Comparison between Elevate Anterior/Apical system and Perigee system in pelvic organ prolapse surgery: clinical and sonographic outcomes
Objective The aim of this study was to assess the incidence of de novo stress urinary incontinence (SUI) and sonographic features of implanted transvaginal mesh in continent women treated with Elevate ™ anterior/apical [single-incision mesh (SIM-A)] or Perigee ™ [transvaginal mesh with sacrospinous...
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| Veröffentlicht in: | International Urogynecology Journal 2015-03, Vol.26 (3), p.391-400 |
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| creator | Lo, Tsia-Shu bt Karim, Nazura Cortes, Eileen Feliz M. Wu, Pei-Ying Lin, Yi-Hao Tan, Yiap Loong |
| description | Objective
The aim of this study was to assess the incidence of de novo stress urinary incontinence (SUI) and sonographic features of implanted transvaginal mesh in continent women treated with Elevate
™
anterior/apical [single-incision mesh (SIM-A)] or Perigee
™
[transvaginal mesh with sacrospinous fixation (TVM + SSF)] in extensive pelvic organ reconstruction surgery.
Methods
This prospective observational study was done from May 2010 to January 2013. Patients were recruited from two tertiary centers, and the Elevate
™
and Perigee
™
systems were compared. Patients who had overt or occult SUI, previous prolapse or mesh insertion were excluded.
Result
Fifty-seven patients in the SIM-A group and sixty-one in the TVM + SSF group were analysed. All completed a minimum of 1-year follow-up. Groups were demographically and statistically similar. There was a significantly high incidence of de novo SUI postoperatively in the SIM-A group. The objective and subjective cure rate of pelvic organ prolapse (POP) were comparable between groups, with incidence of mesh erosion in the SIM-A group and three in the TVM + SSF group. Sonographic evaluation showed significant increase in mesh length in the SIM-A group.
Conclusion
Elevate
™
a offered lower incidence of mesh erosion and comparable results on anatomical POP correction; however, incidence of de novo SUI was high. There is an apparent lengthening of implanted Elevate® mesh sonographically. |
| doi_str_mv | 10.1007/s00192-014-2492-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1655524187</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3590277331</sourcerecordid><originalsourceid>FETCH-LOGICAL-c512t-251d597a2de875fd607dd1365320d2c623e649095c7f7674c2b610fd6d7b0693</originalsourceid><addsrcrecordid>eNp1kc9u3CAQxlGVqtmkfYBcKqRcenEygIF1b6tV_kmR2kPuiIXZrSMbXLBT7Rv0sYuzSVRV6gmY7zffjPgIOWNwwQD0ZQZgDa-A1RWvy6V5RxasFqISwMURWUAjdCVqxY_JSc6PAFCDhA_kmEsu9ZLBgvxex36wqc0x0A2OvxADverwyY5IV2HE1MZ0uRpaZzua93nEntrg6fci7BBfS22gA3ZPraMx7Wx5pNjZIRd9SjtM-6_UdW14Npm7y7C4S3b4MTdMo4s95o_k_dZ2GT-9nKfk4frqYX1b3X-7uVuv7isnGR8rLpmXjbbc41LLrVegvWdCScHBc6e4QFU30Eint1rp2vGNYlA4rzegGnFKvhxsy4o_J8yj6dvssOtswDhlw5SUktdsqQt6_g_6GKcUynLPFOiGL1Wh2IFyKeaccGuG1PY27Q0DM6dkDimZkpKZUzLzEp9fnKdNj_6t4zWWAvADkIsUyg_-Nfq_rn8AW22eBw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1655079286</pqid></control><display><type>article</type><title>Comparison between Elevate Anterior/Apical system and Perigee system in pelvic organ prolapse surgery: clinical and sonographic outcomes</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Lo, Tsia-Shu ; bt Karim, Nazura ; Cortes, Eileen Feliz M. ; Wu, Pei-Ying ; Lin, Yi-Hao ; Tan, Yiap Loong</creator><creatorcontrib>Lo, Tsia-Shu ; bt Karim, Nazura ; Cortes, Eileen Feliz M. ; Wu, Pei-Ying ; Lin, Yi-Hao ; Tan, Yiap Loong</creatorcontrib><description>Objective
The aim of this study was to assess the incidence of de novo stress urinary incontinence (SUI) and sonographic features of implanted transvaginal mesh in continent women treated with Elevate
™
anterior/apical [single-incision mesh (SIM-A)] or Perigee
™
[transvaginal mesh with sacrospinous fixation (TVM + SSF)] in extensive pelvic organ reconstruction surgery.
Methods
This prospective observational study was done from May 2010 to January 2013. Patients were recruited from two tertiary centers, and the Elevate
™
and Perigee
™
systems were compared. Patients who had overt or occult SUI, previous prolapse or mesh insertion were excluded.
