Self-retaining support implant: an anchorless system for the treatment of pelvic organ prolapse-2-year follow-up.

摘要: The search for an improved vaginal mesh prompted the development of a new anchorless implant. objective was to report on outcome after 2 years technique using self-retaining support (SRS) Patients with anterior wall prolapse, with/without apical were recruited. Participants underwent surgical repair SRS device. Demographic data, pre-surgical Pelvic Organ Prolapse Quantification (POP-Q) scoring, quality life (QoL) questionnaires (Pelvic Floor Distress Inventory Short Form 20 [PFDI-20], Prolapse/Urinary Incontinence Sexual Questionnaire 12 [PISQ-12]), and data collected. followed at 2 weeks, 2, 6, 12, 24 months surgery. Objective anatomical success defined NIH criteria. Twenty women recruited study average age 62.1 years parity 4.0 deliveries. Average BMI 28. Pre-operative mean POP-Q measurements Aa =1.40 (−1 3) cm, Ba = 2.3 6) cm C = 0.4 (−7 cm. Surgical time averaged 31.2 min. Estimated blood loss 165 ml. No intra-operative complications observed. One case (5%) frame erosion documented 8 months At 2 years’ follow-up, were: Aa = −2.95 (−3 −2) Ba = −2.85 C point −6.90 (−10 −3) Seventeen (85%) patients had stage 0 3 (15%) 1. erosions or chronic pelvic pain follow-up. total PFDI score follow-up decreased by 92.8 points (p < 0.0001). implant found be safe, showing no immediate post-operative complications. All presented compartment normal value (Ba ≤ −2 cm) statistically significant subjective improvement.