| Domaine : |
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Sciences du Vivant/Biologie animale/Médecine vétérinaire et santé animal
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PMID (identifiant
de la référence Pubmed) : |
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 (16362725) |
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| Titre : |
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Long-term anatomical and functional assessment of trans-vaginal cystocele repair using a tension-free polypropylene mesh. |
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| Auteur(s) : |
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Renaud de Tayrac1, Xavier Deffieux2, Amélie Gervaise, Aurélia Chauveaud-Lambling, Hervé Fernandez3, 4, 5 |
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| Laboratoire : |
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| Résumé : |
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We report a case series of 63 women with cystocele who underwent the same trans-vaginal procedure between October 1999 and October 2002. The polypropylene mesh (GyneMesh, Gynecare, Ethicon, France) was placed from the retropubic space to the inferior part of the bladder in a tension-free fashion. Patients were followed up for 24 to 60 months, with a mean follow-up of 37 months. Fifty-five patients returned for follow-up (87.3%). At follow-up, 49 women were anatomically cured (89.1%), five women had stage 2 anterior vaginal wall prolapse (9.1%), and one had a recurrent stage 3 (1.8%). Functional results and sexual function were also investigated. Fifty-three women had significant improvement in their quality of life (96.4%). There were a total of three cases of local pain around a mesh shrinkage (5.5%) and five vaginal erosions of the mesh (9.1%). Four out of 24 patients had dyspareunia (16.7%). In conclusion, the vaginal repair of anterior vaginal wall prolapse reinforced with a polypropylene mesh was efficient at 2 to 5 years follow-up. However, the first generation of polypropylene mesh we used was responsible for high rates of local complications and dyspareunia. Therefore, the polypropylene mesh has to be improved (lower weight) and the technique has to be documented by a randomized controlled trial before we could recommend its use in clinical practice. |
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Langue du texte
intégral : |
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Anglais |
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| Type de publication : |
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Articles dans des revues avec comité de lecture |
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| DOI : |
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10.1007/s00192-005-0046-x |
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| Journal : |
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| International Urogynecology Journal (Int Urogynecol J Pelvic Floor Dysfunct) |
| Publisher |
Springer Verlag (Germany) |
| ISSN |
0937-3462 (eISSN : 1433-3023) |
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| Audience : |
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non spécifiée |
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| Date de publication : |
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09/2006 |
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Date de publication
électronique : |
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17/12/2005 |
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| Volume : |
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17 |
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| Numéro : |
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5 |
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| Page, identifiant, ... : |
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483-8 |
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| Descripteur(s) MeSH : |
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Adult – Aged – 80 and over – Cystocele – Female – Humans – Middle Aged – Pelvis – Polypropylenes – Postoperative Period – Prolapse – Surgical Mesh – Time Factors – Vagina |
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