Wang, FM., He, CN. & Song, YF. Prospective study of transobturator mesh kit (Prolift™) in pelvic reconstructive surgery with vaginal hysterectomy after 3 years’ follow-up. Arch Gynecol Obstet 288, 355–359 (2013). https://doi.org/10.1007/s00404-013-2713-3

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  • DOI: https://doi.org/10.1007/s00404-013-2713-3

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