Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part II

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dc.contributor.author Tamanini, Jose Tadeu Nunes
dc.contributor.author Castro, Renata Cristina de Oliveira Souza
dc.contributor.author Tamanini, Juliana Milhomem
dc.contributor.author Feldner Junior, Paulo Cezar [UNIFESP]
dc.contributor.author Castro, Rodrigo de Aquino [UNIFESP]
dc.contributor.author Sartori, Marair Gracio Ferreira [UNIFESP]
dc.contributor.author Girão, Manoel João Batista Castello [UNIFESP]
dc.date.accessioned 2015-06-14T13:45:32Z
dc.date.available 2015-06-14T13:45:32Z
dc.date.issued 2013-07-01
dc.identifier http://dx.doi.org/10.1590/S1677-5538.IBJU.2013.04.11
dc.identifier.citation International braz j urol. Sociedade Brasileira de Urologia, v. 39, n. 4, p. 531-541, 2013.
dc.identifier.issn 1677-5538
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/7861
dc.description.abstract Objective To compare the effects of two surgical procedures for the correction of anterior vaginal wall prolapse (AVWP) on the lower urinary tract symptoms (LUTS) using symptom questionnaires and quality of life (QoL). Materials and Methods One hundred women with Pelvic Organ Prolapse Quantification stage (POP-Q) ≥ 2 were randomly distributed in two preoperatory groups. The first group (mesh) (n = 45) received a polypropylene mesh (PM) implant and the control group (n = 55) was submitted to anterior colporraphy with or without synthetic sling. Postoperatory follow-up was done after 12 months. The primary objective was to compare the effect of the surgeries on LUTS using the final scores of the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF) and Overactive Bladder Questionnaire (OAB-V8), as well as the analysis of the incapacitating urinary symptoms and “de novo” urinary symptoms after 12 months of surgery in both groups. Results Although there was a different number of women in each group, randomization was adequate, resulted in homogeneous groups that could be compared regarding socio demographic, clinical and gynecological (POP-Q) variables. Patients of both groups showed improvements regarding LUTS and QoL, whether using polypropylene mesh or not, based on the final scores of the ICIQ-UI SF and OAB-V8 questionnaires after 12-month follow-up. There were few incapacitating and “de novo” urinary symptoms, without any significant statistical difference between both groups after 12 months of surgery. Conclusion There was a general improvement of LUTS and QoL in both groups after 12-month follow-up. However, there was no significant difference of LUTS, as well as the more incapacitating and “de novo” urinary symptoms between both groups after 12 months of surgery. en
dc.format.extent 531-541
dc.language.iso eng
dc.publisher Sociedade Brasileira de Urologia
dc.relation.ispartof International braz j urol
dc.rights Acesso aberto
dc.subject Prolapse en
dc.subject Therapeutics en
dc.subject Quality of Life en
dc.subject Pelvic Floor Disorders en
dc.title Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part II en
dc.type Artigo
dc.contributor.institution Federal University of Sao Carlos Department of Medicine
dc.contributor.institution Health Secretary of Jau Ambulatory of Urogynecology
dc.contributor.institution ABC School of Medicine
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Federal University of Sao Carlos Department of Medicine
dc.description.affiliation Health Secretary of Jau Ambulatory of Urogynecology
dc.description.affiliation ABC School of Medicine
dc.description.affiliation Federal University of São Paulo Department of Urogynecology and Pelvic Surgery, Department of Gynecology
dc.description.affiliationUnifesp UNIFESP, Department of Urogynecology and Pelvic Surgery, Department of Gynecology
dc.identifier.file S1677-55382013000400531.pdf
dc.identifier.scielo S1677-55382013000400531
dc.identifier.doi 10.1590/S1677-5538.IBJU.2013.04.11
dc.description.source SciELO
dc.identifier.wos WOS:000327879200011



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