Abstract
ABSTRACTObjective:To evaluate long-term (5-10 years) outcomes of Minimally Invasive Surgical (MIS) kit insertion with Prolift® (non-absorbable) mesh compared to the use of Prolift M® (partially absorbable), for anterior vaginal wall prolapse repair.Study design:In this retrospective study we compared women undergoing MIS kit Prolift® insertion (n=90) vs. Prolift M® insertion (n=79) for anterior vaginal wall prolapse repair between 2006 and 2012 at our Institution. A number of 169 women fulfilled the inclusion criteria and were included in the study.Results:During the study period 128 women (76%) completed full follow-up; of them 58 (73%) following MIS kit Prolift® insertion, and 70 (88%) following MIS kit ProliftM® insertion. There was no significant difference between the Prolift® and Prolift M® regarding parity (3.04 vs. 2.88, p=0.506), presence of hypertension (24.1% vs. 39.1%, p=0.088), diabetes mellitus (3.4% vs. 11.6%, p=0.109), or urinary stress incontinence (39.7% vs. 47.1%, p=0.475). All participants had been diagnosed with POP grade 3 or 4 before the procedure. No significant complications during the procedure or postoperative period were identified in the study groups. The follow-up period was at least five years in duration for both groups. Both groups were comparable according to questionnaires focused on function and satisfaction.Conclusion:Patients undergoing MIS kit Prolift® and Prolift M® insertion for anterior vaginal wall prolapse repair had comparable early and late postoperative outcomes. No differences in patient's function and satisfaction between the two groups were identified. According to our findings, there is no superiority to either of the two studied mesh devices.
Highlights
Pelvic organ prolapse (POP) is a common and challenging medical condition worldwide
We aimed to evaluate the long-term outcomes regarding success and complication rates following Minimally Invasive Surgical (MIS) kitProlift® insertion compared to MIS kitProlift M® insertion for anterior vaginal wall prolapse repair
We have found that women who had undergone MIS kit Prolift® and MIS kit Prolift M® insertion for anterior vaginal wall prolapse repair experienced comparable early and late postoperative identified
Summary
Pelvic organ prolapse (POP) is a common and challenging medical condition worldwide. This is an expression of a herniation process in the pelvic floor. The background for this process is supposed to be the weakness of supporting tissues. There is a continuous effort for improving the surgical methods employed for its correction, given the significance associated to high recurrences and reoperation rates. The rise and partial fall of transvaginal kits for POP repair is a challenging debate among pelvic surgeons. Surgery for POP repair is the option for women with advanced prolapse, suffering from symptoms that significantly affect their quality of life, and for women who desire definitive treatment
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