Risk of Prolapse Recurrence after Native Tissue Anterior Vaginal Suspension Procedure with Intermediate to Long-Term Followup

Lavelle, Rebecca; Christie, Alana; Alhalabi, Feras

doi:10.1016/j.juro.2015.10.138

Cited by 35 publications

(18 citation statements)

References 17 publications

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“…In our study, at six months, all patients had significantly improved anatomical results (median point C/D POPQ score 0) and no cases of recurrence were noted. Lavelle et al (24) reported their experience with POP recurrence after native tissue anterior vaginal suspension procedures. After a mean follow-up at 5.8±3.7 years, they reported prolapse recurrence rates of approximately 45% (isolated anterior 7.4%, isolated apical 10.7%, isolated posterior 8.3%, multiple compartments 19%) (24).…”

Section: Discussionmentioning

confidence: 99%

Safety and short term outcomes of a new truly minimally-invasive mesh-less and dissection-less anchoring system for pelvic organ prolapse apical repair

et al. 2017

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Objective To evaluate the safety and short term outcomes of a new, truly minimally-invasive, mesh-less and dissection-less anchoring system for pelvic floor apical repair.Methods A prospective study was conducted using the NeuGuide™ device system for pelvic floor apical repair. The primary effectiveness outcome was centro-apical pelvic floor prolapse by POP-Q after six months. The primary safety outcome was intra-operative, immediate (first 48 h) post-operative complications and adverse effects after six months. A standardized questionnaire (UDI-6) to assess quality of life at entry and during follow-up visits was used. Patients’ six months-follow-up and evaluation are reported.Results The mean age of the study population (n=10) was 63.8±12.0 years. All patients had a previous prolapse surgery. Five had a previous hysterectomy and two had stress urinary incontinence symptoms. During surgery six patients had a concurrent colporrhaphy. There was no injury to the bladder, rectum, pudendal nerves, or major pelvic vessels and no febrile morbidity was recorded. At six months, no cases of centro-apical recurrence were noted. Patients were satisfied with the procedure and had favorable quality of life scores. Using the UDI-6 questionnaire an improvement, in all domains was seen. Moreover, although the sample size was small, the improvement in urge and overflow incontinence related domains were demonstrated to be statistically significant.Conclusions This new NeuGuide™ device allows rapid and safe introduction of a suspending suture through the sacrospinous ligament and makes sacrospinous ligament fixation easy to perform, while avoiding dissection and mesh complications.

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Section: Discussionmentioning

confidence: 99%

Safety and short term outcomes of a new truly minimally-invasive mesh-less and dissection-less anchoring system for pelvic organ prolapse apical repair

et al. 2017

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“…Consistent with prior publications, the data set for this manuscript was reviewed retrospectively, but data in the database were prospectively maintained since 2004 and data prior to 2004 was collected retrospectively. Data extracted included patient demographics, history of prior prolapse repairs, and continence surgeries and physical exam with Baden‐Walker (BW) grading of prolapse at baseline and follow‐up.…”

Section: Methodsmentioning

confidence: 99%

“…10 Primary outcome was failure defined by either secondary compartment prolapse recurrence (BW grade of >2) on follow-up examination or re-operation for recurrent symptomatic POP, following guidelines set forth by the NICHD and outcomes used by other studies of prolapse repair in the literature. [6][7][8][9][10][11][12] Time to anatomic failure or re-operation, type of secondary compartment POP, and secondary POP surgical repairs were recorded.…”

Section: Methodsmentioning

confidence: 99%

Long‐term occurrence of secondary compartment pelvic organ prolapse after open mesh sacrocolpopexy for symptomatic prolapse

Wang

Christie

2017

Neurourology and Urodynamics

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“…Surgery may be indicated for women experiencing symptomatic prolapse who have failed or opted out of conservative therapies. There is an 11% to 19% lifetime risk for women undergoing surgery for pelvic organ prolapse, and there is a reoperation rate of up to 30% after the initial surgery …”

Section: Pelvic Organ Prolapsementioning

confidence: 99%

“…There is an 11% to 19% lifetime risk for women undergoing surgery for pelvic organ prolapse, and there is a reoperation rate of up to 30% after the initial surgery. [29][30][31]…”

Section: Pelvic Organ Prolapsementioning

confidence: 99%

Pelvic Floor Physical Therapy and Women's Health Promotion

Lawson¹,

Sacks²

2018

J Midwife Womens Health

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Pelvic floor dysfunction is defined as abnormal function of the pelvic floor and includes conditions that can have significant adverse impacts on a woman's quality of life, including urinary incontinence (stress, urge, and mixed), fecal incontinence, pelvic organ prolapse, sexual dysfunction, diastasis recti abdominis, pelvic girdle pain, and chronic pain syndromes. Women's health care providers can screen for, identify, and treat pelvic floor dysfunction. This article examines the case of a woman with multiple pelvic-floor-related problems and presents the evidence for the use of pelvic floor physical therapy (PFPT) for pregnancy-related pelvic floor dysfunction. PFPT is an evidence-based, low-risk, and minimally invasive intervention, and women's health care providers can counsel women about the role that PFPT may play in the prevention, treatment, and/or management of pelvic floor dysfunction.

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Risk of Prolapse Recurrence after Native Tissue Anterior Vaginal Suspension Procedure with Intermediate to Long-Term Followup

Cited by 35 publications

References 17 publications

Safety and short term outcomes of a new truly minimally-invasive mesh-less and dissection-less anchoring system for pelvic organ prolapse apical repair

Safety and short term outcomes of a new truly minimally-invasive mesh-less and dissection-less anchoring system for pelvic organ prolapse apical repair

Long‐term occurrence of secondary compartment pelvic organ prolapse after open mesh sacrocolpopexy for symptomatic prolapse

Pelvic Floor Physical Therapy and Women's Health Promotion

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