In the Memorial of Prolift Mesh: Its Outcome and Effect on Lower Urinary Tract Symptoms Including St

来源 :BIT`s 1st International Congress of Gynaecology and Obstetri | 被引量 : 0次 | 上传用户:iloveyanqing
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  The use of transvaginal mesh is currently very much debated.The outcome of the Prolift Gynecare (Ethicon, Somerville, NJ, USA) mesh repair in the treatment of pelvic organ prolapse in 40 patients with severe prolapse by a single operator over 5 years periodin a private Hospital in Australia is presented.The outcome includes the anatomical success, complication rate and effect on associated lower urinary tract symptoms.Average follow-up periods were 7 and 39 weeks in 38 and 18 women, respectively.Successful anatomical correction and bulge symptom resolution were observed in 100%, 91.6 and 100% of anterior, posterior and total Prolift, mesh respectively.Prolapse in a non-treated compartment occurred in one woman.Two patients developed postoperative hematomas.Preoperative urinary symptoms were reported in 92% of women, 8 of who reported only urge symptoms and experienced complete resolution after Prolift mesh repair.Resolution of stress urinary incontinence in women who had urodynamic stress incontinence with and without urge symptoms was reported in 60% and 20% respectively.This represented 62.5% and 33.3% of women who had total Prolift and posterior Prolift respectively.The study shows that Prolift procedure is safe and effective in women with severe pelvic organ prolapse with resolution of most of the bulge and urinary urge symptoms.Total Prolift was effective in the treatment of associated mixed urinary incontinence.
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