Registry of implants for the reconstruction of pelvic floor in males and females: A feasibility case series

INTERNATIONAL JOURNAL OF SURGERY

卷:42

Article

Barski, Dimitri¹  Gerullis, Holger²  Ecke, Thorsten³  Kranz, Jennifer⁴  Schneidewind, Laila⁵  Leistner, Nadine⁶  Queissert, Fabian⁷  Muehlstaedt, Sandra⁸  Grabbert, Markus⁹  Tahbaz, Rana¹⁰  Pelzer, Alexandre Egon¹¹  Joukhadar, Ralf¹²  Klinge, Uwe¹³  Boros, Mihaly¹⁴  Bader, Werner¹⁵  Naumann, Gert¹⁶  Puppe, Frank¹⁷  Otto, Thomas¹⁸ 

[1] Lukas Hosp Neuss, Dept Urol, Preussenstr 84, D-41464 Neuss, Germany

[2] Carl von Ossietzky Univ Oldenburg, Univ Hosp Urol, Klinikum Oldenburg, Sch Med & Hlth Sci, Oldenburg, Germany

[3] Helios Hosp, Dept Urol, Bad Saarow Pieskow, Germany

[4] St Antonius Hosp Eschweiler, Dept Urol, Eschweiler, Germany

[5] Univ Saarland, Med Ctr, Inst Virol, Homburg, Saar, Germany

[6] Univ Hosp Bonn, Dept Neurourol, Bonn, Germany

[7] Univ Hosp Munster, Dept Urol, Munster, Germany

[8] Univ Hosp Halle Saale, Dept Urol, Halle, Germany

[9] Univ Hosp Cologne, Dept Urol, Cologne, Germany

[10] Univ Hosp Hamburg Eppendorf, Dept Urol, Hamburg, Germany

[11] Klinikum Wels Grieskirchen, Dept Urol, Wels, Austria

[12] Univ Hosp, Dept Gynecol, Wurzburg, Germany

[13] Rhein Westfal TH Aachen, Univ Hosp, Surg Dept, Aachen, Germany

[14] Univ Szeged, Inst Expt Surg, Szeged, Hungary

[15] Klinikum Bielefeld, Dept Gynecol, Bielefeld, Germany

[16] HELIOS Hosp, Dept Gynecol, Erfurt, Germany

[17] Univ Wurzburg, Inst Math & Comp Sci, Wurzburg, Germany

[18] Lukas Hosp, Dept Urol, Neuss, Germany

关键词: IDEAL;    Implant;    Incontinence;    Mesh;    Pelvic floor;    Prolapse;    Registry;   

DOI  :  10.1016/j.ijsu.2017.04.028

来源: Elsevier

【 摘 要 】

Introduction: Most aspects of implant-assisted reconstruction of pelvic floor in males and females are under debate and the research is not standardized. Registries are supposed to shed light to the indications, surgical techniques and material properties and to establish a standardized evaluation. Methods: A working group was formed to create an online platform for registration and outcome measurement of implant-assisted operations for pelvic organ prolapse (POP) and female and male stress urinary incontinence (SUI). 20 patients with modified mesh materials were evaluated over 23 months 'follow up in the registry to prove the feasibility of the registry. For validation a previously published modified satisfaction, anatomy, continence, safety - S.(A.)C.S score was used. Results: A consensus was met on definitions and classifications of patient variables, surgical procedures and implants, as well as outcome parameters (efficacy, continence, satisfaction, complications). Different subgroup modules were formed in accordance with treated condition. The maximum score of cure was reached by 25-100% of patients depending on the indication. Conclusion: A prospective registry in accordance with IDEAL-D framework is justified for the evaluation and regulation of implants for pelvic floor reconstruction. (C) 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

【 授权许可】

Free