This study aims to evaluate the safety and feasibility of a new second generation single incision sling and life quality tests after pelvic organ prolapsed (POP) surgery. The procedure was performed in four patients with POP-Q stage 3 and 4 anterior and apical prolapses. The work-up included history, physical examination, stress test, POP-Q staging and validated Pelvic Floor Impact Questionnaire-short form 7 (PFIQ-7) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Follow-up was performed at 1 and 6 months after surgery and sheduled for 1 year. No intraoperative complications or postoperative significant adverse events were observed. Mean follow-up was 7.5 months (6 to 10 months). All patients were considered cured (POP-Q stage 0 or 1). Mean PISQ-12 total score improved from 32.12±7.15 to 36.96± 6.46 and mean PFIQ-7 score improved from 57.3 to 8.6 at postoperative 6 month follow-up. Our initial results confirm that this procedure is efficient and supports fully level I correction.
Abstract
A single incision monoprosthesis for simultaneous management of apical, anterior prolapses and stress urinary incontinence: initial data of four cases
Journal of Cases in Obstetrics & Gynecology
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