Introduction and Objective: Pelvic organ prolapse (POP) is an important issue due to high incidence and high recurrence rate after the surgery. It frequently affects more than one compartment, and goes together with stress urinary incontinence (SUI). Corrective surgery is frequently performed with meshes in order to obtain more successful and durable results. High price of the mesh kits limit number of operated patients especially in developing countries especially in cases with more than one kit (or kit and sling) necessary.
The aim of this study is achieve satisfactory correction of the anterior compartment, middle compartment and SUI with the same mesh kit Anterior Prolift system (Johnson&Johnson, Ethicon, Gynecare, USA).
Material and methods: Total of 27 patients with symptomatic POP and SUI (12/27) were operated and available for the 18 months follow up. Anterior Prolift set that was passed transobturatory with anterior and through the sacrospinous ligament with posterior mesholders. Mesh was devided in the middle and fixed around the cervix (or cuff in previously hysterectomized females n=13). Sling was created from the anterior mesholders and placed like TVT . POP and symptoms were evaluated before 1, 6, 12 and 18 months after the surgery.
Results: There was significant improvement of POP (p=0.00), symptoms of pelvic pressure vaginal bulging, and SUI as well (p=0.00, p=0.00 and p=0.04 respectively ). Urgency was corrected but just below the level of significance
Conclusion Porlapse of the anterior, apical compartment and SUI could be successfully corrected with the single Anterior Prolift system.
InstitutionClinic of Urology, Clinical Center Nis, Serbia
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Duration00:06:59 Created2009-10-07 02:13:23 -
Use of a novel hemostatic agent ...
Use of a novel hemostatic agent in laparoscopic partial nephrecto...
Duration00:06:26 Created2009-10-07 01:22:40 -
Supine percutaneous nephrolithotomy
Supine percutaneous nephrolithotomy
Duration00:06:53 Created2009-10-07 00:53:24 -
The use of holmium laser during ...
The use of holmium laser during percutaneous nephrolithotripsy
Duration00:05:29 Created2009-10-07 00:33:27 -
Hemostatic gelatin matrix sandwi...
Hemostatic gelatin matrix sandwich: ... control tract bleeding fo...
Duration00:03:48 Created2009-10-06 23:53:55 -
Performing percutaneous nephroli...
Performing percutaneous nephrolithotomy in the prone-flexed posit...
Duration00:06:56 Created2009-10-06 23:35:38 -
Supine percutaneous nephrolitoto...
Supine percutaneous nephrolitotomy in horseshoe kidney
Duration00:05:23 Created2009-10-06 23:27:34 -
A safe & efficient technique...
A safe & efficient technique for initial access to intraperit...
Duration00:05:15 Created2009-10-06 22:54:51 -
Mini-instrument PCNL in children...
Mini-instrument PCNL in children less than 2 years of age
Duration00:05:09 Created2009-10-06 22:47:45 -
X-ray free percutaneous nephroli...
X-ray free percutaneous nephrolithotomy in supine position with u...
Duration00:06:58 Created2009-10-06 22:32:02 -
A novel 5 part percutaneous acce...
A novel 5 part percutaneous access needle with glidewire (5-Pang)...
Duration00:04:44 Created2009-10-06 22:10:54 -
Renal cell carcinoma dwelling up...
Renal cell carcinoma dwelling upon a simple cyst wall
Duration00:06:10 Created2009-10-06 21:33:13 -
Tubeless percutaneous nephrolith...
Tubeless percutaneous nephrolithotomy
Duration00:05:57 Created2009-10-06 21:26:49 -
Five-port complete robotic- assi...
Five-port complete robotic- assisted laparoscopic nephroureterect...
Duration00:06:55 Created2009-10-06 21:02:12 -
Robotic- assisted nephroureterec...
Robotic- assisted nephroureterectomy without patient re-positioni...
Duration00:06:15 Created2009-10-06 20:28:39 -
Robotic assisted laparoscopic ne...
Robotic assisted laparoscopic nephroureteroectomy
Duration00:06:57 Created2009-10-06 19:44:37 -
Pure laparoscopic management of ...
