Long-Term Outcomes after Pelvic Organ Prolapse Repair in Young Women
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Population Characteristics | n = 43 |
---|---|
Age (years) | 35 ± 4 (28–40) |
BMI (kg/m2) | 25.3 ± 5.3 (17.2–42) |
Parity | 2 (0–6) |
Length of followup (months) | 83 ± 52 (22–226) |
POP stage (Baden and Walker classification) in at least one compartment: | |
Stage 2 | 12 (28) |
Stage ≥ 3 | 31 (72) |
Type of POP repair | |
Sacrohysteropexy | 28 (65) |
Anterior and posterior meshes | 27 (96) |
Posterior mesh only | 1 (4) |
Laparoscopic surgery | 27 (96) |
Laparotomy surgery | 1 (4) |
Vaginal mesh surgery | 8 (19) |
Anterior and posterior meshes | 3 (37.5) |
Posterior mesh only | 5 (62.5) |
Native tissue repair | 8 (19) |
Posterior sacrospinofixation according to Richter | 1 (14) |
Richardson’s procedure | 5 (71) |
Posterior colporrhaphy and perineorrhaphy | 1 (14) |
Concomitant total hysterectomy | 16 (37) |
Associated SUI surgery | 11 (26) |
Total n = 43 | Sacrohysteropexy n = 28 | VMS n = 8 | NTR n = 8 | |
---|---|---|---|---|
Intraoperative complications | 0 | |||
Grade I and II | ||||
Vaginal hematoma | 1 (2) | 0 | 1 (12.5) | 0 |
Dyspareunia | 2 (4) | 1 (4%) | 1 (12.5) | 0 |
Non-reoperated POP recurrence | 5 (12) | 1 (4%) | 2 (25) | 2 (25) |
Mesh exposure | 1 (2) | 1 (12.5) | ||
Grade III | ||||
Global reoperation | 10 (23) | 2 (7) | 6 (75) | 2 (25) |
POP recurrence reoperation | 9 (21) | 2 (7) | 5 (62.5) | 2 (25) |
Mesh related reoperation | 1 (2) | 0 | 1 (12.5) | 0 |
Grade IV or V | 0 |
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Lallemant, M.; Clermont-Hama, Y.; Giraudet, G.; Rubod, C.; Delplanque, S.; Kerbage, Y.; Cosson, M. Long-Term Outcomes after Pelvic Organ Prolapse Repair in Young Women. J. Clin. Med. 2022, 11, 6112. https://doi.org/10.3390/jcm11206112
Lallemant M, Clermont-Hama Y, Giraudet G, Rubod C, Delplanque S, Kerbage Y, Cosson M. Long-Term Outcomes after Pelvic Organ Prolapse Repair in Young Women. Journal of Clinical Medicine. 2022; 11(20):6112. https://doi.org/10.3390/jcm11206112
Chicago/Turabian StyleLallemant, Marine, Yasmine Clermont-Hama, Géraldine Giraudet, Chrystèle Rubod, Sophie Delplanque, Yohan Kerbage, and Michel Cosson. 2022. "Long-Term Outcomes after Pelvic Organ Prolapse Repair in Young Women" Journal of Clinical Medicine 11, no. 20: 6112. https://doi.org/10.3390/jcm11206112