Result
Fifty-seven patients in the SIM-A group and sixty-one in the TVM + SSF group were analysed. All completed a minimum of 1-year follow-up. Groups were demographically and statistically similar. There was a significantly high incidence of de novo SUI postoperatively in the SIM-A group. The objective and subjective cure rate of pelvic organ prolapse (POP) were comparable between groups, with incidence of mesh erosion in the SIM-A group and three in the TVM + SSF group. Sonographic evaluation showed significant increase in mesh length in the SIM-A group.
Conclusion
Elevate
™
a offered lower incidence of mesh erosion and comparable results on anatomical POP correction; however, incidence of de novo SUI was high. There is an apparent lengthening of implanted Elevate® mesh sonographically.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-014-2492-9</identifier><identifier>PMID: 25257810</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Aged ; Female ; Follow-Up Studies ; Gynecologic Surgical Procedures - adverse effects ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pelvic Organ Prolapse - surgery ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - etiology ; Prospective Studies ; Surgical Mesh - adverse effects ; Treatment Outcome ; Ultrasonography ; Urinary Incontinence, Stress - etiology ; Urinary Incontinence, Stress - physiopathology ; Urodynamics ; Urology</subject><ispartof>International Urogynecology Journal, 2015-03, Vol.26 (3), p.391-400</ispartof><rights>The International Urogynecological Association 2014</rights><rights>The International Urogynecological Association 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-251d597a2de875fd607dd1365320d2c623e649095c7f7674c2b610fd6d7b0693</citedby><cites>FETCH-LOGICAL-c512t-251d597a2de875fd607dd1365320d2c623e649095c7f7674c2b610fd6d7b0693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-014-2492-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-014-2492-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25257810$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lo, Tsia-Shu</creatorcontrib><creatorcontrib>bt Karim, Nazura</creatorcontrib><creatorcontrib>Cortes, Eileen Feliz M.</creatorcontrib><creatorcontrib>Wu, Pei-Ying</creatorcontrib><creatorcontrib>Lin, Yi-Hao</creatorcontrib><creatorcontrib>Tan, Yiap Loong</creatorcontrib><title>Comparison between Elevate Anterior/Apical system and Perigee system in pelvic organ prolapse surgery: clinical and sonographic outcomes</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Objective
The aim of this study was to assess the incidence of de novo stress urinary incontinence (SUI) and sonographic features of implanted transvaginal mesh in continent women treated with Elevate
™
anterior/apical [single-incision mesh (SIM-A)] or Perigee
™
[transvaginal mesh with sacrospinous fixation (TVM + SSF)] in extensive pelvic organ reconstruction surgery.
Methods
This prospective observational study was done from May 2010 to January 2013. Patients were recruited from two tertiary centers, and the Elevate
™
and Perigee
™
systems were compared. Patients who had overt or occult SUI, previous prolapse or mesh insertion were excluded.
Result
Fifty-seven patients in the SIM-A group and sixty-one in the TVM + SSF group were analysed. All completed a minimum of 1-year follow-up. Groups were demographically and statistically similar. There was a significantly high incidence of de novo SUI postoperatively in the SIM-A group. The objective and subjective cure rate of pelvic organ prolapse (POP) were comparable between groups, with incidence of mesh erosion in the SIM-A group and three in the TVM + SSF group. Sonographic evaluation showed significant increase in mesh length in the SIM-A group.
