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To estimate the safety and efficacy of performing modified anterior transvaginal mesh surgery using polypropylene mesh for treatment of advanced urogenital prolapse after hysterectomy (stage III and IV vc Pelvic Organ Prolapse Quantification [POP-Q] system staging).
Pelvic reconstructive procedures were primarily performed using the transvaginal four arm polypropylene mesh, which was inserted through: upper arms- anterior part of obturator foramens, lower arms-ischiorectal fossas and sacrospinal ligaments. All patients underwent hysterectomy in the past apart from one which underwent vaginal hysterectomy during the procedure. Perineoplasty was performed additionally, if indicated. Subjective and objective evaluations included Pelvic Organ Prolapse Quantification [POP-Q] staging, preoperative and 1-year postoperative questionnaires were performed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients after hysterectomy | Other | modified anterior transvaginal mesh surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 4-arm polypropylene mesh surgery | Procedure | Pelvic reconstructive procedures were performed with the use of 4-arm mesh:upper arms through- anterior part of obturator foramens, lower arms-ischiorectal fossas and sacrospinal ligaments. |
| Measure | Description | Time Frame |
|---|---|---|
| Pelvic Organ Prolapse Quantification (POPQ) 1 year after procedure | assessment of POPQ 1 year after mesh operation, Pelvic Organ Prolapse Quantification system (POP-Q) refers to an objective, site-specific system for describing, quantifying, and staging pelvic support in women. It provides a standardized tool for documenting, comparing, and communicating clinical findings with proven interobserver and intraobserver reliability | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Sexual function 1 year after procedure | assessment of sexual function before and 1 year after the procedure with the use of The Female Sexual Function Index questionnaire | 1 year |
| Urinary incontinence 1 year after procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tomasz Rechberger, Professor | 2nd Gynecology Department Medical University in Lublin | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| 2nd Gynecology Department | Lublin | 20-954 | Poland |
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Patients with vaginal stump prolapse who had undergone hysterectomy in the past
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| The Female Sexual Function Index (FSFI) questionnaire | Diagnostic Test | patients fulfilled questionnaire before and 1 year after procedure |
|
| King Health Questionnaire (KHQ) | Diagnostic Test | patients fulfilled questionnaire before and 1 year after procedure |
|
| Pelvic Organ Prolapse Quantification (POPQ) staging | Diagnostic Test | Pelvic Organ Prolapse staging before and 1 year after the procedure |
|
| Postoperative questionnaire | Diagnostic Test | Postoperative questionnaire assessing quality of life fulfilled by patients 1 year after procedure |
|
| The Short Form Health Survey (SF 36) questionnaire | Diagnostic Test | patients fulfilled questionnaire before and 1 year after procedure |
|
assessment of urinary incontinence before and 1 year after the procedure with the use of the Urogenital Distress Inventory (UDI 6) and the Incontinence Impact Questionnaire (IIQ 7) questionnaire
| 1 year |
| quality of life 1 year after procedure | assessment of quality of life before and 1 year after the procedure with the use of The Short Form Health Survey (SF 36) | 1 year |
| ID | Term |
|---|---|
| D056887 | Pelvic Organ Prolapse |
| D012735 | Sexual Dysfunction, Physiological |
| ID | Term |
|---|---|
| D011391 | Prolapse |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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