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Int Urogynecol J. 2010 Sep;21(9):1057-63. doi: 10.1007/s00192-010-1163-8. Epub 2010 Apr 29.

Anterior vaginal wall prolapse: a randomized controlled trial of SIS graft versus traditional colporrhaphy.

Author information

1
Section of Urogynecology and Pelvic Surgery, Department of Gynecology, Universidade Federal de São Paulo, Rua dos Otonis, 601 (Vila Clementino), 04025-001, São Paulo, SP, Brazil. pfeldner@alfa.epm.br

Abstract

INTRODUCTION AND HYPOTHESIS:

This study seeks to compare the small intestine submucosa (SIS) graft with traditional colporrhaphy (TC) for surgical treatment of anterior vaginal prolapse.

METHODS:

Subjects were randomly assigned to SIS (n = 29) or to TC (n = 27) preoperatively and outcomes analyzed at 12 months postoperatively. The primary outcome was the absence of POP-Q stage >or= II prolapse, and secondary outcome was improvement in quality of life. Data were compared with independent samples or paired Student's t test.

RESULTS:

SIS group had 86.2% anatomic cure compared to 59.3% in TC (p = 0.03). SIS improved point Ba measurement significantly (-1.93 cm versus -1.37 cm, p = 0.02). Both operations significantly improved quality of life, although there were no differences between the groups. We observed a greater number of complications in the SIS group, with no infections or erosion.

CONCLUSIONS:

SIS repair improved point Ba significantly. However, there were no differences observed in quality of life between the techniques.

PMID:
20428997
DOI:
10.1007/s00192-010-1163-8
[Indexed for MEDLINE]
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