Song Wan, Kim Tae Heon, Chung Jin Woo, Cho Won Jin, Lee Ha Na, Lee Young Suk, Lee Kyu-Sung
Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Department of Urology, Chosun University Hospital, Chosun University School of Medicine, Gwangju, Korea.
Low Urin Tract Symptoms. 2016 Sep;8(3):159-64. doi: 10.1111/luts.12090. Epub 2015 Jan 29.
To evaluate anatomical and functional outcomes of the Prolift Transvaginal Mesh for treatment of pelvic organ prolapse (POP) with regard to safety and satisfaction.
We reviewed the medical records of 163 patients who underwent POP repair with Prolift Transvaginal Mesh between December 2005 and March 2012. An "optimal" anatomic outcome was defined as Pelvic Organ Prolapse Quantification System (POP-Q) stage 0, and a "satisfactory" anatomic outcome was defined as POP-Q stage 1.
A total of 163 patients were included in this study, with a mean age (range) of 61.6 (35-83) years. An anterior mesh was used in 110 patients, and combined anterior and posterior mesh was used in 53 patients. The mean follow-up period after POP repair was 40.4 (12-63) months. Optimal anatomic outcomes for anterior, apical, and posterior prolapse were achieved in 55.9, 69.2, and 65.8% of cases, respectively. Optimal or satisfactory anatomic outcomes for anterior, apical, and posterior prolapse occurred in 76.7, 85.0, and 82.5% of cases, respectively. Mean values for points in the POP-Q, urinary distress inventory (UDI), and pelvic organ prolapsed distress inventory (POPDI) in the Pelvic Floor Distress Inventory (PFDI) were all significantly improved after the operation. The overall satisfaction rate for the operation was 84.7%. Five patients (3.1%) were diagnosed with vaginal erosion and treated with partial excision of the mesh without evidence of infection.
Pelvic organ prolapse repair using Prolift Transvaginal Mesh is an effective and safe procedure without significant complications.
评估用于治疗盆腔器官脱垂（POP）的普理灵经阴道网片在安全性和满意度方面的解剖学及功能学结局。
我们回顾了2005年12月至2012年3月期间接受普理灵经阴道网片进行盆腔器官脱垂修复手术的163例患者的病历。“最佳”解剖学结局定义为盆腔器官脱垂量化系统（POP-Q）0期，“满意”解剖学结局定义为POP-Q 1期。
本研究共纳入163例患者，平均年龄（范围）为61.6（35 - 83）岁。110例患者使用了前路网片，53例患者使用了前后联合网片。盆腔器官脱垂修复术后的平均随访时间为40.4（12 - 63）个月。分别有55.9%、69.2%和65.8%的病例在前壁、顶端和后壁脱垂方面达到了最佳解剖学结局。分别有76.7%、85.0%和82.5%的病例在前壁、顶端和后壁脱垂方面达到了最佳或满意的解剖学结局。盆底功能障碍指数（PFDI）中的POP-Q、排尿困扰量表（UDI）和盆腔器官脱垂困扰量表（POPDI）的平均分在术后均有显著改善。手术总体满意率为84.7%。5例患者（3.1%）被诊断为阴道侵蚀，并接受了网片部分切除治疗，无感染迹象。
使用普理灵经阴道网片进行盆腔器官脱垂修复是一种有效且安全的手术，无明显并发症。