Pure laparoscopic management of renal cell carcinoma with inferio...
Duration00:06:59 Created2009-10-06 19:22:01 -
Pure laparoscopic radical nephre...
Pure laparoscopic radical nephrectomy with renal vein tumor throm...
Duration00:04:38 Created2009-10-06 18:30:54 -
Nephroureterectomy with endoscop...
Nephroureterectomy with endoscopic ureteral desinsertion in the t...
Duration00:06:35 Created2009-10-06 18:17:14 -
Laparoscopic renal cyst resectio...
Laparoscopic renal cyst resection and percutaneous nephrolithotri...
Duration00:05:41 Created2009-10-06 17:29:12 -
Combined endoscopic and laparosc...
Combined endoscopic and laparoscopic treatment of bilateral stag...
Duration00:08:24 Created2009-10-06 11:28:50 -
Refinements in rectosigmoid vagi...
Refinements in rectosigmoid vaginoplasty
Duration00:07:53 Created2009-10-06 10:55:59 -
A Novel technique for identific...
A Novel technique for identification of diverticulum during r...
Duration00:07:24 Created2009-10-06 10:54:24 -
Total Phalloplasty using a muscu...
Total Phalloplasty using a musculocutaneous latissimus dorsi flap
Duration00:08:30 Created2009-10-06 09:46:43 -
Penile duplication with long dis...
Penile duplication with long distance - joining with successful o...
Duration00:08:35 Created2009-10-06 09:41:30 -
A new self expanding fully cove...
A new self expanding fully covered removable ureteral stent in a...
Duration00:07:00 Created2009-10-06 09:22:29 -
Die Penile Disassembly Technik i...
Die Penile Disassembly Technik in der Korrektur einer schweren Hy...
Duration00:07:55 Created2009-10-06 08:26:30 -
Extended node dissection in blad...
Extended node dissection in bladder cancer in a woman
Duration00:06:40 Created2009-10-06 02:13:02 -
Isobaric laparoscopic radical cy...
Isobaric laparoscopic radical cystoprostatectomy with laparotense...
Duration00:07:36 Created2009-10-06 02:01:08 -
Single port laparoscopic augment...
Single port laparoscopic augmentation enterocystoplasty
Duration00:06:25 Created2009-10-06 01:10:06 -
Ex- vivo models for training in ...
Ex- vivo models for training in endourology
Duration00:06:43 Created2009-10-06 01:08:51 -
Laparoscopic resection of bladde...
Laparoscopic resection of bladder diverticulum in female with pre...
Duration00:05:38 Created2009-10-06 00:39:20 -
Endoscopic management of adult o...
Endoscopic management of adult orthotopic ureterocele & assoc...
Duration00:05:13 Created2009-10-06 00:08:32 -
Optical urethrotomy under corpus...
Optical urethrotomy under corpus spongiosum block
Duration00:05:19 Created2009-10-05 23:47:59 -
Holmium: YAG laser epilation of ...
Holmium: YAG laser epilation of urethral diverticular hair
Duration00:07:17 Created2009-10-05 23:31:30 -
Laparoscopic anatomy of pelvic l...
Laparoscopic anatomy of pelvic lymph node dissection
Duration00:07:31 Created2009-10-05 23:30:22 -
Photoselective vaporization of t...
Photoselective vaporization of the prostate using treatment model...
Duration00:02:40 Created2009-10-05 22:58:52 -
NOTES approach to management of ...
NOTES approach to management of inadvertent splenic, enteral and ...
Duration00:04:55 Created2009-10-05 22:41:44 -
Laparoscopic transvesical adenom...
Laparoscopic transvesical adenomectomy
Duration00:06:53 Created2009-10-05 22:36:40 -
LESS transvesical bladder cuff e...
LESS transvesical bladder cuff excision
Duration00:05:58 Created2009-10-05 22:23:10 -
Laparoscopic radical cystectomy ...
Laparoscopic radical cystectomy with extracorporal ileal conduit ...
Duration00:06:52 Created2009-10-05 21:57:44 -
Endoscopic realignement and subs...
