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Glue mesh fixation in laparoscopic sacrocolpopexy: results at 3years' follow-up
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Edité par CCSD -
INTRODUCTION AND HYPOTHESIS: We assessed 3-year anatomic and functional results using synthetic glue to fix mesh in laparoscopic sacrocolpopexy.METHODS: Prospective multicenter cohort study in three academic urogynecology departments. Seventy consecutive patients with stage ? 3 POP-Q (Pelvic Organ Prolapse Quantification) anterior and/or apical prolapse underwent laparoscopic sacrocolpopexy using synthetic surgical glue to fix anterior and posterior meshes to the vagina. Patients were followed up at 1, 2 and 3years. Primary outcome was anterior and apical anatomic success (POP-Q stage ? 1) at 3years. Secondary outcomes comprised functional results (international quality of life and sexuality scales), mesh-related morbidity and urinary incontinence at 3years.RESULTS: Mean age was 56.7?±?1.2years. Mean follow-up was 43months. Anterior compartment anatomic success rate was 87% at 2years (Ba, -2.4cm; p?