Monoprosthesis for anterior vaginal prolapse and stress urinary incontinence: midterm results of an international multicentre prospective study

Palma, Paulo; Riccetto, Cássio; Prudente, Alessandro; Dalphorno, Fernanda; Delroy, Carlos A.; Castro, Rodrigo Aquino; Tcherniakovsky, Marcos; Salvador, Marcia; Bartos, P.; Paladini, Mauro; Adile, Biagio; Cianci, Antonio; Bandiera, Sebastiano

doi:10.1007/s00192-011-1481-5

Cited by 17 publications

(22 citation statements)

References 23 publications

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“…The Mesh group showed better anatomical improvement of AVWP in relation to the Control group. Differently to the referred review, we have observed that both groups showed a significant improvement of the vaginal symptoms and QoL impact, what is in accordance to the results presented by Palma et al These authors evaluated 104 women treated with NAZCA TC in an international multicentric study (11). Another trial with similar outcomes was published by Nguyen and Burchette (18).…”

Section: Discussionsupporting

confidence: 90%

“…It has been described outcomes of different available meshes in the market, presented as kits (6,11) or in a standard size and molded according to surgeon's preference during surgery (12,14).…”

Section: Discussionmentioning

confidence: 99%

“…Two of these tapes are passed through prepubic insertion of the needles (vaginal suprapubic route) and the other two (posterior) are passed by the needles through transobturator route. The needles reach the tendineous arcs, close to the ischial spines bilaterally (11).…”

Section: Objectivesmentioning

confidence: 99%

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Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part I

Tamanini

Castro

et al. 2013

Int. braz j urol.

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Objective: To compare the use of polypropylene mesh (PM) and the traditional anterior vaginal wall colporraphy in women with anterior vaginal wall prolapse (AVWP) using objective and subjective tests and evaluation of quality of life (QoL). Materials and Methods: One hundred women were randomly distributed in two preoperatory groups. The first group (mesh) (n = 45) received a PM implant and the control group (n = 55) was submitted to traditional colporraphy. Postoperatory follow-up was done after 12 months. The primary objective was the correction of the Ba point ≤ -2 POP-Q (Pelvic Organ Prolapse Quantification System) and the secondary objective was the improvement of vaginal symptoms and QoL through ICIQ-VS (International Consultation on Incontinence Questionnaire -Vaginal Symptoms). Complications related to the use of PM or not were also described.Results: There was a significant difference between all POP-Q measures of pre-and postoperatory periods of each group in particular. There was a significant difference of the Ba point of the postoperatory period between the Mesh and Control group. The mean of Ba point in the Mesh group was statistically lower than of the Control group, depicting the better anatomical result of the first group. Both techniques improved vaginal symptoms and QoL. The most frequent complication of the Mesh group was prepubic hematoma in the perioperative period. In 9.3% of the cases treated with mesh it was observed PM exposition at the anterior vaginal wall after 12 months, being most of them treated clinically. Conclusion: The treatment of AVWP significantly improved the Ba point in the Mesh group in comparison to the Control group. There were no differences of the vaginal symptoms and QoL between the two groups after 12 months. There were few and low grade complications on both groups.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part I

Tamanini

Castro

et al. 2013

Int. braz j urol.

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“…journals.viamedica.pl/ginekologia_polska dure or not. While occult incontinence may coexist in up to 30% of women with POP, about 40-50% of women with POP observe a significant SUI [12,13]. NAZCA-TC is a mesh with four arms: two pre-pubic and two transobturator.…”

Section: Introductionmentioning

confidence: 99%

“…NAZCA-TC is a mesh with four arms: two pre-pubic and two transobturator. It was invented to treat anterior vaginal wall prolapse alone or together with SUI [12].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of a pre-pubic four-arm NAZCA-TC mesh in treating cystocele and stress urinary incontinence simultaneously — results controlled with a pelvic floor ultrasound. A preliminary study

Wlaźlak¹,

Kluz²,

Wróbel³

et al. 2017

Ginekol Pol

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Objectives: It is controversial whether pelvic organ prolapse and stress urinary incontinence (SUI) should be treated simultaneously with a single surgery or separately with two procedures. The pre-pubic four-arm NAZCA-TC® mesh was invented to treat cystocele and SUI with a single procedure. The objective of this study is to analyze short-term results after the implantation of NAZCA-TC mesh. Material and methods:A total of 18 women underwent the evaluation of results of mesh implantation within a 24 to 36 months follow-up. Pre-operatively, patients were examined under standardized conditions. Postoperatively we analyzed the following: standardized interview and examination as well as pelvic floor ultrasound: 2D with a transvaginal probe and 4D with an abdominal probe.Results: There was one case of intraoperative bladder damage noticed and repaired followed with NAZCA implantation. In 2 cases vaginal erosion was found that healed successfully after re-operation. In 3 cases hematomas were observed but resolved spontaneously. After the surgery there was a statistically significant improvement of prolapse in anterior (p < 0.0003) and in central (p < 0.001) compartment. Six women (33.3%) had no stress urinary incontinence symptoms during the control visit but we did not find a statistically significant improvement in SUI symptoms after the procedure. We recorded no case of hypomobile urethra after the surgery. The mesh covered > 50% of the urethral length in all of the patients. Conclusions:Mid-term results showed that implantation of NAZCA TC mesh allows to achieve statistically significant improvement in reducing cystocele coexisting with enterocele in over 65% of patients. A complete cure from stress urinary incontinence was confirmed in 1/3 of patients. NAZCA-TC covered more than 50% of the urethral length, which can possibly have a negative influence on the effectiveness of the suburethral tape.

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Two‐years results of native tissue versus vaginal mesh repair in the treatment of anterior prolapse according to different success criteria: A randomized controlled trial

Dias¹,

Castro²,

Bortolini³

et al. 2015

Neurourology and Urodynamics

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Monoprosthesis for anterior vaginal prolapse and stress urinary incontinence: midterm results of an international multicentre prospective study

Abstract: Monoprosthesis with combined prepubic and transobturator arms presented high success rates for AVP repair and simultaneous SUI treatment. It has also been shown to be safe and appears to preserve sexual function.

Cited by 17 publications

References 23 publications

Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part I

Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part I

The effectiveness of a pre-pubic four-arm NAZCA-TC mesh in treating cystocele and stress urinary incontinence simultaneously — results controlled with a pelvic floor ultrasound. A preliminary study

Two‐years results of native tissue versus vaginal mesh repair in the treatment of anterior prolapse according to different success criteria: A randomized controlled trial

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