Efficacy and safety of anterior vaginal prolapse treatment using single incision repair system: Multicentric study
Objective: Up to 80% of all POP surgical procedures are due to anterior vaginal wall prolapse.The aim of this study is to evaluate the efficacy and safety of transvaginal anterior mesh for POP surgical repair. Materials and methods: 153 consecutive patients with symptomatic or recurrent anterior vag...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-07-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455922001498 |
| _version_ | 1818242453123104768 |
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| author | Marzio Angelo Zullo Michele Carlo Schiavi Paolo Luffarelli Gianluca Bracco Alessandro Iuliano Debora Grilli Francesco Esperto Mauro Cervigni |
| author_facet | Marzio Angelo Zullo Michele Carlo Schiavi Paolo Luffarelli Gianluca Bracco Alessandro Iuliano Debora Grilli Francesco Esperto Mauro Cervigni |
| author_sort | Marzio Angelo Zullo |
| collection | DOAJ |
| description | Objective: Up to 80% of all POP surgical procedures are due to anterior vaginal wall prolapse.The aim of this study is to evaluate the efficacy and safety of transvaginal anterior mesh for POP surgical repair. Materials and methods: 153 consecutive patients with symptomatic or recurrent anterior vaginal prolapse undergoing surgical single-incision mesh (Calistar S) were prospectively enrolled in the study. Preoperative evaluation was performed collecting urogynecological history and performing a clinical exam, 3-day voiding diary and urodynamic testing. All incontinent patients completed the International Consultation on Incontinence Questionnaire – Short Form (ICIQ-SF). Operative time, blood loss, perioperative and postoperative complications were prospectively recorded. Postoperative follow-up was scheduled at 1, 6, and 12 months with a urogynecological interview and examination.Success rate was assessed at 1, 6 and 12 months postoperatively. Results: The median follow-up was 16.4 months. None of patients had intraoperative complications. Eight patients (5%) required surgical intervention for complications (5 patients (3%) for haematoma and 3 (2%) for vaginal erosion). At 12 months of follow up 130 out of 140 patients (93%) gained the subjective cure criterion, while 129 out of 140 patients (92%) obtained the objective cure criterion. Eleven (7.8%) patients experienced stage 2 or higher prolapse recurrence and three of them with a stage ≥3 underwent reintervention. No significant differences were recorded in primary outcome at 1, 6 or 12 months postoperatively. Conclusions: Anterior compartment prolapse repair by Calistar S (single-incision vaginal mesh) is an effective and safe procedure without significant complications. |
| first_indexed | 2024-12-12T13:45:28Z |
| format | Article |
| id | doaj.art-2563cf802ca14c54a40c3f4cf7d251cf |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-12T13:45:28Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-2563cf802ca14c54a40c3f4cf7d251cf2022-12-22T00:22:42ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592022-07-01614646651Efficacy and safety of anterior vaginal prolapse treatment using single incision repair system: Multicentric studyMarzio Angelo Zullo0Michele Carlo Schiavi1Paolo Luffarelli2Gianluca Bracco3Alessandro Iuliano4Debora Grilli5Francesco Esperto6Mauro Cervigni7Department of Surgery-Week Surgery, Campus Biomedico University of Rome, Rome, ItalyDepartment of Gynecological and Obstetric, Sandro Pertini Hospital, Rome, Italy; Corresponding author. Department of Obstetrics and Gynecology, Sandro Pertini Hospital, Via dei Monti Tiburtini, 385/389, 00157 Roma, RM, Italy.Department of Surgery-Week Surgery, Campus Biomedico University of Rome, Rome, ItalyDepartment of Gynecological and Obstetric, San Luca Hospital, Lucca, ItalyDepartment of Gynecological and Obstetric, San Pietro Hospital, Roma, ItalyDepartment of Gynecological and Obstetric, Sandro Pertini Hospital, Rome, Italy; Department of Gynecological and Obstetric, Tor Vergata University of Rome, ItalyDepartment of Urology, Campus Biomedico University of Rome, Rome, ItalyClinica Paideia, Rome, ItalyObjective: Up to 80% of all POP surgical procedures are due to anterior vaginal wall prolapse.The aim of this study is to evaluate the efficacy and safety of transvaginal anterior mesh for POP surgical repair. Materials and methods: 153 consecutive patients with symptomatic or recurrent anterior vaginal prolapse undergoing surgical single-incision mesh (Calistar S) were prospectively enrolled in the study. Preoperative evaluation was performed collecting urogynecological history and performing a clinical exam, 3-day voiding diary and urodynamic testing. All incontinent patients completed the International Consultation on Incontinence Questionnaire – Short Form (ICIQ-SF). Operative time, blood loss, perioperative and postoperative complications were prospectively recorded. Postoperative follow-up was scheduled at 1, 6, and 12 months with a urogynecological interview and examination.Success rate was assessed at 1, 6 and 12 months postoperatively. Results: The median follow-up was 16.4 months. None of patients had intraoperative complications. Eight patients (5%) required surgical intervention for complications (5 patients (3%) for haematoma and 3 (2%) for vaginal erosion). At 12 months of follow up 130 out of 140 patients (93%) gained the subjective cure criterion, while 129 out of 140 patients (92%) obtained the objective cure criterion. Eleven (7.8%) patients experienced stage 2 or higher prolapse recurrence and three of them with a stage ≥3 underwent reintervention. No significant differences were recorded in primary outcome at 1, 6 or 12 months postoperatively. Conclusions: Anterior compartment prolapse repair by Calistar S (single-incision vaginal mesh) is an effective and safe procedure without significant complications.http://www.sciencedirect.com/science/article/pii/S1028455922001498Pelvic organ prolapseVaginal surgeryVaginal meshAnterior prolapseDyspareunia |
| spellingShingle | Marzio Angelo Zullo Michele Carlo Schiavi Paolo Luffarelli Gianluca Bracco Alessandro Iuliano Debora Grilli Francesco Esperto Mauro Cervigni Efficacy and safety of anterior vaginal prolapse treatment using single incision repair system: Multicentric study Taiwanese Journal of Obstetrics & Gynecology Pelvic organ prolapse Vaginal surgery Vaginal mesh Anterior prolapse Dyspareunia |
| title | Efficacy and safety of anterior vaginal prolapse treatment using single incision repair system: Multicentric study |
| title_full | Efficacy and safety of anterior vaginal prolapse treatment using single incision repair system: Multicentric study |
| title_fullStr | Efficacy and safety of anterior vaginal prolapse treatment using single incision repair system: Multicentric study |
| title_full_unstemmed | Efficacy and safety of anterior vaginal prolapse treatment using single incision repair system: Multicentric study |
| title_short | Efficacy and safety of anterior vaginal prolapse treatment using single incision repair system: Multicentric study |
| title_sort | efficacy and safety of anterior vaginal prolapse treatment using single incision repair system multicentric study |
| topic | Pelvic organ prolapse Vaginal surgery Vaginal mesh Anterior prolapse Dyspareunia |
| url | http://www.sciencedirect.com/science/article/pii/S1028455922001498 |
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