Endoscopic realignement and subsequent surgical repair of total m...
Duration00:07:31 Created2009-10-05 21:38:02 -
Kulkarni technique - full length...
Kulkarni technique - full length urethroplasty
Duration00:08:45 Created2009-09-24 18:36:04 -
Intrafascial nerve-sparing endos...
Intrafascial nerve-sparing endoscopic extraperitoneal radical pro...
Duration00:10:00 Created2009-09-24 18:19:06 -
Male to female surgery
Male to female surgery
Duration00:18:25 Created2009-09-24 18:12:56 -
Intersex masculinizing operation
Intersex masculinizing operation
Duration00:18:30 Created2009-09-24 18:08:46 -
Real penile lengthening using ge...
Real penile lengthening using geometrical complete circular incis...
Duration00:08:54 Created2009-09-24 18:05:40 -
Penisteilamputation mit Glansrek...
Penisteilamputation mit Glansrekonstrukuion als Therapie des Peni...
Duration00:08:30 Created2009-09-24 17:50:12 -
Complex epispadias repair - new ...
Complex epispadias repair - new advances
Duration00:08:23 Created2009-09-24 17:39:35 -
Clitoroplasty in intersex repair...
Clitoroplasty in intersex repair using disassembly technique
Duration00:10:45 Created2009-09-24 12:23:32 -
Extravesikale "detrusor tun...
Extravesikale "detrusor tunneling" ureterozystoneostomi...
Duration00:08:33 Created2009-09-24 12:07:31 -
Complete penile disassembly tech...
Complete penile disassembly technique in epispadia repair - a new...
Duration00:08:08 Created2009-09-24 11:43:14 -
New refinements in male-to-femal...
New refinements in male-to-female sex reassignment surgery
Duration00:07:44 Created2009-09-24 11:18:49 -
Radical penectomy with simultane...
Radical penectomy with simultaneous bilateral radical inguinal bl...
Duration00:07:59 Created2009-09-24 10:48:44 -
Vaginoplasty in male transsexuals
Vaginoplasty in male transsexuals
Duration00:07:48 Created2009-09-10 03:09:48 -
Internal pelvic lymph node disse...
Internal pelvic lymph node dissection during robot- assisted radi...
Created2009-09-09 20:03:29 -
The Vattikuti institute prostate...
The Vattikuti institute prostatectomy
Created2009-09-04 22:31:25 -
A new approach to surgical treat...
A new approach to surgical treatment of Peyronie's disease
Duration00:08:32 Created2009-09-04 22:09:00 -
Onlay-insellappen urethroplastik...
Onlay-insellappen urethroplastik bei schweren hypospadien
Duration00:08:19 Created2009-09-04 21:16:32 -
The modernized radical perineal ...
The modernized radical perineal prostatectomy
Duration00:14:59 Created2009-09-02 11:32:10 -
Robot assisted laparoscopic neph...
Robot assisted laparoscopic nephroureterectomy and contralateral ...
Duration00:11:22 Created2009-05-28 13:51:20 -
Laparoscopic single-port transve...
Laparoscopic single-port transvesical excision of foreign body
Duration00:04:04 Created2009-05-22 10:19:04 -
The concept of robotic high inte...
The concept of robotic high intensity focused ultrasound (HIFU) i...
Duration00:09:58 Created2009-05-14 18:19:54 -
Optimierter ureterorenoskopische...
Optimierter ureterorenoskopischer Kelchzugang durch Verwendung de...
Duration00:17:05 Created2009-05-14 09:56:55 -
Laparoscopic training in Urology
Laparoscopic training in Urology
Duration00:32:26 Created2009-04-06 13:47:45 -
Urethral reconstruction - techni...
Urethral reconstruction - technique of vessel sparing excision wi...
Duration00:08:04 Created2009-04-06 13:36:35 -
Laparoskopisches Training in der...
Laparoskopisches Training in der Urologie
Duration00:32:28 Created2009-04-06 13:36:10 -
Induratio penis plastica: Egydio...
Induratio penis plastica: Egydio Korrektur
Duration00:07:28 Created2009-04-06 13:23:09 -
Die transurethrale Elektroresekt...
