TY - JOUR
A2 - Klinge, Uwe
AU - Joukhadar, Ralf
AU - Meyberg-Solomayer, Gabriele
AU - Hamza, Amr
AU - Radosa, Julia
AU - Bader, Werner
AU - Barski, Dimitri
AU - Ismaeel, Fakher
AU - Schneider, Guenther
AU - Solomayer, Erich
AU - Baum, Sascha
PY - 2015
DA - 2015/04/19
TI - A Novel Operative Procedure for Pelvic Organ Prolapse Utilizing a MRI-Visible Mesh Implant: Safety and Outcome of Modified Laparoscopic Bilateral Sacropexy
SP - 860784
VL - 2015
AB - Introduction. Sacropexy is a generally applied treatment of prolapse, yet there are known possible complications of it. An essential need exists for better alloplastic materials. Methods. Between April 2013 and June 2014, we performed a modified laparoscopic bilateral sacropexy (MLBS) in 10 patients using a MRI-visible PVDF mesh implant. Selected patients had prolapse POP-Q stages II-III and concomitant OAB. We studied surgery-related morbidity, anatomical and functional outcome, and mesh-visibility in MRI. Mean follow-up was 7.4 months. Results. Concomitant colporrhaphy was conducted in 1/10 patients. Anatomical success was defined as POP-Q stage 0-I. Apical success rate was 100% and remained stable. A recurrent cystocele was seen in 1/10 patients during follow-up without need for intervention. Out of 6 (6/10) patients with preoperative SUI, 5/6 were healed and 1/6 persisted. De-novo SUI was seen in 1/10 patients. Complications requiring a relaparoscopy were seen in 2/10 patients. 8/10 patients with OAB were relieved postoperatively. The first in-human magnetic resonance visualization of a prolapse mesh implant was performed and showed good quality of visualization. Conclusion. MLBS is a feasible and safe procedure with favorable anatomical and functional outcome and good concomitant healing rates of SUI and OAB. Prospective data and larger samples are required.
SN - 2314-6133
UR - https://doi.org/10.1155/2015/860784
DO - 10.1155/2015/860784
JF - BioMed Research International
PB - Hindawi Publishing Corporation
KW -
ER -