Laparoscopic colposuspension using sutures or prolene meshes: A 3-year follow-up

Fulvio Zullo, Stefano Palomba, Tiziana Russo, Francesco Maria Sbano, Angela Falbo, Michele Morelli, Massimilano Pellicano, Pasquale Mastrantonio

Research output: Contribution to journalArticlepeer-review

Abstract

Objective(s): To compare the long-term effectiveness of two different laparoscopic colposuspension procedures. Study design: Sixty women affected by genuine stress incontinence (GSI) were enrolled in a prospective randomized controlled trial (RCT) and treated by transperitoneal laparoscopic colposuspension using nonabsorbable sutures (group A) or prolene mesh fixed with tackers or staplers (group B). In each group the subjective and objective failure rates were evaluated at 12, 24, and 36 months after surgery. For the subjective evaluation patients were asked whether they had experienced urine leakage and any urine loss they reported was recorded on a visual analogue scale (VAS). The objective evaluation was performed by means of a clinical examination and multichannel urodynamic studies. The data were analyzed by the intention-to-treat method. Results: The subjective failure rate was significantly (P <0.05) lower in group A than in group B at 12 months (3.3% versus 13.3%, respectively), 24 months (20.0% versus 36.7%, respectively), and 36 months (33.3% versus 53.3%, respectively) after surgery. The objective failure rate also differed significantly (P <0.05) between the two groups after 12 (10.7% versus 25.0% for group A and group B, respectively), 24 (29.6% versus 57.7%, respectively), and 36 (42.3% versus 61.5%, respectively) months of follow-up. Conclusion(s): Laparoscopic colposuspension performed with sutures is more effective than laparoscopic colposuspension accomplished with the use of prolene meshes in the long term, and the use of prolene meshes should be avoided in treatment of GSI.

Original languageEnglish
Pages (from-to)201-203
Number of pages3
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume117
Issue number2
DOIs
Publication statusPublished - Dec 1 2004

Keywords

  • Burch
  • Colposuspension
  • Laparoscopy
  • Mesh
  • Suture

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

Fingerprint Dive into the research topics of 'Laparoscopic colposuspension using sutures or prolene meshes: A 3-year follow-up'. Together they form a unique fingerprint.

Cite this