Comparison between trans-obturator trans-vaginal mesh and traditional anterior colporrhaphy in the treatment of anterior vaginal wall prolapse: results of a ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-03-20

AUTHORS

R. de Tayrac, A. Cornille, G. Eglin, O. Guilbaud, A. Mansoor, S. Alonso, H. Fernandez

ABSTRACT

Introduction and hypothesisTo compare the efficacy of a collagen-coated polypropylene mesh and anterior colporrhaphy in the treatment of stage 2 or more anterior vaginal wall prolapse.MethodsProspective, randomized, multicenter study conducted between April 2005 and December 2009. The principal endpoint was the recurrence rate of stage 2 or more anterior vaginal wall prolapse 12 months after surgery. Secondary endpoints consisted of functional results and mesh-related morbidity.ResultsOne hundred and forty-seven patients were included, randomized and analyzed: 72 in the anterior colporrhaphy group and 75 in the mesh group. The anatomical success rate was significantly higher in the mesh group (89 %) than in the colporrhaphy group (64 %) (p = 0.0006). Anatomical and functional recurrence was also less frequent in the mesh group (31.3 % vs 52.2 %, p = 0.007). Two patients (2.8 %) were reoperated on in the colporrhaphy group for anterior vaginal wall prolapse recurrence. No significant difference was noted regarding minor complications. An erosion rate of 9.5 % was noted. De novo dyspareunia occurred in 1/14 patients in the colporrhaphy group and in 3/13 patients in the mesh group. An analysis of the quality of life questionnaires showed an overall improvement in both groups, with no statistical difference between them. Satisfaction rates were high in both groups (92 % in the colporrhaphy group and 96 % in the mesh group).ConclusionTrans-obturator Ugytex® mesh used to treat anterior vaginal wall prolapse gives better 1-year anatomical results than traditional anterior colporrhaphy, but with small a increase in morbidity in the mesh group. More... »

PAGES

1651-1661

References to SciGraph publications

  • 2011-03-22. Incidence and management of graft erosion, wound granulation, and dyspareunia following vaginal prolapse repair with graft materials: a systematic review in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2011-11-16. Time to rethink: an evidence-based response from pelvic surgeons to the FDA Safety Communication: “UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse” in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2010-12-08. An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) & grafts in female pelvic floor surgery in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2006-05-13. Prolapse repair by vaginal route using a new protected low-weight polypropylene mesh: 1-year functional and anatomical outcome in a prospective multicentre study in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2007-09-28. A randomized comparison of polypropylene mesh surgery with site-specific surgery in the treatment of cystocoele in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2011-09-17. Surgical management of pelvic organ prolapse in women: the updated summary version Cochrane review in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2010-07-09. Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2006-08-29. Collagen-coated vs noncoated low-weight polypropylene meshes in a sheep model for vaginal surgery. A pilot study in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00192-013-2075-1

    DOI

    http://dx.doi.org/10.1007/s00192-013-2075-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1048596364

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/23512113


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