Die transurethrale Elektroresektion der Prostata (TURP) mittels k...
Duration00:20:59 Created2009-04-06 13:21:27 -
Large renal cell carcinoma with ...
Large renal cell carcinoma with atrial thrombus using cardiopulmo...
Duration00:02:15 Created2009-04-06 13:21:02 -
Complex laparoscopic partial nep...
Complex laparoscopic partial nephrectomy for a cystic renal hilar...
Duration00:08:46 Created2009-04-06 13:20:35 -
Penile carcinoma: organ-sparing ...
Penile carcinoma: organ-sparing surgery
Duration00:08:29 Created2009-04-06 13:19:12 -
Laparoscopic retoperitoneal dism...
Laparoscopic retoperitoneal dismembered pyeloplasty in children
Duration00:07:57 Created2009-04-06 13:16:51 -
Transperitoneal laparoscopic upp...
Transperitoneal laparoscopic upper-pole heminephrectomy in a dupl...
Duration00:06:26 Created2009-04-06 13:15:24 -
Laparoscopic vesicovaginal fistu...
Laparoscopic vesicovaginal fistula repair
Duration00:07:40 Created2009-04-06 13:11:27 -
Dorsal dartos flap for fistula p...
Dorsal dartos flap for fistula prevention in Snodgrass hypospadia...
Duration00:08:08 Created2009-04-06 13:10:04 -
Description of fascias surroundi...
Description of fascias surrounding the prostate during nerve spar...
Duration00:08:37 Created2009-04-06 13:09:48 -
Steintherapie in der Urologie - ...
Steintherapie in der Urologie - semirigide Ureterorenoskopie
Duration00:33:04 Created2009-04-06 13:09:31 -
Laparoscopic retroperitoneal lym...
Laparoscopic retroperitoneal lymph node dissection for nonseminom...
Duration00:05:41 Created2009-04-06 13:08:13 -
Reliable and total hypospadias r...
Reliable and total hypospadias repair in two stages (Ikoma method...
Duration00:54:18 Created2009-04-06 13:07:47 -
Radical cystectomy and neobladde...
Radical cystectomy and neobladder in female patients
Duration00:16:00 Created2009-04-06 13:05:06 -
Laparoscopic transvesical urethr...
Laparoscopic transvesical urethro-rectal fistula repair, a new te...
Duration00:03:51 Created2009-04-06 13:02:39 -
Harnleiterschienen in der Urologie
Harnleiterschienen in der Urologie
Duration00:10:20 Created2009-04-06 13:02:04 -
Extra-fascial laparoscopic radic...
Extra-fascial laparoscopic radical prostatectomy
Duration00:07:52 Created2009-04-06 13:00:40 -
Laparoscopic transvesical divert...
Laparoscopic transvesical diverticulectomy
Duration00:07:51 Created2009-04-06 12:58:16 -
Laparoskopische anatomische radi...
Laparoskopische anatomische radikale Prostatektomie
Duration00:15:32 Created2009-04-06 12:49:37 -
The radical extended perineal pr...
The radical extended perineal prostatectomy with simultaneous ext...
Duration00:15:23 Created2009-04-06 12:44:01 -
Laserendopyelotomie
Laserendopyelotomie
Duration00:07:20 Created2009-04-06 12:42:27 -
Vorteile der continuous-flow Ure...
Vorteile der continuous-flow Ureterorenoskopie mit dem neuen Uret...
Duration00:08:09 Created2009-04-06 12:37:28 -
The nervesparing radical perinea...
The nervesparing radical perineal radical prostatectomy
Duration00:11:45 Created2009-04-06 12:35:53 -
Argus male sling system - surgic...
Argus male sling system - surgical technique and results
Duration00:07:59 Created2009-04-06 12:29:49 -
The urethral Kock's pouch a...
The urethral Kock's pouch as a continent bladder substitute
Duration00:59:48 Created2009-04-06 12:06:07 -
Orthotopic bladder substitution ...
Orthotopic bladder substitution in women
Duration00:41:40 Created2009-04-06 11:52:07




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