Prospective ultrasonographic follow-up of synthetic mesh in cohort of patients after vaginal repair of cystocele

被引：2

作者：

Mousty, E. ^{[1
]}

Huberlant, S. ^{[1
]}

Pouget, O. ^{[1
]}

Mares, P. ^{[1
]}

de Tayrac, R. ^{[1
]}

Letouzey, V. ^{[1
,2
]}

机构：

[1] CHU Montpellier 1, Serv Gynecol Obstet, F-30000 Nimes, France

[2] GHU Caremeau, Serv Maternite, F-30029 Nimes, France

来源：

PROGRES EN UROLOGIE | 2013年 / 23卷 / 08期

关键词：

Cystocele; Pelvic organ prolapse; Shrinkage; Ultrasound; Vaginal mesh; PELVIC ORGAN PROLAPSE; POLYPROPYLENE MESH; WOMEN;

D O I：

10.1016/j.purol.2013.03.018

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Objective. - We sought to validate a sequence of ultrasonographic mesh measurements to determine the relevant time points in the postoperative monitoring of mesh size. Methods. - Mesh was measured preoperatively ex vivo, prior to insertion, in 25 patients scheduled to undergo vaginal repair of cystocele involving insertion of a Ugytex (TM) transobturating polypropylene mesh. A 2D/3D perineal ultrasound scan was performed at the end of the surgical procedure (DO), then on third day after surgery (03) and 6 weeks (W6) after the operation. Medio-sagittal view was used to measure mesh total length and the sagittal arc (length between the most distant points of the mesh). Results. - Time-course changes in sagittal arc were marked by a 8% increase on D3 (with respect to DO) and a 20% decrease at W6 (with respect to D3). Mesh total length at W6 on average corresponded to 74% (+/- 20) of mesh total length measured on D3. Conclusion -. This study showed the changes in the mesh ultrasonographic measurements following vaginal placement by vaginal route. The D3 ultrasound scan should appear to be suitable as a reference for subsequent ultrasonographic monitoring. (C) 2013 Elsevier Masson SAS. All rights reserved.

引用

页码：530 / 537

页数：8

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