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• W2945209725 abstract "Abstract Introduction and objective The risk of intervention due to urogenital prolapse in a woman's life is 11.1%. Recurrences after classic surgery reach up to 38%. With the aim of improving these results, transvaginal mesh kits are used. The purpose of the study is to describe the results of efficacy and long-term safety of vaginal prolapse surgery with polypropylene mesh, assess subjective symptoms before and after surgery and the level of satisfaction. Patients and methods A descriptive, retrospective study of 58 women with symptomatic genital prolapses operated with polypropylene mesh between September/2011 and November/2016. Mean age: 66.53 years, 98.27% menopausal women, 77.59% overweight/obesity, 29.31% with previous gynecological surgery and 55.17% with combined prolapse. 46 Elevate anterior and 12 posterior were inserted. The mean follow-up period was 34.02 months. The PFDI questionnaire was used pre and post-surgery, as well as the satisfaction questionnaire. Results Healing rate of 91.38%. Recurrences were associated with a higher BMI and with background of recurrence of previous surgery. Mean length of stay: 2.5 days. 70.69% did not need analgesia at discharge. Clavien-Dindo complications: 1 type I (urinary retention), 5 type II (urinary tract infection) and 1 type IIIa (erosion). De novo stress urinary incontinence occurred in 3.44%, while de novo dyspareunia 14.28%. 89.36% patients improved subjective symptoms, and 95.92% were satisfied. Conclusion This surgery achieves high healing rates, with few complications, improvement of subjective symptoms and high level of satisfaction of the patients." @default.
• W2945209725 created "2019-05-29" @default.
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• W2945209725 date "2019-06-01" @default.
• W2945209725 modified "2023-09-30" @default.
• W2945209725 title "Long-term results of genital prolapse surgery with polypropylene mesh" @default.
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• W2945209725 doi "https://doi.org/10.1016/j.acuroe.2019.04.003" @default.
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