A 3-year follow-up after anterior colporrhaphy compared with collagen-coated transvaginal mesh for anterior vaginal wall prolapse: a randomised controlled trial

2015 ◽  
Vol 123 (1) ◽  
pp. 136-142 ◽  
Author(s):  
M Rudnicki ◽  
E Laurikainen ◽  
R Pogosean ◽  
I Kinne ◽  
U Jakobsson ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Colporrhaphy ◽  
Transvaginal Mesh ◽  
Anterior Vaginal Wall Prolapse ◽  
Randomised Controlled

No mesh versus mesh in the treatment of anterior vaginal wall prolapse: prospective, randomised, controlled trial, long-term follow-up

2020 ◽  
Vol 52 (10) ◽  
pp. 1839-1844
Author(s):  
José Tadeu Nunes Tamanini ◽  
Leonardo Oliveira Reis ◽  
Mirce Milhomem da Mota Tamanini ◽  
Rodrigo Aquino Castro ◽  
Marair Gracio Ferreira Sartori ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Vaginal Wall Prolapse ◽  
Long Term Follow Up ◽  
Randomised Controlled

Native-Tissue Anterior Colporrhaphy Versus Transvaginal Mesh for Anterior Pelvic Organ Prolapse

2021 ◽  
pp. 191-196
Author(s):  
Nick Rockefeller ◽  
Peter Jeppson
Keyword(s):  
Pelvic Organ Prolapse ◽  
Clinical Case ◽  
Pelvic Organ ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Colporrhaphy ◽  
Transvaginal Mesh ◽  
Anterior Vaginal Wall Prolapse ◽  
Native Tissue ◽  
Landmark Study

This article provides a summary of a landmark study in the management of pelvic organ prolapse. This study sought to evaluate if patients with anterior vaginal wall prolapse should be managed with a traditional native tissue colporrhaphy or with transvaginal mesh. This article briefly reviews other relevant studies related to vaginal prolapse and concludes with a relevant clinical case.

scholarly journals Non-absorbable versus absorbable sutures for anterior colporrhaphy: study protocol for a randomised controlled trial in South Korea

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e034218
Author(s):  
Myung Jae Jeon ◽  
Dong Hoon Suh ◽  
Chul Hong Kim ◽  
Hyun-Hee Cho ◽  
Jung-Ho Shin ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Controlled Trial ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Colporrhaphy ◽  
University Hospital ◽  
High Recurrence Rate ◽  
Anterior Vaginal Wall Prolapse ◽  
Absorbable Sutures ◽  
The Individual

IntroductionThe anterior vaginal wall is the segment most commonly affected by prolapse. Traditionally, anterior vaginal wall prolapse is repaired via anterior colporrhaphy, which is known to have a high recurrence rate. Several factors might affect the outcome of anterior colporrhaphy, and the use of absorbable sutures might also be associated with the high recurrence rate because the sutures might not be able to retain adequate strength until the plicated pubocervical fascia remodels and regains maximum tensile strength. Nonetheless, no comparative data exist about the relative efficacy and safety of anterior colporrhaphy using non-absorbable versus absorbable sutures. The objective of this study is to compare the surgical outcomes of anterior colporrhaphy using non-absorbable sutures with those of anterior colporrhaphy using absorbable sutures.Methods and analysisThis is a randomised, multicentre, superiority trial. Anterior colporrhaphy will be performed in a traditional manner with midline plication of the fibromuscular layer using either non-absorbable or absorbable sutures. The primary outcome is composite surgical success 1 year after surgery defined as the absence of all of the following: (1) anterior vaginal descent beyond the hymen, (2) the presence of vaginal bulge symptoms and (3) retreatment for recurrent anterior vaginal wall prolapse with either surgery or pessary. The secondary outcomes include the individual components of the composite primary end point, anatomical outcomes, condition-specific quality of life and adverse events related to anterior colporrhaphy. The planned number of participants is 192.Ethics and disseminationThis study was approved by the Institutional Review Board of Seoul National University Hospital (H-1810-037-977). The results of the study will be published in peer-reviewed journals, and the findings will be presented at scientific meetings.Trial registration numberNCT03736811

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