title: Results of the treatment of anterior pelvic organ prolapse using the Perigee® system.
abstract: OBJECTIVE
  To study the efficacy and safety of the Perigee® System for the treatment of anterior vaginal prolapse in our experience with a medium term follow-up.
  
  
  METHODS
  Prospective analysis on 48 consecutive patients with stage II-IV cystocele diagnosed from June 2006 until June 2009 using the Pelvic Organ Prolapse Quantitation classification without other associated prolapses. All diagnoses were done by a single urological specialist and follow-up is between 3 to 6 years. The questionnaire Patient Global Impression of Improvement was carried out before surgery, at the first follow up checking at one month, and at 6 and 12 months. The variables evaluated were age, presence of obesity, parity, prior hysterectomy, ASA class and stage of prolapse.
  
  
  RESULTS
  The result, evaluating the questionnaire Patient Global Impression of Improvement, was cured or improved in 40 (83.3%) patients and 87.5% according to the Pelvic Organ Prolapse Quantitation, with a recurrence rate of 6.25%. Intraoperative complications were observed in 12.5% of the patients, postoperative in 4.2% and 41.5% after hospital discharge, pain being the most common complication (16.6%). The key variables for procedural failure were age 65 years >, obesity, parity ≥ 2, prolapse stage ≥ III and prior hysterectomy (p <0.05).
  
  
  CONCLUSIONS
  In our series the Perigee® System allows anatomic repair with less morbidity, hospital stay and recovery time.
authors.affiliation: Servicio de Urología. Clínica del Pilar. Zaragoza. España.
authors.forename: Francisco Xavier
authors.initials: FX
authors.lastname: Elizalde Benito
authors.forename: Angel Gabriel
authors.initials: AG
authors.lastname: Elizalde Benito
authors.forename: María
authors.initials: M
authors.lastname: Urra Palos
authors.forename: Ignacio
authors.initials: I
authors.lastname: Quintana Martínez
authors.forename: Angel Gabriel
authors.initials: AG
authors.lastname: Elizalde Amatria
mesh_terms: D000367:Age Factors; D000368:Aged; D052858:Cystocele / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D010298:Parity; D017060:Patient Satisfaction; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012008:Recurrence; D013526:Surgical Mesh; D011795:Surveys and Questionnaires; D016896:Treatment Outcome