Outcome and efficacy of a transobturator polypropylene mesh kit in the treatment of anterior pelvic organ prolapse

Grgić, Ozren and Orešković, Slavko and Lovrić Gršić, Helena and Kalafatić, Držislav and Župić, Tomislav and Maurac, Ivana (2012) Outcome and efficacy of a transobturator polypropylene mesh kit in the treatment of anterior pelvic organ prolapse. International Journal of Gynecology and Obstetrics, 116 (1). pp. 72-75. ISSN 0020-7292

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OBJECTIVE: To report the efficacy and complications of anterior pelvic organ prolapse (POP) repair with mesh placed through the transobturator route (Perigee system; AMS, Minnetonka, MN, USA). ----- METHODS: In total, 198 women with anterior POP grade II or higher according to the POP Quantification (POP-Q) system were treated with the Perigee procedure. The primary outcome was defined as anterior POP grade I or lower at 12months' follow-up. The secondary outcomes included the incidences of perioperative, mesh-related, short-term, and long-term postoperative complications. ----- RESULTS: The cure rate was 92.9% overall and 90.6% among women who had previously undergone a hysterectomy or a traditional anterior colporrhaphy. The mean POP-Q Aa and Ba values were significantly improved after the procedure (Aa 2.2cm [0.0 to 3.0cm] versus -2.1cm [-3.0 to -1.2cm]; Ba -2.5cm [-1.0 to 4.2cm] versus -2.2cm [-5.5 to -1.0cm]; P<0.001). Vaginal or bladder erosions were observed in 3 patients. Other short- and long-term complications were infrequent and not statistically significant. ----- CONCLUSION: The Perigee procedure is effective in the treatment of anterior POP and does not have serious complications even among women with previous hysterectomy or traditional anterior colporrhaphy.

Item Type: Article
MeSH: Adult ; Aged ; Aged, 80 and over ; Female ; Gynecologic Surgical Procedures ; Humans ; Middle Aged ; Pelvic Organ Prolapse ; Polypropylenes ; Postoperative Complications ; Suburethral Slings ; Surgical Mesh ; Treatment Outcome ; Urodynamics ; Vagina / surgery
Departments: Katedra za ginekologiju i opstetriciju
Depositing User: Marijan Šember
Status: Published
Orešković, SlavkoUNSPECIFIED
Lovrić Gršić, HelenaUNSPECIFIED
Kalafatić, DržislavUNSPECIFIED
Župić, TomislavUNSPECIFIED
Date: January 2012
Date Deposited: 17 Jan 2012 16:07
Last Modified: 08 Jul 2020 11:18
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/1437

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