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Efficacy and safety of tension-free placement of Gynemesh PS for the treatment of anterior vaginal wall prolapse

Authors
Lee, Y.-S.Han, D.-H.Lim, S.-H.Kim, T.-H.Choo, M.-S.Seo, J.-T.Lee, J.-Z.Chung, B.-S.Lee, J.-G.Lee, K.-S.
Issue Date
2010
Keywords
Lower urinary tract symptoms; Pelvic organ prolapse; Surgery
Citation
International Neurourology Journal, v.14, no.1, pp.34 - 42
Indexed
SCOPUS
KCI
Journal Title
International Neurourology Journal
Volume
14
Number
1
Start Page
34
End Page
42
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/118278
DOI
10.5213/inj.2010.14.1.34
ISSN
2093-4777
Abstract
Purpose: To evaluate the efficacy and safety of the tension-free placement of a monofilament polypropylene mesh for the repair of an anterior vaginal wall prolapse (AVWP). Materials and Methods: Women aged ≥ 30 years with an AVWP stage of II or greater were included. Forty-nine women underwent trans-vaginal repair using a Gynemesh™ PS. Forty-six women who had symptomatic stress urinary incontinence received a midurethral sling (MUS). At the 12-month follow-up, evaluations were made for changes in the Pelvic Organ Prolapse Quantification (POP-Q) stage and Pelvic Floor Distress Inventory. Cure was defined as a POP-Q stage of 0 and improvement as a stage of I. Complications were also evaluated. Results: The cure rate was 71.4%, and the improvement rate was 18.4%. Obstructive/discomfort, irritative, and stress subscale scores of the Urinary Distress Inventory anterior and posterior subscale scores of the POP Distress Inventory and the obstructive subscale score of the Colo-Rectal-Anal Distress Inventory were significantly improved. Thirty-two of the 46 women (69.6%) who received MUS procedures reported no leakage after surgery. Complications were 2 cases of increased intraoperative bleeding and 1 case of vaginal erosion. Conclusions: Trans-vaginal repair using a Gynemesh™ PS is a feasible and effective procedure for the treatment of AVWP with no significant complications.
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