Conclusion
Elevate
™
a offered lower incidence of mesh erosion and comparable results on anatomical POP correction; however, incidence of de novo SUI was high. There is an apparent lengthening of implanted Elevate® mesh sonographically.</description><subject>Aged</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gynecologic Surgical Procedures - adverse effects</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pelvic Organ Prolapse - surgery</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - etiology</subject><subject>Prospective Studies</subject><subject>Surgical Mesh - adverse effects</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><subject>Urinary Incontinence, Stress - etiology</subject><subject>Urinary Incontinence, Stress - physiopathology</subject><subject>Urodynamics</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc9u3CAQxlGVqtmkfYBcKqRcenEygIF1b6tV_kmR2kPuiIXZrSMbXLBT7Rv0sYuzSVRV6gmY7zffjPgIOWNwwQD0ZQZgDa-A1RWvy6V5RxasFqISwMURWUAjdCVqxY_JSc6PAFCDhA_kmEsu9ZLBgvxex36wqc0x0A2OvxADverwyY5IV2HE1MZ0uRpaZzua93nEntrg6fci7BBfS22gA3ZPraMx7Wx5pNjZIRd9SjtM-6_UdW14Npm7y7C4S3b4MTdMo4s95o_k_dZ2GT-9nKfk4frqYX1b3X-7uVuv7isnGR8rLpmXjbbc41LLrVegvWdCScHBc6e4QFU30Eint1rp2vGNYlA4rzegGnFKvhxsy4o_J8yj6dvssOtswDhlw5SUktdsqQt6_g_6GKcUynLPFOiGL1Wh2IFyKeaccGuG1PY27Q0DM6dkDimZkpKZUzLzEp9fnKdNj_6t4zWWAvADkIsUyg_-Nfq_rn8AW22eBw</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Lo, Tsia-Shu</creator><creator>bt Karim, Nazura</creator><creator>Cortes, Eileen Feliz M.</creator><creator>Wu, Pei-Ying</creator><creator>Lin, Yi-Hao</creator><creator>Tan, Yiap Loong</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Comparison between Elevate Anterior/Apical system and Perigee system in pelvic organ prolapse surgery: clinical and sonographic outcomes</title><author>Lo, Tsia-Shu ; bt Karim, Nazura ; Cortes, Eileen Feliz M. ; Wu, Pei-Ying ; Lin, Yi-Hao ; Tan, Yiap Loong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-251d597a2de875fd607dd1365320d2c623e649095c7f7674c2b610fd6d7b0693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gynecologic Surgical Procedures - adverse effects</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pelvic Organ Prolapse - surgery</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - etiology</topic><topic>Prospective Studies</topic><topic>Surgical Mesh - adverse effects</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><topic>Urinary Incontinence, Stress - etiology</topic><topic>Urinary Incontinence, Stress - physiopathology</topic><topic>Urodynamics</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lo, Tsia-Shu</creatorcontrib><creatorcontrib>bt Karim, Nazura</creatorcontrib><creatorcontrib>Cortes, Eileen Feliz M.</creatorcontrib><creatorcontrib>Wu, Pei-Ying</creatorcontrib><creatorcontrib>Lin, Yi-Hao</creatorcontrib><creatorcontrib>Tan, Yiap Loong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lo, Tsia-Shu</au><au>bt Karim, Nazura</au><au>Cortes, Eileen Feliz M.</au><au>Wu, Pei-Ying</au><au>Lin, Yi-Hao</au><au>Tan, Yiap Loong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison between Elevate Anterior/Apical system and Perigee system in pelvic organ prolapse surgery: clinical and sonographic outcomes</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>26</volume><issue>3</issue><spage>391</spage><epage>400</epage><pages>391-400</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Objective
The aim of this study was to assess the incidence of de novo stress urinary incontinence (SUI) and sonographic features of implanted transvaginal mesh in continent women treated with Elevate
™
anterior/apical [single-incision mesh (SIM-A)] or Perigee
™
[transvaginal mesh with sacrospinous fixation (TVM + SSF)] in extensive pelvic organ reconstruction surgery.
Methods
This prospective observational study was done from May 2010 to January 2013. Patients were recruited from two tertiary centers, and the Elevate
™
and Perigee
™
systems were compared. Patients who had overt or occult SUI, previous prolapse or mesh insertion were excluded.
Result
Fifty-seven patients in the SIM-A group and sixty-one in the TVM + SSF group were analysed. All completed a minimum of 1-year follow-up. Groups were demographically and statistically similar. There was a significantly high incidence of de novo SUI postoperatively in the SIM-A group. The objective and subjective cure rate of pelvic organ prolapse (POP) were comparable between groups, with incidence of mesh erosion in the SIM-A group and three in the TVM + SSF group. Sonographic evaluation showed significant increase in mesh length in the SIM-A group.
Conclusion
Elevate
™
a offered lower incidence of mesh erosion and comparable results on anatomical POP correction; however, incidence of de novo SUI was high. There is an apparent lengthening of implanted Elevate® mesh sonographically.</abstract><cop>London</cop><pub>Springer London</pub><pmid>25257810</pmid><doi>10.1007/s00192-014-2492-9</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0937-3462 |
| ispartof | International Urogynecology Journal, 2015-03, Vol.26 (3), p.391-400 |
| issn | 0937-3462 1433-3023 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1655524187 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Female Follow-Up Studies Gynecologic Surgical Procedures - adverse effects Gynecology Humans Medicine Medicine & Public Health Middle Aged Original Article Pelvic Organ Prolapse - surgery Postoperative Complications - diagnostic imaging Postoperative Complications - etiology Prospective Studies Surgical Mesh - adverse effects Treatment Outcome Ultrasonography Urinary Incontinence, Stress - etiology Urinary Incontinence, Stress - physiopathology Urodynamics Urology |
| title | Comparison between Elevate Anterior/Apical system and Perigee system in pelvic organ prolapse surgery: clinical and sonographic outcomes |
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