Reference : Management of pelvic organ prolapse in French-speaking Belgium: the EPILAPSUS study.
Scientific journals : Article
Human health sciences : Reproductive medicine (gynecology, andrology, obstetrics)
http://hdl.handle.net/2268/201024
Management of pelvic organ prolapse in French-speaking Belgium: the EPILAPSUS study.
English
DE LANDSHEERE, Laurent mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service de gynécologie-obstétrique (CHR) >]
SMAJDA, Stefan [Clinique Ste-Anne St-Remi, 1070 Bruxelles > Obstetrics and Gynecology > > >]
OBERWEIS, Didier [ISPPC, CHU André Vésale, 6110 Montigny-le-Tilleul > Obstetrics and Gynecology > > >]
KEULLER, Hania [ISPPC, CHU de Charleroi, 6000 Charleroi > Obstetrics and Gynecology > > >]
DEHON, Sylvie [ISPPC, CHU André Vésale - ISPPC, CHU de Charleroi > Obstetrics and Gynecology > > >]
SMETS, Mireille [Cliniques Universitaires St Luc, 1200 Bruxelles > Obstetrics and Gynecology > > >]
PASTIJN, Anne [Centre Hospitalier Universitaire Saint-Pierre (Bruxelles) - CHU St-Pierre > Obstetrics and Gynecology > > >]
NISOLLE, Michelle mailto [Centre Hospitalier Universitaire de Liège - CHU > > Service de gynécologie-obstétrique (CHR) >]
2016
Gynecological Surgery
Springer
13
3
165-172
Yes (verified by ORBi)
1613-2076
1613-2084
Berlin
Germany
[en] pelvic organ prolapse ; prolapse surgery trends ; surgical management ; vaginal mesh
[en] Management of pelvic organ prolapse (POP) may
be conducted by abdominal (laparotomy or laparoscopy) or
vaginal approach, with or without mesh repair, mainly depending
on the surgeon’s expertise. The aim of this study
was to determine the trends in surgical management of POP
in French-speaking Belgium. The GGOLFB Gynecologic surgery
working group initiated a registry of the patients surgically
treated for POP from eight centers in French-speaking
Belgium. In this prospective multicentric study, conducted
between June 2010 and January 2013, we analyzed the clinical
and surgical data, the postoperative results at 4 months, the
intra and postoperative complications, and reoperation rates.
A total of 394 patients were registered in the database.
Surgical POP repair was performed vaginally in 83.5 % of
the patients, with prosthetic material in 70.2 % of the cases.
In case of abdominal procedure, surgery was mainly (93.5 %)
performed by laparoscopic sacrocolpopexy. The most common
intraoperative complications were severe bleeding
(2.3 %), bladder (2 %), and bowel (0.2 %) injuries. At
4 months, the total reoperation rate was 11.3 %. The anatomical
success rate (POP-Q < 2) was 87.5 % with 2.1 % of
reoperation for recurrence. Mesh exposure was observed in
9.8 % of the cases. Surgery for stress urinary incontinence
(SUI) was reported in 5.1 % of the patients. The analysis of
the current urogynecological practice in French-speaking
Belgium shows that vaginal mesh repair is the preferential
approach used for management of POP in the participating
centers. The creation of a national database will help to evaluate
the global trends in prolapse surgery and the potential
impact of the FDA notification in the management of POP
in Belgium.
http://hdl.handle.net/2268/201024
10.1007/s10397-016-0948-2

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