چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| پروین باستانی علمداری | اول |
| سکینه حاج ابراهیمی | دوم |
| فاطمه ملاح | سوم |
| پرستو چایچی | چهارم |
| فاطمه صادقی غیاثی | پنجم |
| عنوان | متن |
|---|---|
| خلاصه مقاله | Background and aims: Pelvic organ prolapse (POP) is a common disorder in women at any age. Different modalities have been used for its treatment. Synthetic mesh implantation have comparable efficacy with lower recurrence, but it has some complications. The aim of current study was to evaluate the long-term outcome of synthetic mesh use in the treatment of women with POP. Methods: In this cross-sectional study, 153 women (mean age of 53.66±9.31 years) with POP treated with synthetic mesh implantation by vaginal surgery method were evaluated. Demographic findings, POP grade, treatment outcome and complications during follow-up were recorded. Patients were followed for 36.89±11.33 months. Results: POP grade was improved in most patients after surgery and POP relapse occurred in 5 cases (3.3%) indicative of 96.7% success rate. Patients’ common findings before surgery were frequency (72.5%), stress and urge incontinence (59.5% and 47.7%) and urgency (47.7%). Subjective outcome were vaginal pain (13.7%) including 7.2% new cases, dyspareunia (9.2%) including 6.5% de novo cases and tension feeling (8.5%), while objective outcomes were mesh exposure (3.9%), urge incontinence (11.1%) with 5.2% de novo and infection (1.3%). Stress incontinence was completely treated following surgery. Following surgery, there was significant improvement in dyspareunia (p<0.00), vaginal pain (p<0.001), urge and stress incontinence (p<0.001) and fecal incontinence (p=0.02). In 88.42 of patients, there was good to excellent satisfaction from treatment. Conclusions: POP surgery with synthetic mesh has acceptable results, considerable improvement in symptoms and high rate of satisfaction during follow-up; however, side effects are not uncommon but tolerable. |
| کلمات کلیدی | Prolapse; Synthetic mesh; Outcome; Complications. |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| gavahi.docx | 1398/10/29 | 10072 | دانلود |
| Long-term outcome of synthetic mesh use in the treatment of.pdf | 1398/10/14 | 325121 | دانلود |
