Cargando…

Anterior six arms prolene mesh for high stage vaginal prolapse: five years follow-up

INTRODUCTION: In high stage vaginal prolapse, recurrence risk patients, anterior and apical defects need to be addressed in the same procedure. The pre-molded commercial mesh kits are expensive and not always available. Alternative effective and safe treatment ways, with lower costs are desirable. O...

Descripción completa

Detalles Bibliográficos
Autores principales: de Toledo, Luis Gustavo M., Costa-Matos, André, Hwang, Susane Mey, Richetti, Raquel Dória Ramos, Carramão, Silvia S., Auge, Antônio P. F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Urologia 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462145/
https://www.ncbi.nlm.nih.gov/pubmed/28199078
http://dx.doi.org/10.1590/S1677-5538.IBJU.2016.0482
_version_ 1783242439578877952
author de Toledo, Luis Gustavo M.
Costa-Matos, André
Hwang, Susane Mey
Richetti, Raquel Dória Ramos
Carramão, Silvia S.
Auge, Antônio P. F.
author_facet de Toledo, Luis Gustavo M.
Costa-Matos, André
Hwang, Susane Mey
Richetti, Raquel Dória Ramos
Carramão, Silvia S.
Auge, Antônio P. F.
author_sort de Toledo, Luis Gustavo M.
collection PubMed
description INTRODUCTION: In high stage vaginal prolapse, recurrence risk patients, anterior and apical defects need to be addressed in the same procedure. The pre-molded commercial mesh kits are expensive and not always available. Alternative effective and safe treatment ways, with lower costs are desirable. OBJECTIVE: To present long term follow-up of patients treated with a homemade mesh shape to correct high stage prolapses. MATERIALS AND METHODS: We describe prospectively 18 patients with anterior and apical vaginal prolapses, stages III and IV, repaired using this specific design of mesh. All patients were submitted to pre-operative clinical evaluation and urodynamics. Prolapse was classified using the pelvic organ prolapse quantification (POP-Q). Intervention Prolapse surgery, using a six arms prolene mesh, through a single anterior vaginal incision. Outcome Measurements: POP-Q, patients satisfaction, descriptive statistical analysis. RESULTS: Between February 2009 and Oct 2010, 18 consecutive women underwent the above-mentioned surgery. Mean age was 68 years. At a mean follow-up of .,4 years (5 to 5.8 years), 16 (89%) patients were continent, mean Ba point came from +4.7cm to - 2.5cm, mean C point from +2.8cm to -6.6cm and mean Bp point from +1.3 to -1.7cm. There were two (11%) objective failures, but all the patients were considered success subjectively. There were two cases of mesh vaginal extrusion. CONCLUSIONS: The homemade six arms prolene mesh allows concomitant correction of anterior and apical prolapses, through a single anterior vaginal incision, being an effective, safe and affordable treatment option when mesh is needed.
format Online
Article
Text
id pubmed-5462145
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Sociedade Brasileira de Urologia
record_format MEDLINE/PubMed
spelling pubmed-54621452017-06-19 Anterior six arms prolene mesh for high stage vaginal prolapse: five years follow-up de Toledo, Luis Gustavo M. Costa-Matos, André Hwang, Susane Mey Richetti, Raquel Dória Ramos Carramão, Silvia S. Auge, Antônio P. F. Int Braz J Urol Original Article INTRODUCTION: In high stage vaginal prolapse, recurrence risk patients, anterior and apical defects need to be addressed in the same procedure. The pre-molded commercial mesh kits are expensive and not always available. Alternative effective and safe treatment ways, with lower costs are desirable. OBJECTIVE: To present long term follow-up of patients treated with a homemade mesh shape to correct high stage prolapses. MATERIALS AND METHODS: We describe prospectively 18 patients with anterior and apical vaginal prolapses, stages III and IV, repaired using this specific design of mesh. All patients were submitted to pre-operative clinical evaluation and urodynamics. Prolapse was classified using the pelvic organ prolapse quantification (POP-Q). Intervention Prolapse surgery, using a six arms prolene mesh, through a single anterior vaginal incision. Outcome Measurements: POP-Q, patients satisfaction, descriptive statistical analysis. RESULTS: Between February 2009 and Oct 2010, 18 consecutive women underwent the above-mentioned surgery. Mean age was 68 years. At a mean follow-up of .,4 years (5 to 5.8 years), 16 (89%) patients were continent, mean Ba point came from +4.7cm to - 2.5cm, mean C point from +2.8cm to -6.6cm and mean Bp point from +1.3 to -1.7cm. There were two (11%) objective failures, but all the patients were considered success subjectively. There were two cases of mesh vaginal extrusion. CONCLUSIONS: The homemade six arms prolene mesh allows concomitant correction of anterior and apical prolapses, through a single anterior vaginal incision, being an effective, safe and affordable treatment option when mesh is needed. Sociedade Brasileira de Urologia 2017 /pmc/articles/PMC5462145/ /pubmed/28199078 http://dx.doi.org/10.1590/S1677-5538.IBJU.2016.0482 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
de Toledo, Luis Gustavo M.
Costa-Matos, André
Hwang, Susane Mey
Richetti, Raquel Dória Ramos
Carramão, Silvia S.
Auge, Antônio P. F.
Anterior six arms prolene mesh for high stage vaginal prolapse: five years follow-up
title Anterior six arms prolene mesh for high stage vaginal prolapse: five years follow-up
title_full Anterior six arms prolene mesh for high stage vaginal prolapse: five years follow-up
title_fullStr Anterior six arms prolene mesh for high stage vaginal prolapse: five years follow-up
title_full_unstemmed Anterior six arms prolene mesh for high stage vaginal prolapse: five years follow-up
title_short Anterior six arms prolene mesh for high stage vaginal prolapse: five years follow-up
title_sort anterior six arms prolene mesh for high stage vaginal prolapse: five years follow-up
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462145/
https://www.ncbi.nlm.nih.gov/pubmed/28199078
http://dx.doi.org/10.1590/S1677-5538.IBJU.2016.0482
work_keys_str_mv AT detoledoluisgustavom anteriorsixarmsprolenemeshforhighstagevaginalprolapsefiveyearsfollowup
AT costamatosandre anteriorsixarmsprolenemeshforhighstagevaginalprolapsefiveyearsfollowup
AT hwangsusanemey anteriorsixarmsprolenemeshforhighstagevaginalprolapsefiveyearsfollowup
AT richettiraqueldoriaramos anteriorsixarmsprolenemeshforhighstagevaginalprolapsefiveyearsfollowup
AT carramaosilvias anteriorsixarmsprolenemeshforhighstagevaginalprolapsefiveyearsfollowup
AT augeantoniopf anteriorsixarmsprolenemeshforhighstagevaginalprolapsefiveyearsfollowup