title: Monoprosthesis for anterior vaginal prolapse and stress urinary incontinence: midterm results of an international multicentre prospective study.
abstract: OBJECTIVE
  Stress urinary incontinence (SUI) can occur simultaneously with anterior vaginal prolapse (AVP) in up to 30% of patients. We studied a monoprosthesis that combines prepubic and transobturator arms for simultaneous treatment of AVP and SUI.
  
  
  METHODS
  One hundred four women with AVP underwent surgical treatment using a monoprosthesis (NAZCA TC). POP-Q was used for anatomical evaluation. Functional results were evaluated by quality of life questionnaires, stress test and Stamey score. Patients were evaluated at 1, 3, 6 and 12 months postoperatively.
  
  
  RESULTS
  There were significant and sustained improvements in points Aa, Ba and C. Positive stress test was observed in 29.8% preoperatively and decreased to 1.9% after 12 months. There was no significant impact in sexual symptoms. Mesh exposure was noted in 5.7% of patients.
  
  
  CONCLUSIONS
  Monoprosthesis with combined prepubic and transobturator arms presented high success rates for AVP repair and simultaneous SUI treatment. It has also been shown to be safe and appears to preserve sexual function.
authors: Urology Division, State University of Campinas, São Paulo, Brazil.
authors: Paulo
authors: P
authors: Palma
authors: Cassio
authors: C
authors: Riccetto
authors: Alessandro
authors: A
authors: Prudente
authors: Fernanda
authors: F
authors: Dalphorno
authors: Carlos
authors: C
authors: Delroy
authors: Rodrigo
authors: R
authors: Castro
authors: Marcos
authors: M
authors: Tcherniakovsky
authors: Marcia
authors: M
authors: Salvador
authors: Paul
authors: P
authors: Bartos
authors: Mario
authors: M
authors: Paladini
authors: Biagi
authors: B
authors: Adile
authors: Antonio
authors: A
authors: Cianci
authors: Sebastiano
authors: S
authors: Bandiera
mesh_terms: D000368:Aged; D001118:Argentina; D001938:Brazil; D015897:Comorbidity; D018153:Czech Republic; D005260:Female; D014943:Global Health; D006801:Humans; D007558:Italy; D008137:Longitudinal Studies; D008875:Middle Aged; D011446:Prospective Studies; D019736:Prostheses and Implants / Q000009:adverse effects; D011474:Prosthesis Design; D011788:Quality of Life; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000628:therapy*; D014596:Uterine Prolapse / Q000453:epidemiology* / Q000628:therapy*