Long-term results of extraperitoneal vaginopexy (Prolift surgery): prospective research

Gvozdev M.Iu.; Tupikina N.V.; Kasian G.R.; Pushkar' D.Iu.

doi:https://doi.org/

Gvozdev M.Iu.

kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Tupikina N.V.

Kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Kasian G.R.

Kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Pushkar' D.Iu.

kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Long-term results of extraperitoneal vaginopexy (Prolift surgery): prospective research

Authors:

Gvozdev M.Iu., Tupikina N.V., Kasian G.R., Pushkar' D.Iu.

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Journal: Endoscopic Surgery. 2012;18(5): 8‑18

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To cite this article:

Gvozdev MIu, Tupikina NV, Kasian GR, Pushkar' DIu. Long-term results of extraperitoneal vaginopexy (Prolift surgery): prospective research. Endoscopic Surgery. 2012;18(5):8‑18. (In Russ.)

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)

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Abstract:

The aim of the study was to analyze long-term anatomical and functional results, quality of life and rate of complications after extraperitoneal vaginopexy (Prolift surgery). Over the period of time from November 2005 to December 2009 three experienced surgeons operated on 239 patients. Prolift Anterior surgery was performed in 69 patients, 21 patients underwent Prolift Posterior surgery, 149 patients - Prolift Anterior et Posterior (in case of preserved uterus) or Prolift Total (in patients after hysterectomy) surgery. Anatomic result was considered to be successful in case of operated pelvic floor portion prolapse 0 or I stage due to Pelvic Organ Prolapse Quantification (POP-Q) without need of repeated operation 1 year after the surgery. As part of the study patients were interviewed, had gynecological exam, intensity of symptoms and quality of life were analysed by means of standard questionnaires before, 6 and 12 months after the surgery. A year after the surgery 203 (85%) patients attended second medical appointment, 177 (87.2%) of them had satisfactory anatomical results. Patients after Prolift Anterior surgery had the worst results. Functional results significantly improved a year after. As for intraoperative complications bladder injury was observed in 1 case, rectum injury in 3 cases, mild hemorrhage in 4 cases was managed by ligation. Vaginal erosion, predominantly on the anterior wall, was noted in 27 (11.3%) patients. Application of Prolift surgery for prolapse treatment demonstrated good results during 1 year follow-up, low rate of intra- and postoperative complications. Considering high rate of intact components prolapse (de novo) total pelvic floor correction should have been done. Further comparative researches, evaluation of long-term results for efficacy and safety determination of the technique are necessary.

Keywords:

pelvic prolapse

mesh implant

pelvic floor reconstruction

Authors:

Gvozdev M.Iu.

kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Tupikina N.V.

Kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Kasian G.R.

Kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Pushkar' D.Iu.

kafedra urologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

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References:

