Document Detail

Trocarless system for mesh attachment in pelvic organ prolapse repair--1-year evaluation.
MedLine Citation:
PMID:  21222111     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION AND HYPOTHESIS: EndoFast Reliant system is a novel technology for pelvic organ prolapse (POP) repair that attaches mesh directly with metal fasteners.
METHODS: This was a prospective multicenter study in 20 women who underwent vaginal POP repair to evaluate safety and efficacy. The patients were followed for 12 months, using POP-Q measures, questionnaires on symptoms (PFDI), and sexual function (FSFI).
RESULTS: No intraoperative complications occurred. Prolapse has been anatomically resolved (< stage 2) in 85% at 1-year follow-up (17/20 patients). Pelvic Floor Distress Inventory (PFDI) scores showed significant improvement for 1 year in symptoms related to prolapse (4.1-0.7, p < 0.001) and bladder (1.4-0.7, p = 0.06) but not to rectum. Female Sexual Function Index (FSFI) scores did not change significantly. One case of mesh exposure was found (5%) and treated conservatively. No migration of fasteners was observed on X-ray.
CONCLUSIONS: The EndoFast Reliant system was found safe and efficacious. Future studies are needed to evaluate its advantages over techniques using trocars.
Menachem Alcalay; Michel Cosson; Miron Livneh; Jean-Philippe Lucot; Peter Von Theobald
Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2011-01-11
Journal Detail:
Title:  International urogynecology journal     Volume:  22     ISSN:  1433-3023     ISO Abbreviation:  Int Urogynecol J     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-08     Completed Date:  2011-07-28     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  101567041     Medline TA:  Int Urogynecol J     Country:  England    
Other Details:
Languages:  eng     Pagination:  551-6     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Ramat Gan 52621, Israel.
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MeSH Terms
Follow-Up Studies
Gynecologic Surgical Procedures / adverse effects,  instrumentation*,  methods
Health Surveys
Middle Aged
Patient Satisfaction
Pelvic Organ Prolapse / surgery*
Prospective Studies
Sexual Behavior
Surgical Instruments* / adverse effects
Surgical Mesh* / adverse effects
Treatment Outcome
Urinary Incontinence, Stress / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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