Prospective ultrasonographic follow-up of transvaginal lightweight meshes: a 1-year multicenter study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-08-17

AUTHORS

Lucie Allègre, Geertje Callewaert, Charles Coudray, Christophe Demattei, Laure Panel, Caroline Carlier-Guerin, Vincent Letouzey, Renaud de Tayrac, Brigitte Fatton

ABSTRACT

Introduction and hypothesisThe use of new lightweight meshes in pelvic organ prolapse (POP) surgery may reduce complications related to mesh retraction (chronic pain, dyspareunia, and mesh exposure). The aim of this study was to investigate changes in the area and position of Uphold Lite™ mesh 6 weeks and 12 months after anterior and/or apical prolapse repair.MethodsThis observational prospective multicenter study included patients who had undergone transvaginal surgery for symptomatic POP-Q stage ≥ II anterior and/or apical compartment prolapse with placement of Uphold Lite mesh. The dimensions and position of the mesh were evaluated at 6 weeks and 12 months by ultrasonography. Correlations between ultrasonographic mesh characteristics and POP recurrence were analyzed.ResultsFifty evaluable women with an average age of 66.8 years were included. No statistically significant difference in mesh area was found between week 6 and month 12 postoperatively, either at rest (1746.92 vs. 1574.48 mm2; p = 0.15) or on Valsalva (1568.81 vs. 1542.98 mm2; p = 0.65). The ROC-AUC of the distance between the mesh and the bladder neck (M-BN) at 6 weeks for predicting cystocele recurrence at 12 months was 0.764 (95% CI 0.573–0.955) at rest and 0.724 (95% CI 0.533–0.916) on Valsalva. An M-BN distance > 12.5 mm could predict cystocele recurrence at month 12 with a sensitivity of 80% and a specificity of 69%.ConclusionsUltrasonographic measurements of the Uphold Lite™ mesh appear to remain stable between 6 weeks and 12 months postoperatively. M-BN distance correlates with cystocele recurrence. These results appear to confirm the value of ultrasound in mesh evaluation. More... »

PAGES

1505-1512

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00192-020-04483-2

DOI

http://dx.doi.org/10.1007/s00192-020-04483-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1130150393

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32803342


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