Transvaginal PVDF-mesh for cystocele repair: A cohort study

Abstract

h i g h l i g h t sPVDF-mesh is feasible for transvaginal application for cystocele repair. 15% of patients presented any kind of complications and 8.8% needed a resurgery for SUI or POP during the follow-up. Improvement of quality of life was reported by 87.5% according the PGI-I. The preliminary results support the initiation of prospective trial and registry according to IDEAL. a r t i c l e i n f o Results: 34 women were eligible for a mean follow up of 19 months. The functional outcome improved significantly. One symptomatic vault prolapse (2.9%) and two reoperations for incontinence (5.9%) occurred. Two mesh exposures (5.9%) occurred and were treated conservatively. No other severe complications were registered. 87.5% of treated women felt very much better or much better and would undergo the surgery again. A cohort study including development steps in accordance with the IDEAL system is presented. Conclusions: For the first time we report on effectivity and safety of transvaginal application of PVDFmesh in real-life practice. A prospective long-term evaluation in a registry is justified.

Current surgical management of pelvic organ prolapse: Strategies for the improvement of surgical outcomes

“…In addition, when mesh exposure occurs, most cases are asymptomatic and conservative management can be expected to resolve symptoms. Patients who needed surgical treatment due to mesh exposure made up 0% to 16.4% of patients in randomized controlled trials [78910121314151617181920212223] and 1.7% to 8.9% in single-arm studies [3334353637], accounting for only half of all patients with mesh exposure (Table 2). Comprehensively judging the recent literature and based on our experience, we suggest that how to select the proper patient is more important.…”

Use of the IDEAL framework in the urological literature: where are we in 2018?

“…Four studies (4.8%) related to preclinical research (IDEAL phase 0). The 43 remaining original research studies that applied IDEAL were mapped to the corresponding IDEAL stage: IDEAL with nine (20.9%), 27 (62.8%), four (9.3%), 0 (0%), and three (7.0%) publications, respectively .…”

Medium‐term outcome of laparoscopic sacrocolpopexy using polivinylidene fluoride as compared to a hybrid polyglecaprone and polypropylene mesh: A matched control study

“…The rationale for this study was to benchmark our outcomes after LSCP using PVDF, after a forced regulatory substitution of PP + PG by an alternative. We resorted to PVDF because we already used it for a commonly associated procedure (rectopexy) and prolapse surgery . PVDF is also used for hernia repair and urinary slings .…”