Volume 25, Issue 115, September 2021

Evaluation the efficacy and complications of uphold system for total organ pelvic prolapse repair

Farzaneh Sharifiaghdas¹, Zohreh Bartani^2♦, Rasoul Esmaeili²

¹Shahid Labbafinejad Medical Center, Urology and Nephrology Research Center (UNRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran
²Department of Urology, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran

^♦Corresponding author
Department of Urology, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran

ABSTRACT

Objective: The aim of present study was to use an uphold system (Boston Scientific) for restoration of total organ pelvic prolapse. Materials and methods: Between 2014 and 2019 years, This retrospective study was conducted on forty-three women with pelvic organ prolapse stage 4, underwent pelvic repair surgery with transvaginal mesh. Pre and postoperative Pelvic Organ Prolapse Quantification (POP-Q) stage, Urogenital Distress Inventory-6 (UDI-6), Incontinence Impact Questionnaire-7 (IIQ-7), urodynamic parameters, peri- and postoperative complications were evaluated. Results: forty-Three female patients were followed-up for 48 month. The result showed that there were statistically significant differences between POP-Q parameters, UDI-6 and IIQ-7 before and after surgery (p value < 0.05). Complications included seven cases (16.3%) of urinary tract infection, one cases (2.7%) of mesh exposure, three cases (7%) of recurrent prolapse, and 4 cases (9.3%) of objective stress urinary incontinence. No bladder and tract perforation occurred during surgery. Conclusions: total organ pelvic reconstructive surgery that done with transvaginal mesh of the Uphold System assign satisfactory anatomical and outcomes of urinary function in a median 60 months of follow-up.

Keywords: pelvic organ prolapse, transvaginal uphold mesh, complications

Medical Science, 2021, 25(115), 2138-2144

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