Pelvic Organ Prolapse Clinical Trial
Official title:
Comparisons of Clinical Outcomes Between Novel Tailored Transvaginal Mesh Surgery and Vaginal Native Tissue Repair Surgery for Pelvic Organ Prolapse
The issue of whether utilizing the mesh in the surgical treatment of pelvic organ prolapse remained undetermined.Thus, the aim of this study is to analyze clinical outcome of women who underwent pelvic organ prolapse surgeries with and without mesh implantation in the Department of Obstetrics & Gynecology of National Taiwan University Hospital.
Hypothesis / aims of study:
The use of mesh for women with pelvic organ prolapsed (POP) remains under debate, despite a
recent randomized trial reported a favourable anatomic outcome of transvaginal mesh (TVM)
surgery for cystocele, compared with anterior colporrhaphy. Besides, the issue of preserving
uterus or not in women with POP during operation is still undetermined. Thus, the aim of
this study is to compare clinical outcomes of the novel tailored TVM surgeries and
conventional transvaginal native tissue repair (NTR) surgeries for POP.
Study design, materials and methods:
Between November 2011 and September 2014, the medical records of all consecutive women who
underwent POP surgeries in a medical centre were reviewed. The choice of surgery method was
according to the surgeons' preference. Clinical characteristics and intraoperative data and
postoperative clinical outcomes were recorded. Wilcoxon rank-sum test was used to compare
the data between two groups. Kaplan-Meier survival analysis was used to compare the
recurrence rate between two groups.
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Observational Model: Case-Only, Time Perspective: Retrospective
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