Volume 2, Issue 1, June 2018, Page: 20-24
Anatomical and Functional Results of Pelvic Organ Prolapse Mesh Repair: A Prospective Study of 105 Cases
Vigen Malkhasyan, University Clinic of Urology, Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov, Moscow, Russia
Malika Dzhuraeva, University Clinic of Urology, Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov, Moscow, Russia
George Kasyan, University Clinic of Urology, Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov, Moscow, Russia
Dmitry Pushkar, University Clinic of Urology, Moscow State University of Medicine and Dentistry Named After A.I. Evdokimov, Moscow, Russia
Received: Jul. 17, 2018;       Accepted: Aug. 10, 2018;       Published: Sep. 12, 2018
DOI: 10.11648/j.ijcu.20180201.14      View  303      Downloads  20
Abstract
Objective: We assess the anatomical and functional results of pelvic organ prolapse (POP) repair with application of transvaginal synthetic meshes. Keywords: pelvic organ prolapse, vaginal repair, urogynecology. Methods: We analyzed a cohort of 105 women who underwent transvaginal pelvic floor repair using mesh (Elevate Prolapse Repair System). A gynecological examination, cough test, uroflowmetry and an administration of the overactive bladder Awareness Tool were done. Parametric and nonparametric methods of descriptive statistics, as well as logistic regression were used for data analysis. Results: Prolapse recurrence after vaginal repair was noted in 3.81% (n=4) of patients. The proportion of patients with de novo onset of incontinence after surgery was 8.57% (n=9). In 26.7% (n=28) of women with stress urinary incontinence (SUI), SUI symptoms persisted after surgery. The mean Qmax in the patient group was 19.5 ml/s. The mean Qmax in patients reporting bladder-emptying problems was 14 ml/s, and the mean post-void residual (PVR) was 50±15.0 ml. After surgery, the mean Qmax increased to 27.6 ml/s. The PVR after surgery decreased to 30±5.0 ml. The number of patients with bladder outlet obstruction symptoms decreased to 17 (16.19%). Conclusion: The management of genital prolapse with synthetic prostheses interposed through vaginal approach is an efficient method with good midterm outcomes.
Keywords
Functional Results, Overactive Bladder, Pelvic Organ Prolapse, Stress Urinary Incontinence, Vaginal Mesh
To cite this article
Vigen Malkhasyan, Malika Dzhuraeva, George Kasyan, Dmitry Pushkar, Anatomical and Functional Results of Pelvic Organ Prolapse Mesh Repair: A Prospective Study of 105 Cases, International Journal of Clinical Urology. Vol. 2, No. 1, 2018, pp. 20-24. doi: 10.11648/j.ijcu.20180201.14
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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