Official websites use. Share sensitive information only on official, secure websites. Efforts to use traditional native tissue strategies and reduce the use of meshes have been made in several countries.
Combining native tissue repair with sufficient mesh applied apical repair might provide a means of effective treatment. J Endourol ;29 2 — The short-term follow-up of this international multicenter study carried out now is presented in this article. Material and Methods: Eleven clinics and 13 surgeons in four European counties participated in the trial. The mesh was solely used for apical repair. All other clinically relevant defects were treated with native tissue repair. Colposuspension or TVT were used for the treatment of incontinence.
Data were collected independently for 14 months on a secured server; surgeries were registered and evaluated. Two hundred and sixty-four patients out of Main Outcome and Results: The mean duration of follow-up was 15 months.
The overall success of apical repair was rated positively by A positive general recommendation was expressed by Pelvic pressure was reduced in No major complications, mesh exposure, or mesh complication occurred during the follow-up period. Conclusion: In clinical routine, pectopexy and concomitant surgery, mainly using native tissue approaches, resulted in high satisfaction rates and favorable clinical findings.
The procedure may also be recommended for use by general urogynecological practitioners with experience in laparoscopy. Due to controversies about the use of meshes, native tissue repair in pelvic surgery has currently rebecome the matter of choice in several countries. Native tissue repair was considered to be insufficient for a long period of time. However, several publications have shown that, from a clinical perspective, it provides better outcomes than meshes in the long term. Various vaginal or abdominal techniques Manchester; sacrospinous fixation; high uterosacral fixation etc.
