Application of a Mixed Material Graft to Posterior Intravaginal Slingoplasty Procedure: Preliminary Pilot Series
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 5
Abstract
Good anatomic outcomes have been achieved with transvaginal synthetic materials in pelvic organ prolapse, but mesh-related complications are a major health concern. Therefore, developing new synthetic or biological materials with increased tissue strength and decreased complications are major challenges. This paper presents preliminary pilot series of Posterior Intravaginal Slingoplasty (PIVS) procedure performed with mixed material graft containing both autologous tissue and a synthetic material. Six women with symptomatic Utero-Vaginal Prolapse (UVP) ≥ stage 2 underwent the PIVS procedure. Pelvic floor symptoms were assessed with the Pelvic Organ Prolapse Quantification (POP-Q) system, Pelvic Floor Distress Inventory (PFDI), and the Pelvic Floor Impact Questionnaire (PFIQ) both before the procedure and 36 months after the surgery. There were no mesh-related complications or recurrence and all the patients had good functional and anatomic outcomes. These preliminary results are promising, but further long-term studies with a larger series are needed.
Authors and Affiliations
Birol Vural, Yigit Çakiroglu, Fisun Vural, Sule Köpük Yildirim
Keywords
Related Articles
- EP ID EP343470
- DOI 10.7860/JCDR/2017/22017.9804
- Views 52
- Downloads 0
Outbreak of Dengue Fever in Bundelkhand Region: A Tertiary Care Hospital Study Report
ABSTRACT Introduction: Dengue is most widely spread mosquito-borne viral disease which is a major public health threat globally. The incidence of dengue fever is increasing year after year with morbidity and mortality in...
Aspects of Evolving Genito Urinary Tuberculosis-A Profile of Genito Urinary Tuberculosis (GUTB) in 110 Patients
Introduction: Genito Urinary Tuberculosis (GUTB) is a widespread disease seen in urology practice. The true incidence and prevalence of GUTB is difficult to estimate because a large number of patients remain asymptomatic...
Aortopulmonary Window: Case Report of Survival in Untreated Adult Patient
ABSTRACT Aortopulmonary window is a rare congenital communication between ascending aorta and main pulmonary artery. The condition carries poor prognosis in absence of early corrective surgery. Few case reports exist in...
Focal Adhesion Kinase Expression in Ameloblastoma: A Preliminary Observational Study
Introduction: Focal Adhesion Kinase (FAK) is a membraneassociated molecule, which plays a major role in tumourigenesis by promoting cell survival, proliferation, migration, and invasion. Hence, FAK is a well known molecu...
Comparison of Fentanyl and Nalbuphine as an Adjuvant to 0.5% Bupivacaine for Ultrasound Guided Supraclavicular Brachial Plexus Block
ABSTRACT Introduction: Supraclavicular brachial plexus block is a commonly used, reliable regional anaesthetic technique for surgery of the upper limb. An adjuvant such as fentanyl/Nalbuphine is used to prolong the effec...