Risk Factors for Exposure, Pain, and Dyspareunia After Tension-Free Vaginal Mesh Procedure
To identify possible risk factors for exposure, dyspareunia, and pain after insertion of tension-free vaginal mesh in pelvic organ prolapse surgery. This was a prospective observational cohort study. Consecutive women who underwent surgery with a trocar-guided tension-free vaginal mesh kit were incl...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2011-09, Vol.118 (3), p.629-636 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | Withagen, Mariëlla I. Vierhout, Mark E. Hendriks, Jan C. Kluivers, Kirsten B. Milani, Alfredo L. |
| description | To identify possible risk factors for exposure, dyspareunia, and pain after insertion of tension-free vaginal mesh in pelvic organ prolapse surgery.
This was a prospective observational cohort study. Consecutive women who underwent surgery with a trocar-guided tension-free vaginal mesh kit were included and evaluated at 6 weeks and at 6 and 12 months after surgery with respect to anatomy and complications. Logistic regression analysis was performed to identify risk factors for exposure, dyspareunia, and pain.
Two hundred ninety-four patients were included. Exposure was found in 34 patients (12%). Smoking and total mesh were risk factors for exposure (odds ratio [OR] 3.1, 95% confidence interval [CI] 1.1-8.7 and OR 3.0, 95% CI 1.2-7.0, respectively). Clinical and surgical experience were inversely related to the risk of exposure (OR 0.5, 95% CI 0.3-0.8 per decade). Pain (OR 3.2, 95% CI 1.2-8.4) and dyspareunia (OR 4.7, 95% CI 1.7-12.8) before surgery were predictive for pain and dyspareunia after surgery, respectively. Pain after surgery was found in 35 out of 275 (13%) patients and dyspareunia was found in 77 out of 171 (45%) patients.
Smoking, total tension-free vaginal mesh, and experience were predictive factors for mesh exposure. |
| doi_str_mv | 10.1097/AOG.0b013e31822ada95 |
| format | Article |
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This was a prospective observational cohort study. Consecutive women who underwent surgery with a trocar-guided tension-free vaginal mesh kit were included and evaluated at 6 weeks and at 6 and 12 months after surgery with respect to anatomy and complications. Logistic regression analysis was performed to identify risk factors for exposure, dyspareunia, and pain.
Two hundred ninety-four patients were included. Exposure was found in 34 patients (12%). Smoking and total mesh were risk factors for exposure (odds ratio [OR] 3.1, 95% confidence interval [CI] 1.1-8.7 and OR 3.0, 95% CI 1.2-7.0, respectively). Clinical and surgical experience were inversely related to the risk of exposure (OR 0.5, 95% CI 0.3-0.8 per decade). Pain (OR 3.2, 95% CI 1.2-8.4) and dyspareunia (OR 4.7, 95% CI 1.7-12.8) before surgery were predictive for pain and dyspareunia after surgery, respectively. Pain after surgery was found in 35 out of 275 (13%) patients and dyspareunia was found in 77 out of 171 (45%) patients.
Smoking, total tension-free vaginal mesh, and experience were predictive factors for mesh exposure.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/AOG.0b013e31822ada95</identifier><identifier>PMID: 21860293</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>Hagerstown, MD: by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Clinical Competence ; Dyspareunia - epidemiology ; Female ; Gynecologic Surgical Procedures - adverse effects ; Gynecology. Andrology. Obstetrics ; Humans ; Logistic Models ; Medical sciences ; Middle Aged ; Odds Ratio ; Pain, Postoperative - epidemiology ; Postoperative Complications - epidemiology ; Prospective Studies ; Quality of Life ; Risk Factors ; Smoking - epidemiology ; Surgical Mesh - adverse effects ; Uterine Prolapse - surgery ; Young Adult</subject><ispartof>Obstetrics and gynecology (New York. 1953), 2011-09, Vol.118 (3), p.629-636</ispartof><rights>by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4939-8f59859af33bffa33fda5b214bbf5299bdd789aec235217b5e63f163ed799e13</citedby><cites>FETCH-LOGICAL-c4939-8f59859af33bffa33fda5b214bbf5299bdd789aec235217b5e63f163ed799e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24512718$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21860293$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Withagen, Mariëlla I.</creatorcontrib><creatorcontrib>Vierhout, Mark E.</creatorcontrib><creatorcontrib>Hendriks, Jan C.</creatorcontrib><creatorcontrib>Kluivers, Kirsten B.</creatorcontrib><creatorcontrib>Milani, Alfredo L.</creatorcontrib><title>Risk Factors for Exposure, Pain, and Dyspareunia After Tension-Free Vaginal Mesh Procedure</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>To identify possible risk factors for exposure, dyspareunia, and pain after insertion of tension-free vaginal mesh in pelvic organ prolapse surgery.
This was a prospective observational cohort study. Consecutive women who underwent surgery with a trocar-guided tension-free vaginal mesh kit were included and evaluated at 6 weeks and at 6 and 12 months after surgery with respect to anatomy and complications. Logistic regression analysis was performed to identify risk factors for exposure, dyspareunia, and pain.
Two hundred ninety-four patients were included. Exposure was found in 34 patients (12%). Smoking and total mesh were risk factors for exposure (odds ratio [OR] 3.1, 95% confidence interval [CI] 1.1-8.7 and OR 3.0, 95% CI 1.2-7.0, respectively). Clinical and surgical experience were inversely related to the risk of exposure (OR 0.5, 95% CI 0.3-0.8 per decade). Pain (OR 3.2, 95% CI 1.2-8.4) and dyspareunia (OR 4.7, 95% CI 1.7-12.8) before surgery were predictive for pain and dyspareunia after surgery, respectively. Pain after surgery was found in 35 out of 275 (13%) patients and dyspareunia was found in 77 out of 171 (45%) patients.
