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Tesi di dottorato in medicina >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/2108/659
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| Title: | A prospective, randomized, controlled study comparing Gynemesh, a synthetic mesh, and Pelvicol, a biological mesh, in the surgical treatment of recurrent cystocele |
| Authors: | Piccione, Emilio
Cervigni, Mauro
La Penna, Chiara |
| Keywords: | polypropylene mesh
porcine dermis graft
prospective randomized study
quality of life
recurrent cystocele
vaginal erosion |
| Issue Date: | 2-Oct-2008 |
| Abstract: | Introduction and Hypotheses: We compared safety and efficacy of Gynemesh PS® and Pelvicol® for recurrent cystocele repair.
Methods: 190 patients were randomly assigned to Gynemesh PS® or Pelvicol®. The technique used was Tension-free Cystocele Repair. The Chi-square test was used to compare categorical variables, the paired t-test for continuous parametric variables, and the Mann-Whitney test for continuous non-parametric variables.
Results: 96 Gynemesh PS® patients and 94 Pelvicol® patients were included in our study. Mesh erosions occurred in 6.3% of Gynemesh PS® patients. No erosions were observed in Pelvicol® patients (p = 0.02). Objective cure was 71.9% for Gynemesh PS® and 56.4% for Pelvicol® (p=0.06). Subjective cure was comparable in the two groups except for sexuality which was better in the Pelvicol® group.
Conclusions: With a follow-up of 24 months, we observed mesh erosions in Gynemesh PS® patients only. Anatomical outcome was comparable between groups. A better impa... |
| Description: | 20. ciclo |
| URI: | http://hdl.handle.net/2108/659 |
| Appears in Collections: | Tesi di dottorato in medicina
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| tesi_dottorato.pdf | | 306Kb | Adobe PDF | View/Open |
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