A novel operative procedure for pelvic organ prolapse utilizing a MRI-visible mesh implant: Safety and outcome of modified laparoscopic bilateral sacropexy

Ralf Joukhadar*, Gabriele Meyberg-Solomayer, Amr Hamza, Julia Radosa, Werner Bader, Dimitri Barski, Fakher Ismaeel, Guenther Schneider, Erich Solomayer, Sascha Baum

*Korrespondierende/r Autor/-in für diese Arbeit
    10 Zitate (Scopus)

    Abstract

    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.

    OriginalspracheEnglisch
    Aufsatznummer860784
    ZeitschriftBioMed Research International
    Jahrgang2015
    ISSN2314-6133
    DOIs
    PublikationsstatusVeröffentlicht - 2015

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