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Short-term outcome after transvaginal mesh repair of pelvic organ prolapse
Authors:Daniel Altman  Tapio Väyrynen  Marie Ellström Engh  Susanne Axelsen  Christian Falconer
Affiliation:1. Division of Obstetrics and Gynecology, Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, 182 88, Stockholm, Sweden
2. Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
3. Helsinki University Central Hospital, Department of Obstetrics and Gynecology, Jorvi Hospital, Espoo, Finland
4. Department of Obstetrics and Gynaecology, Akershus University Hospital, University of Oslo, L?renskog, Norway
5. Department of Obstetrics and Gynecology, Aarhus University Hospital, Skejby, Denmark
Abstract:
The objective of this study is to report on short-term outcomes after pelvic organ prolapse repair using Prolift® transvaginal mesh. A 3-year multicenter prospective cohort study was performed in 28 centers. Assessment preoperatively and at 2 months postoperatively included the condition-specific pelvic organ prolapse quantification system (POP-Q) and a macroscopic inflammatory scale. Subjective outcome was measured using the urogenital distress inventory (UDI) and the incontinence impact questionnaire (IIQ-7). Surgical characteristics and adverse events during follow-up were registered in a separate protocol. The evaluation is based on the interim safety analysis and includes 2-month evaluations of 123 cases. Pelvic organ perforation occurred in four cases (3.2%), three bladder injuries and one case of rectal perforation. At the 2-month follow-up, there were two cases of mesh exposure, an increase of mild–moderate granuloma formation in the operated areas (P?P?
Keywords:Mesh  Prolapse  Prolift  TVM
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