None listed
Conditions
Brief summary
This study aimed to evaluated the efficacy and safety of anterior vaginal mesh repair, sacrospinous hysteropexy and posterior fascial plication in the management of anterior compartment dominated uterovaginal prolapse. Patient’s demographics, medical and obstetric history, previous surgeries, pre-operative POP-Q and peri-operative information were collected. Post-operative patient evaluation occurred at six weeks and six-monthly thereafter and included pelvic examination (POP-Q), patients’ satisfaction and 2 additional questions: ‘would you have chosen again to undergo this surgery?’ and ‘would you recommend this surgery to a friend with a similar condition?’ The primary outcome measure of this study was the objective success rate, defined as less than stage 2 prolapse at all compartments. Secondary outcome measures included subjective success rate (defined as no prolapse sensation), patients’ satisfaction, functional (bladder, bowel and sexual) outcomes and complication rates.
Interventions
The whole surgery is performed through the vaginal route and includes the following components: Anterior vaginal mesh (anterior Prolift system) repair, Sacrospinous hysteropexy and posterior fascial plication. The anterior Prolift system is a transvaginal surgical kit designed for the treatment of anterior vaginal wall prolapse. It consists of a synthetic mesh graft with four arms. The graft is placed between the bladder and the anterior vaginal wall without tension and the arms retrieved throug
The whole surgery is performed through the vaginal route and includes the following components: Anterior vaginal mesh (anterior Prolift system) repair, Sacrospinous hysteropexy and posterior fascial plication. The anterior Prolift system is a transvaginal surgical kit designed for the treatment of anterior vaginal wall prolapse. It consists of a synthetic mesh graft with four arms. The graft is placed between the bladder and the anterior vaginal wall without tension and the arms retrieved through the Obturator foramen using special trocars. This surgical procedure is a 'one off' procedure.
Sponsors
A/Prof. Christopher Maher
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
Stage two or more anterior compartment prolapse with stage one or more uterine and posterior compartment prolapse and willingness to consider uterine preservation surgery
Exclusion criteria
Uterine or cervical pathology, abnormal menstrual bleeding, prior mesh implantation and inability to give informed consent
Outcome results
None listed