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

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dc.contributor.author Tamanini, Jose Tadeu Nunes
dc.contributor.author Tamanini, Mirce Milhomem da Mota
dc.contributor.author Castro, Renata Cristina de Oliveira Souza
dc.contributor.author Feldner Junior, Paulo Cezar [UNIFESP]
dc.contributor.author Castro, Rodrigo de Aquino [UNIFESP]
dc.contributor.author Sartori, Marair Gracio Ferreira [UNIFESP]
dc.contributor.author Girão, Manoel João Batista Castello [UNIFESP]
dc.date.accessioned 2015-06-14T13:45:32Z
dc.date.available 2015-06-14T13:45:32Z
dc.date.issued 2013-07-01
dc.identifier http://dx.doi.org/10.1590/S1677-5538.IBJU.2013.04.10
dc.identifier.citation International braz j urol. Sociedade Brasileira de Urologia, v. 39, n. 4, p. 519-530, 2013.
dc.identifier.issn 1677-5538
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/7862
dc.description.abstract 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. en
dc.format.extent 519-530
dc.language.iso eng
dc.publisher Sociedade Brasileira de Urologia
dc.relation.ispartof International braz j urol
dc.rights Acesso aberto
dc.subject Prolapse en
dc.subject Therapeutics en
dc.subject Quality of Life en
dc.subject Pelvic Floor Disorders en
dc.title Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part I en
dc.type Artigo
dc.contributor.institution Federal University of Sao Carlos Department of Medicine
dc.contributor.institution Health Secretary of Jau Ambulatory of Urogynecology
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Federal University of Sao Carlos Department of Medicine
dc.description.affiliation Health Secretary of Jau Ambulatory of Urogynecology
dc.description.affiliation Federal University of São Paulo Department of Urogynecology and Pelvic Surgery, Department of Gynecology
dc.description.affiliationUnifesp UNIFESP, Department of Urogynecology and Pelvic Surgery, Department of Gynecology
dc.identifier.file S1677-55382013000400519.pdf
dc.identifier.scielo S1677-55382013000400519
dc.identifier.doi 10.1590/S1677-5538.IBJU.2013.04.10
dc.description.source SciELO
dc.identifier.wos WOS:000327879200010



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