Smoking, total tension-free vaginal mesh, and experience were predictive factors for mesh exposure.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Clinical Competence</subject><subject>Dyspareunia - epidemiology</subject><subject>Female</subject><subject>Gynecologic Surgical Procedures - adverse effects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Risk Factors</subject><subject>Smoking - epidemiology</subject><subject>Surgical Mesh - adverse effects</subject><subject>Uterine Prolapse - surgery</subject><subject>Young Adult</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkd9LHDEQgEOp1KvtfyAlL6UvriaZzW7yeFjPFhSlHKX0JczuTrzVvc01ucX63zfitRWfhmG--cE3jB1KcSyFrU_mV-fHohESCKRRCju0-hWbSVNDoQB-vGYzIZQtalOW--xtSrdCCFlZeMP2lTRVrsGM_fzWpzu-wHYbYuI-RH72exPSFOmIX2M_HnEcO_75IW0w0jT2yOd-S5EvaUx9GItFJOLf8aYfceCXlFb8OoaWujzgHdvzOCR6v4sHbLk4W55-KS6uzr-ezi-KtrRgC-O1NdqiB2i8RwDfoW6ULJvGa2Vt03W1sUitAq1k3WiqwMsKqKutJQkH7NPT2E0MvyZKW7fuU0vDgCOFKTljtNCVApPJ8olsY0gpkneb2K8xPjgp3KNTl526l05z24fdgqlZU_ev6a_EDHzcAZhaHHzEse3Tf67UUtXy2f77MGSH6W6Y7im6FeGwXbn8HVEpLQolZD4mZ8Xjwyz8AfURj8k</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Withagen, Mariëlla I.</creator><creator>Vierhout, Mark E.</creator><creator>Hendriks, Jan C.</creator><creator>Kluivers, Kirsten B.</creator><creator>Milani, Alfredo L.</creator><general>by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Risk Factors for Exposure, Pain, and Dyspareunia After Tension-Free Vaginal Mesh Procedure</title><author>Withagen, Mariëlla I. ; Vierhout, Mark E. ; Hendriks, Jan C. ; Kluivers, Kirsten B. ; Milani, Alfredo L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4939-8f59859af33bffa33fda5b214bbf5299bdd789aec235217b5e63f163ed799e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Clinical Competence</topic><topic>Dyspareunia - epidemiology</topic><topic>Female</topic><topic>Gynecologic Surgical Procedures - adverse effects</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Risk Factors</topic><topic>Smoking - epidemiology</topic><topic>Surgical Mesh - adverse effects</topic><topic>Uterine Prolapse - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Withagen, Mariëlla I.</creatorcontrib><creatorcontrib>Vierhout, Mark E.</creatorcontrib><creatorcontrib>Hendriks, Jan C.</creatorcontrib><creatorcontrib>Kluivers, Kirsten B.</creatorcontrib><creatorcontrib>Milani, Alfredo L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Withagen, Mariëlla I.</au><au>Vierhout, Mark E.</au><au>Hendriks, Jan C.</au><au>Kluivers, Kirsten B.</au><au>Milani, Alfredo L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors for Exposure, Pain, and Dyspareunia After Tension-Free Vaginal Mesh Procedure</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>118</volume><issue>3</issue><spage>629</spage><epage>636</epage><pages>629-636</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>To identify possible risk factors for exposure, dyspareunia, and pain after insertion of tension-free vaginal mesh in pelvic organ prolapse surgery.
This was a prospective observational cohort study. Consecutive women who underwent surgery with a trocar-guided tension-free vaginal mesh kit were included and evaluated at 6 weeks and at 6 and 12 months after surgery with respect to anatomy and complications. Logistic regression analysis was performed to identify risk factors for exposure, dyspareunia, and pain.
Two hundred ninety-four patients were included. Exposure was found in 34 patients (12%). Smoking and total mesh were risk factors for exposure (odds ratio [OR] 3.1, 95% confidence interval [CI] 1.1-8.7 and OR 3.0, 95% CI 1.2-7.0, respectively). Clinical and surgical experience were inversely related to the risk of exposure (OR 0.5, 95% CI 0.3-0.8 per decade). Pain (OR 3.2, 95% CI 1.2-8.4) and dyspareunia (OR 4.7, 95% CI 1.7-12.8) before surgery were predictive for pain and dyspareunia after surgery, respectively. Pain after surgery was found in 35 out of 275 (13%) patients and dyspareunia was found in 77 out of 171 (45%) patients.
Smoking, total tension-free vaginal mesh, and experience were predictive factors for mesh exposure.</abstract><cop>Hagerstown, MD</cop><pub>by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>21860293</pmid><doi>10.1097/AOG.0b013e31822ada95</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Obstetrics and gynecology (New York. 1953), 2011-09, Vol.118 (3), p.629-636 |
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| subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Clinical Competence Dyspareunia - epidemiology Female Gynecologic Surgical Procedures - adverse effects Gynecology. Andrology. Obstetrics Humans Logistic Models Medical sciences Middle Aged Odds Ratio Pain, Postoperative - epidemiology Postoperative Complications - epidemiology Prospective Studies Quality of Life Risk Factors Smoking - epidemiology Surgical Mesh - adverse effects Uterine Prolapse - surgery Young Adult |
| title | Risk Factors for Exposure, Pain, and Dyspareunia After Tension-Free Vaginal Mesh Procedure |
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