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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|
La Penna, Chiara
|Keywords: ||polypropylene mesh|
porcine dermis graft
prospective randomized study
quality of life
|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|
|Appears in Collections:||Tesi di dottorato in medicina|
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