Prospective study of the Perigree system for the management of cystocoeles - medium-term follow up

Rane, Ajay, Kannan, Kurinji, Barry, Christopher, Balakrishnan, Siva, Lim, Yik, and Corstiaans, Audrey (2008) Prospective study of the Perigree system for the management of cystocoeles - medium-term follow up. Australian and New Zealand Journal of Obstetrics and Gynaecology, 48 (4). pp. 427-432.

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Abstract

Objectives: the Perigee transobturator cystocoele repair system (AMS) was designed and first used in Townsville, Australia. This prospective study evaluates the efficacy and safety of this device for the management of cystocoeles.

Methods: patients who underwent surgery with the Perigee system between March 2004 and December 2005 were reviewed. Patients who consecutively presented to our clinic with a stage 3 cystocoele or above were given information regarding the Perigee mesh surgery. Those who consented were included in our study. The study involved a questionnaire and POPQ assessment pre- and postoperatively at six weeks, three months, six months, 12 months and subsequently biannually.

Results: a total of 70 patients underwent surgery with the Perigee system between March 2004 and December 2005. There were no life-threatening complications with the procedure. Five (7.1%) patients were found to have small mesh extrusion through the vagina, and three (4.28%) patients had recurrence of stage 2 cystocoele.

Discussion/Conclusion: on medium-term evaluation (18 to 36 months) of the Perigee system the results seem very encouraging. The morbidity is minimal, as is the recurrence and mesh extrusion rate.

Item ID: 5855
Item Type: Article (Refereed Research - C1)
Keywords: Perigee System; management of cystocoeles
ISSN: 1479-828X
Date Deposited: 24 Dec 2009 01:30
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920114 Reproductive System and Disorders @ 100%
Citation Count from Web of Science Web of Science 22
Downloads: Total: 3
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