Glue mesh fixation in laparoscopic sacrocolpopexy: results at 3 years' follow-up.
Cohort Studies
Female
Follow-Up Studies
Gynecologic Surgical Procedures
/ adverse effects
Humans
Laparoscopy
/ adverse effects
Middle Aged
Pelvic Organ Prolapse
/ surgery
Prospective Studies
Quality of Life
Surgical Mesh
/ adverse effects
Treatment Outcome
Urinary Incontinence
/ surgery
Vagina
/ surgery
Cyanoacrylate
Laparoscopic sacrocolpopexy
Pelvic organ prolapse
Vaginal mesh glue
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
received:
20
10
2020
accepted:
10
03
2021
pubmed:
21
3
2021
medline:
3
9
2022
entrez:
20
3
2021
Statut:
ppublish
Résumé
We assessed 3-year anatomic and functional results using synthetic glue to fix mesh in laparoscopic sacrocolpopexy. Prospective multicenter cohort study in three academic urogynecology departments. Seventy consecutive patients with stage ≥ 3 POP-Q (Pelvic Organ Prolapse Quantification) anterior and/or apical prolapse underwent laparoscopic sacrocolpopexy using synthetic surgical glue to fix anterior and posterior meshes to the vagina. Patients were followed up at 1, 2 and 3 years. Primary outcome was anterior and apical anatomic success (POP-Q stage ≤ 1) at 3 years. Secondary outcomes comprised functional results (international quality of life and sexuality scales), mesh-related morbidity and urinary incontinence at 3 years. Mean age was 56.7 ± 1.2 years. Mean follow-up was 43 months. Anterior compartment anatomic success rate was 87% at 2 years (Ba, -2.4 cm; p < 0.0001) and 86.5% at 3 years (Ba, -2.3 cm; p < 0.0001); apical success was 96.3% at 2 years (C, -6.8 cm; p < 0.0001) and 97.3% at 3 years (C, -6.5 cm; p < 0.0001). All quality-of-life scores improved significantly and lastingly at 3 years: PFDI-20, PFIQ-7 and PISQ-12, respectively, p < 0.0001, p < 0.0001 and p = 0.01. There was one case of vaginal mesh exposure at 3 years (2.8%) and five of mesh shrinkage at 1 year (7.8%), none at 2 years and two at 3 years (5.4%). Urinary incontinence rate was 29.7% at 1 year, 14.8% at 2 years and 11.1% at 3 years. Vaginal mesh adhesive in laparoscopic sacrocolpopexy remained effective at 3 years, with excellent tolerance and no specific complications. Anatomic and functional results were good and enduring in terms of both anterior and apical correction.
Identifiants
pubmed: 33742249
doi: 10.1007/s00192-021-04764-4
pii: 10.1007/s00192-021-04764-4
doi:
Banques de données
ClinicalTrials.gov
['NCT02011373']
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
2533-2541Informations de copyright
© 2021. The International Urogynecological Association.
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