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- W2945609317 abstract "<b><i>Background:</i></b> There are few studies on the relative factors related to postoperative recurrence. <b><i>Objectives:</i></b> To compare the outcomes of pelvic floor reconstruction involving Herniamesh mesh and biological grafts and to investigate the correlative factors of postoperative recurrence. <b><i>Method:</i></b> Two hundred and thirty-two patients were randomly divided into 2 groups: Herniamesh mesh group (117) and biological graft group (115). Follow-ups for 6 months and 1 year after the surgery. The primary outcomes were recurrence, perioperative complications. Secondary outcome was a questionnaire about the life habits associated with relapse. <b><i>Results:</i></b> The recurrence rate at 6 months or 1 year did not differ substantially between the 2 groups (<i>p</i> = 0.787 and 0.968, respectively). Adverse events occurred with significantly different frequencies over 1 year (<i>p</i> = 0.005). Twelve factors were investigated and analyzed by logistic regression analysis. It showed that recurrence had a strong association with a long-term vegetarian diet (OR 0.283, 95% CI 0.117–0.683), long-term soybean product diet (OR 8.010, 95% CI 2.514–25.523), and vaginal intercourse (OR 5.154, 95% CI 1.461–18.184). <b><i>Conclusions:</i></b> The surgical recurrence rate for the mesh was similar to biological grafts at short-term follow-up. Eating soy products often and vaginal intercourse after surgery can reduce recurrence." @default.
- W2945609317 created "2019-05-29" @default.
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- W2945609317 date "2019-01-01" @default.
- W2945609317 modified "2023-09-28" @default.
- W2945609317 title "Evaluation of Clinical Outcome and Risk Factors for Recurrence after Pelvic Reconstruction of Pelvic Organ Prolapse with Implanted Mesh or Biological Grafts: A Single-Blind Randomized Trial" @default.
- W2945609317 doi "https://doi.org/10.1159/000500674" @default.
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