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

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

Author Palma, Paulo Google Scholar
Riccetto, Cassio Google Scholar
Prudente, Alessandro Google Scholar
Dalphorno, Fernanda Google Scholar
Delroy, Carlos Google Scholar
Castro, Rodrigo Autor UNIFESP Google Scholar
Tcherniakovsky, Marcos Google Scholar
Salvador, Marcia Google Scholar
Bartos, Paul Google Scholar
Paladini, Mario Google Scholar
Adile, Biagi Google Scholar
Cianci, Antonio Google Scholar
Bandiera, Sebastiano Google Scholar
Institution Universidade Estadual de Campinas (UNICAMP)
Metropolitan Hosp
Universidade Federal de São Paulo (UNIFESP)
Mater Hosp
JG Mendel Canc Ctr
Villa Sofia Hosp
Univ Catania
Abstract Stress urinary incontinence (SUI) can occur simultaneously with anterior vaginal prolapse (AVP) in up to 30% of patients. We studied a monoprosthesis that combines prepubic and transobturator arms for simultaneous treatment of AVP and SUI.One hundred four women with AVP underwent surgical treatment using a monoprosthesis (NAZCA TCA (R)). POP-Q was used for anatomical evaluation. Functional results were evaluated by quality of life questionnaires, stress test and Stamey score. Patients were evaluated at 1, 3, 6 and 12 months postoperatively.There were significant and sustained improvements in points Aa, Ba and C. Positive stress test was observed in 29.8% preoperatively and decreased to 1.9% after 12 months. There was no significant impact in sexual symptoms. Mesh exposure was noted in 5.7% of patients.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.
Keywords Urinary incontinence
Pelvic organ prolapse
Polypropylene
Surgical mesh
Stress test
Sexual dysfunction
Language English
Date 2011-12-01
Published in International Urogynecology Journal. London: Springer London Ltd, v. 22, n. 12, p. 1535-1541, 2011.
ISSN 0937-3462 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 1535-1541
Origin http://dx.doi.org/10.1007/s00192-011-1481-5
Access rights Closed access
Type Article
Web of Science ID WOS:000296647000011
URI http://repositorio.unifesp.br/handle/11600/34271

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