Anterior vaginal wall prolapse: a randomized controlled trial of SIS graft versus traditional colporrhaphy

Anterior vaginal wall prolapse: a randomized controlled trial of SIS graft versus traditional colporrhaphy

Author Feldner, Paulo Cezar Autor UNIFESP Google Scholar
Castro, Rodrigo Aquino Autor UNIFESP Google Scholar
Cipolotti, Luiz Antonio Autor UNIFESP Google Scholar
Delroy, Carlos Antonio Autor UNIFESP Google Scholar
Ferreira Sartori, Marair Gracio Autor UNIFESP Google Scholar
Batista Castello Girao, Manoel Joao Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract This study seeks to compare the small intestine submucosa (SIS) graft with traditional colporrhaphy (TC) for surgical treatment of anterior vaginal prolapse.Subjects were randomly assigned to SIS (n = 29) or to TC (n = 27) preoperatively and outcomes analyzed at 12 months postoperatively. the primary outcome was the absence of POP-Q stage a parts per thousand yenaEuro parts per thousand II prolapse, and secondary outcome was improvement in quality of life. Data were compared with independent samples or paired Student's t test.SIS group had 86.2% anatomic cure compared to 59.3% in TC (p = 0.03). SIS improved point Ba measurement significantly (-1.93 cm versus -1.37 cm, p = 0.02). Both operations significantly improved quality of life, although there were no differences between the groups. We observed a greater number of complications in the SIS group, with no infections or erosion.SIS repair improved point Ba significantly. However, there were no differences observed in quality of life between the techniques.
Keywords Anterior vaginal prolapse
SIS graft
Traditional repair
Language English
Date 2010-09-01
Published in International Urogynecology Journal. London: Springer London Ltd, v. 21, n. 9, p. 1057-1063, 2010.
ISSN 0937-3462 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 1057-1063
Origin http://dx.doi.org/10.1007/s00192-010-1163-8
Access rights Closed access
Type Article
Web of Science ID WOS:000280392200003
URI http://repositorio.unifesp.br/handle/11600/32861

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