Long term subjective cure rate, urinary tract symptoms and dyspareunia following mesh augmented anterior vaginal wall prolapse repair.
Long term subjective cure rate, urinary tract symptoms and dyspareunia following mesh augmented anterior vaginal wall prolapse repair.
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DOI：
10.1016/j.ijsu.2015.10.027
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发表时间：
2015-12
影响因子：
15.3
通讯作者：
Adi Y. Weintraub;Talia Friedman;Y. Baumfeld;Menahem Neuman;H. Krissi
中科院分区：
文献类型：
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作者：
Adi Y. Weintraub;Talia Friedman;Y. Baumfeld;Menahem Neuman;H. Krissi
简介本研究的目的是评估以患者为中心的阴道前网修复术后的长期结果。方法2015 年 1 月，我们确定了 124 名在 2006 年 1 月至 2009 年 2 月期间接受前路网状盆底修复的女性。对患者记录进行了审查，并检索了人口统计学、临床、术中和术后随访数据。进行电话采访以获取有关临床结果的信息。通过多变量逻辑回归模型评估基线特征和长期症状之间的关联。结果 79 名女性参与并同意参与。术后 79-104 个月对患者进行了访谈。他们手术时的平均年龄为 62.48 ± 9.53 岁；所有患者均患有 III 期膀胱膨出，平均 POP Q 点 Ba 为 5.32 ± 1.47。 24 人 (30%) 之前接受过子宫切除术，26 人 (33%) 之前接受过盆腔器官脱垂或压力性尿失禁手术。在电话采访中，有 11 名患者（13.9%）报告脱垂症状复发，大部分发生在后室。只有 6 个需要纠正程序。一名患者因性交困难而移除了网片。 11 名 (13.9%) 报告了脱垂以外的下尿路症状，具体如下：压力性尿失禁 (1)、膀胱过度活动症 (8) 和性交痛 (2)。结论 对于因症状性膀胱膨出而接受阴道前壁网状增强手术的患者，长期复发性脱垂、性交困难和下尿路症状的发生率较低。
IntroductionThe aim of this study was to assess patient-centered long term outcomes following anterior vaginal repair with mesh.MethodsIn January 2015, we identified 124 women who underwent anterior pelvic floor repair with mesh between January 2006 and February 2009. Patient records were reviewed and demographic, clinical, intra-operative and post-operative follow-up data retrieved. Telephone interviews were conducted to access information on clinical outcomes. Associations between baseline characteristics and long term symptoms were assessed by multivariable logistic regression models.ResultsSeventy-nine women were reached and consented to participate. Patients were interviewed 79–104 months after surgery. Their mean age at the time of surgery was 62.48 ± 9.53 years; all had stage III cystocele with a mean POP Q point Ba of 5.32 ± 1.47. Twenty-four (30%) had a previous hysterectomy and 26 (33%) had a previous pelvic organ prolapse or stress urinary incontinence operation. At telephone interviews, recurrence of prolapse symptoms was reported by 11 (13.9%) patients, mostly in the posterior compartment. Only 6 needed a corrective procedure. One patient had her mesh removed due to dyspareunia. Eleven (13.9%) reported lower urinary tract symptoms other than prolapse, as follows: stress urinary incontinence (1), overactive bladder (8) and dyspareunia (2).ConclusionLong term rates of recurrent prolapse, dyspareunia and lower urinary tract symptoms were low for patients who underwent anterior vaginal wall mesh augmentation surgery for symptomatic cystoceles.