title: Use of the Gynecare Prolift system in surgery for pelvic organ prolapse: 1-year outcome.
abstract: OBJECTIVE
  This retrospective study reports the 1-year outcome in women who underwent mesh-augmented Prolift surgery performed from 2006 to 2008. There were a total of 254 patients, with 128, 106 and 20 patients receiving total, anterior and posterior Prolift, respectively.
  
  
  METHODS
  Incidence of thigh pain was lower in 2008 compared to 2006 and 2007 (p < 0.0001). The percentage of patients requiring blood transfusions (p = 0.09), duration of IDC ≥ 7 days (p = 0.27), wound dehiscence and re-operation rate were lower in 2008 in contrast to 2006 and 2007 (p = 0.43). Only 209 patients (82.3%) were available for review at 1 year. There were two (1.0%) cases of recurrent vault prolapse.
  
  
  RESULTS
  The subjective and objective cure rates at 1 year after this mesh implant surgery in 2006, 2007 and 2008 were 92.1% and 92.1%; 97.0% and 92.4% and 100% and 97%, respectively. The mesh erosion rate was remarkably lower in 2008 as compared to 2007 and 2006 (p < 0.001).
  
  
  CONCLUSIONS
  This synthetic mesh-augmented implant surgery is effective and safe, and surgical outcome appears related to the learning curve of the surgeon.
authors.affiliation: Urogynaecology Division, Department of Obstetrics & Gynaecology (Urogynaecology), Hospital Raja Permaisuri Bainun, Jalan Hospital, 30990, Ipoh, Perak Darul Ridzuan, Malaysia. rajfeelsgood@yahoo.com
authors.forename: Ganesh Raj
authors.initials: GR
authors.lastname: Vaiyapuri
authors.forename: How Chuan
authors.initials: HC
authors.lastname: Han
authors.forename: Lih Charn
authors.initials: LC
authors.lastname: Lee
authors.forename: Leng Aun Arthur
authors.initials: LA
authors.lastname: Tseng
authors.forename: Heng Fok
authors.initials: HF
authors.lastname: Wong
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D002081:Buttocks; D002983:Clinical Competence; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006406:Hematoma / Q000209:etiology; D006801:Humans; D059032:Learning Curve; D007902:Length of Stay; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D056887:Pelvic Organ Prolapse / Q000150:complications / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D053825:Suburethral Slings; D013526:Surgical Mesh; D013529:Surgical Wound Dehiscence / Q000209:etiology; D013848:Thigh; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery; D014621:Vagina / Q000601:surgery*