Olsen A.L., Smith V.J., Bergstrom J.O. et al. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. J Obstet Gynecol 1997; 89: 4: 501-506.
Shah A.D., Kohli N., Rajan S.S., Hoyte L. The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: 3: 421-428.
Subramanian D., Szwarcensztein K., Mauskopf J.A., Slack M.C. Rate, type, and cost of pelvic organ prolapse surgery in Germany, France, and England. Eur J Obstet Gynecol Reprod Biol 2009; 144: 2: 177-181.
Luber K.M., Boero S., Choe J.Y. The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol 2001; 184: 7: 1496-1501.
Jha S., Moran P.A. National survey on the management of prolapse in the UK. Neurourol Urodyn 2007; 26: 3: 325-331.
Whiteside J.L., Weber A.M., Meyn L.A., Walters M.D. Risk factors for prolapse recurrence after vaginal repair. AJOG 2004; 191: 1533-1538.
Julian T.M. The efficacy of Marlex mesh in the repair of severe recurrent vaginal prolapse of the anterior midvaginal wall. AJOG 1996; 175: 1472-1475.
Birch C. The use of prosthetics in pelvic reconstructive surgery. Best Pract Res Clin Obstet Gynaecol 2005; 19: 979-991.
Nazemi T.M., Kobashi K.C. Complications of grafts used in female pelvic floor reconstruction: Mesh erosion and extrusion. Indian J Urol 2007; 32: 2: 153-160.
Bezhenar' V.F., Tsuladze L.K., Tsypurdeeva A.A. Novye vozmozhnosti khirurgicheskogo lecheniya prolapsa tazovykh organov - pervyi klinicheskii opyt ispol'zovaniya sistemy Prolift™. Vestn Sankt-Peterburgskogo universiteta 2008; 1: 11: 165-169.
Milani A.L.., Mariella I.J., Withagen M.I., Vierhout M.E. Trocar-guided total tension-free vaginal mesh repair of post-hysterectomy vaginal vault prolapse. Int Urogynecol J 2009; 20: 1203-1211.
Elmer C., Altman D., Engh M.E. et al. Trocar-guided transvaginal mesh repair of pelvic organ prolapse. Obstet Gynecol 2009; 113: 117-126.
van Raalte H.M., Lucente V.R., Molden S.M. et al. One-year anatomic and quality-of-life outcomes after the Prolift procedure for treatment of posthysterectomy prolapse. Am J Obstet Gynecol 2008; 199: 694-696.
Feiner B., Jelovsek J.E., Maher C. Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review. BJOG 2009; 116: 15-24.
Shull B.L., Bachofen C., Coates K.W., Kuehl T.J. A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol 2000; 183: 1365-1374.
Barber M.D., Brubaker L, Nygaard I. et al. Defining success after surgery for pelvic organ prolapse. Obstet Gynecol 2009; 114: 600-609.
Withagen M.I., Vierhout M.E., Milani A.L. Does trocar-guided tension-free vaginal mesh (Prolift) repair provoke prolapse of the unaffected compartments? Int Urogynecol J Pelvic Floor Dysfunct 2010; 21: 271-278.
Ellerkmann M.R., Cundiff G.W., Melick C.F. et al. Correlation of symptoms with location and severity of pelvic organ prolapse. Am J Obstet Gynecol 2001; 185: 1332-1338.
Burrows L.J., Meyn L.A., Walters M.D., Weber A.M. Pelvic symptoms in women with pelvic organ prolapse. Obstet Gynecol 2004; 104: 5 Pt 1: 982-988.
Gad N., Moller M. Preliminary retrospective case series study of the outcome of ProliftTM technique in thirty women with pelvic organ prolapse including its effect on stress urinary incontinence. Pelviperineology 2007; 26: 156-160.
Lowman J.K., Jones L.A., Woodman P.J., Hale D.S. Does the Prolift system cause dyspareunia? Am J Obstet Gynecol 2008; 199: 707: 1-6.
Swift S.E., Tate S.B., Nicholas J. Correlation of symptoms with degree of pelvic organ support in a general population of women: what is pelvic organ prolapse? Am J Obstet Gynecol 2003; 189: 372-377; discussion 377-379.
Elmér C., Altman D., Engh M.E. et al. Trocarguided transvaginal mesh repair of pelvic organ prolapse. Obstet Gynecol 2009; 113: 117-126.
Caquant F., Collinet P., Debodinance P. et al. Safety of trans vaginal mesh procedure: retrospective study of 684 patients. J Obstet Gynaecol Res 2008; 34: 449-456.
Feiner B., Jelovsek J.E., Maher C. Efficacy and safety of transvaginal mesh kits in the treatmentof prolapse of the vaginal apex: a systematic review. BJOG 2009; 116: 15-24.
Collinet P., Belot F., Debodinance P. et al. Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17: 4: 315-320.
Baessler K., Maher C.F. Mesh augmentation during pelvic-floor reconstructive surgery: risks and benefits. Curr Opin Obstet Gynecol 2006; 18: 5: 560-566.
Achtari C., Hiscock R., O'Reilly B.A. et al. Risk factors for mesh erosion after transvaginal surgery using polypropylene (Atrium) or composite polypropylene/polyglactin 910 (Vypro II) mesh. Int Urogynecol J Pelvic Floor Dysfunct 2005; 16: 5: 389-394.
Deffieux X., de Tayrac R., Huel C. et al. Vaginal mesh erosion after transvaginal repair of cystocele using Gynemesh or Gynemesh-Soft in 138 women: a comparative study. Int Urogynecol J Pelvic Floor Dysfunct 2007; 18: 1: 73-79.
Kaufman Y., Singh S.S., Alturki H., Lam A. Age and sexual activity are risk factors for mesh exposure following transvaginal mesh repair. Int Urogynecol J Pelvic Floor Dysfunct 2011; 22: 3: 307-313.
Gabriel B., Cosson M., Gabriel B. et al. Prolapse surgery in women of 80 years and older using the Prolift™ technique. Int Urogynecol J Pelvic Floor Dysfunct 2010; 21: 1): 1463-1470.
Abdel-Fattah M., Ramsay I. Retrospectivemulticentre study of the new minimally invasive mesh repair devices for pelvic organ prolapse. BJOG 2008; 115: 22-30.
Svabík K., Martan A., Masata J. et al. Ultrasound appearances after mesh implantation-evidence of mesh contraction or folding? Int Urogynecol J Pelvic Floor Dysfunct 2011; 22: 5: 529-533.
Buyanova S.N., Shchukina N.A., Chechneva M.A. Printsipy vybora khirurgicheskikh tekhnologii dlya korrektsii oslozhnennykh form prolapsa genitalii. Ros vestn akush-gin 2010; 5: 65-70.
Bekker M.D., Bevers R.F., Elzevier H.W. Transurethral and suprapubic mesh resection after Prolift® bladder perforation: a case report. Int Urogynecol J 2010; 21: 1301-1303.