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Monoprosthesis for anterior vaginal prolapse and stress urinary incontinence: midterm results of an international multicentre prospective study

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Abstract

Introduction and hypothesis

Stress urinary incontinence (SUI) can occur simultaneously with anterior vaginal prolapse (AVP) in up to 30% of patients. We studied a monoprosthesis that combines prepubic and transobturator arms for simultaneous treatment of AVP and SUI.

Methods

One hundred four women with AVP underwent surgical treatment using a monoprosthesis (NAZCA TC®). POP-Q was used for anatomical evaluation. Functional results were evaluated by quality of life questionnaires, stress test and Stamey score. Patients were evaluated at 1, 3, 6 and 12 months postoperatively.

Results

There were significant and sustained improvements in points Aa, Ba and C. Positive stress test was observed in 29.8% preoperatively and decreased to 1.9% after 12 months. There was no significant impact in sexual symptoms. Mesh exposure was noted in 5.7% of patients.

Conclusions

Monoprosthesis with combined prepubic and transobturator arms presented high success rates for AVP repair and simultaneous SUI treatment. It has also been shown to be safe and appears to preserve sexual function.

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Acknowledgement

The authors are grateful to Promedon® Argentina, which provided the meshes for the study.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Urology Division, State University of Campinas, São Paulo, Brazil

    Paulo Palma, Cassio Riccetto, Alessandro Prudente & Fernanda Dalphorno

  2. Metropolitan Hospital, São Paulo, Brazil

    Carlos Delroy & Marcos Tcherniakovsky

  3. Division of Gynecology, Federal University of Sao Paulo, São Paulo, Brazil

    Rodrigo Castro

  4. Mater Dei Hospital, Belo Horizonte, Brazil

    Marcia Salvador

  5. Department of Gynaecology and Obstetrics. Divisions of Gynaecological Oncology and Urogynaecology, JG Mendel Cancer Centre, Novy Jicin, Czech Republic

    Paul Bartos

  6. University Clinic Reina Fabiola, Cordoba, Argentina

    Mario Paladini

  7. Villa Sofia Hospital, Palermo, Italy

    Biagi Adile

  8. Department of Microbiological and Gynecological Science, University of Catania School of Medicine, Catania, Italy

    Antonio Cianci & Sebastiano Bandiera

  9. Rua Herman Muller, 429, Americana, SP, Brazil, 13465-630

    Cassio Riccetto

Authors
  1. Paulo Palma
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  2. Cassio Riccetto
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  3. Alessandro Prudente
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  4. Fernanda Dalphorno
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  5. Carlos Delroy
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  6. Rodrigo Castro
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  7. Marcos Tcherniakovsky
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  8. Marcia Salvador
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  9. Paul Bartos
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  10. Mario Paladini
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  11. Biagi Adile
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  12. Antonio Cianci
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  13. Sebastiano Bandiera
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Corresponding author

Correspondence to Cassio Riccetto.

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Palma, P., Riccetto, C., Prudente, A. et al. Monoprosthesis for anterior vaginal prolapse and stress urinary incontinence: midterm results of an international multicentre prospective study. Int Urogynecol J 22, 1535–1541 (2011). https://doi.org/10.1007/s00192-011-1481-5

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  • DOI: https://doi.org/10.1007/s00192-011-1481-5

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