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Results of the treatment of anterior pelvic organ prolapse using the Perigee® system.
MedLine Citation:
PMID:  25048587     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: To study the efficacy and safety of the Perigee® System for the treatment of anterior vaginal prolapse in our experience with a medium term follow-up.
METHODS: Prospective analysis on 48 consecutive patients with stage II-IV cystocele diagnosed from June 2006 until June 2009 using the Pelvic Organ Prolapse Quantitation classification without other associated prolapses. All diagnoses were done by a single urological specialist and follow-up is between 3 to 6 years. The questionnaire Patient Global Impression of Improvement was carried out before surgery, at the first follow up checking at one month, and at 6 and 12 months. The variables evaluated were age, presence of obesity, parity, prior hysterectomy, ASA class and stage of prolapse.
RESULTS: The result, evaluating the questionnaire Patient Global Impression of Improvement, was cured or improved in 40 (83.3%) patients and 87.5% according to the Pelvic Organ Prolapse Quantitation, with a recurrence rate of 6.25%. Intraoperative complications were observed in 12.5% of the patients, postoperative in 4.2% and 41.5% after hospital discharge, pain being the most common complication (16.6%). The key variables for procedural failure were age 65 years >, obesity, parity ≥ 2, prolapse stage ≥ III and prior hysterectomy (p <0.05).
CONCLUSIONS: In our series the Perigee® System allows anatomic repair with less morbidity, hospital stay and recovery time.
Authors:
Francisco Xavier Elizalde Benito; Angel Gabriel Elizalde Benito; María Urra Palos; Ignacio Quintana Martínez; Angel Gabriel Elizalde Amatria
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Archivos espanoles de urologia     Volume:  67     ISSN:  1576-8260     ISO Abbreviation:  Arch. Esp. Urol.     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-7-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0064757     Medline TA:  Arch Esp Urol     Country:  -    
Other Details:
Languages:  ENG; SPA     Pagination:  549-556     Citation Subset:  -    
Vernacular Title:
Resultados del tratamiento del prolapso anterior de órganos pélvicos mediante el sistema Perigee®.
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