| Trocarless system for mesh attachment in pelvic organ prolapse repair--1-year evaluation. | |
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MedLine Citation:
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PMID: 21222111 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Menachem Alcalay; Michel Cosson; Miron Livneh; Jean-Philippe Lucot; Peter Von Theobald |
Publication Detail:
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Type: Journal Article; Multicenter Study Date: 2011-01-11 |
Journal Detail:
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Title: International urogynecology journal Volume: 22 ISSN: 1433-3023 ISO Abbreviation: Int Urogynecol J Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-04-08 Completed Date: 2011-07-28 Revised Date: 2011-08-18 |
Medline Journal Info:
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Nlm Unique ID: 101567041 Medline TA: Int Urogynecol J Country: England |
Other Details:
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Languages: eng Pagination: 551-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Ramat Gan 52621, Israel. malcalay@netvision.net.il |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Follow-Up Studies Gynecologic Surgical Procedures / adverse effects, instrumentation*, methods Health Surveys Humans Incidence 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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