ArticleJournal of research in medical sciences : the official journal of Isfahan University of Medical Sciences2025
Double sling with polyvinylidene fluoride implant: Evaluation of functional and anatomical outcomes of concomitant retropubic sling and anterior vaginal wall prolapse repair.
Article in Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Several kinds of procedures have been introduced for surgical rectification of pelvic organ prolapse (POP) and/or stress urinary incontinence (SUI) using various synthetic meshes such as polypropylene (PP) material. Polyvinylidene fluoride (PVDF) meshes have been proven to have higher biocompatibility, lower morbidity, and also less inflammatory and fibrotic reactions in comparison with PP meshes. Here, we intend to report a 2-year follow-up report of patients who had undergone transvaginal surgery using PVDF meshes to rectify POP and concomitant SUI. Materials and Methods: Between August 2015 and May 2024, 38 peri- or postmenopausal women with high-grade anterior compartment prolapse and concomitant SUI, who were nonresponsive to conservative management, were scheduled and underwent double-sling (anterior retropubic mid-urethral sling and posterior transobturator tape) surgery using a four-arm PVDF mesh. The patients were followed up for at least 24 months. Results: Thirty-eight patients were enrolled in the study and followed for an average of 5.7 years. A statistically significant subjective improvement was observed after 2 years ( Conclusion: Double sling with PVDF implant is a safe and convenient procedure for the selected women with high-grade anterior compartment prolapse and symptomatic concomitant stress urine incontinence (SUI).
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