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Table 3 Operative characteristics and postoperative complications of patients who presented for operation for POP–Q II–III and genuine SUI between January 2006 and December 2012

From: Does anchoring vaginal mesh increase the potential for correcting stress incontinence?

 

Modified TVM group (N = 62)

Control group I (historical controls: TVM) (N = 62)

Control group II (historical controls: anterior colporrhaphy) (N = 124)

p value

POP grading

grade II

50 (80.6)

59 (95.2)

124 (100)

< 0.001

grade III

12 (19.4)

3 (4.8)

0 (0)

Urge symptoms

8 (12.9)

2 (3.2)

7 (5.6)

0.08

Duration of operation (min) (mean ± S.D.)

37.8 ± 7.4

38.8 ± 6.0

34.9 ± 7.9

< 0.001

Estimated blood loss (ml) (mean ± S.D.)

48.7 ± 21.8

83.8 ± 41.2

74.0 ± 33.4

< 0.001

Intraoperative bladder injury, n (%)

1 (1.6)

0 (0)

0 (0)

0.22

Blood transfusion, n (%)

0 (0)

0 (0)

1 (0.8)

0.61

Reoperation, n (%)

4 (6.5)

10 (16.1)

40 (32.3)

< 0.001

POP–Q, n (%)

2 (3.2)

5 (8.1)

31 (25.0)

< 0.001

SUI, n (%)

1 (1.6)

1 (1.6)

11 (8.9)

0.04

Vaginal wall extrusion, n (%)

1 (1.6)

6 (9.7)

0 (0)

0.11

Postoperative bleeding, n (%)

0 (0)

3 (4.8)

1 (0.8)

0.06

Postoperative pain, n (%)

1 (1.6)

0 (0)

0 (0)

0.22

Total retention, n (%)

0 (0)

1 (1.6)

1 (0.8)

0.61

Successful treatment of POP–Q, n (%)

60 (96.8)

56 (90.3)

80 (64.5)

< 0.001

Successful treatment of SUI, n (%)

60 (96.8)

47 (75.8)

76 (61.3)

< 0.001

Urinary tract infection, n (%)

11 (17.7)

14 (22.6)

23 (18.5)

0.75

De novo urge incontinence, n (%)

7 (11.3)

8 (12.9)

0 (0)

< 0.001

Average time to observed extrusion (months) (mean ± S.D.)

1 ± 0

13.7 ± 8.3

n.m.a

0.13

  1. All recruited patients presented for anterior compartment POP–Q II–III (pelvic organ prolapse) and genuine SUI (stress urinary incontinence). The modified transvaginal mesh (mTVM) group comprised patients who received a four–arm mesh that was fixed to the mid-urethra. Control groups I and II include historical controls who participated in TVM and anterior colporrhaphy without any Kelly–Stoeckel suture, respectively. n.m.a, not measurable