{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:32:03Z","timestamp":1761129123528},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,2,25]],"date-time":"2014-02-25T00:00:00Z","timestamp":1393286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Mesh reinforcement is considered an effective method for anterior compartment prolapse repair. Two common methods of mesh reinforcement involve either transobturator fixation (eg <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>erigee\u2122) or lateral and apical anchoring (eg <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>nterior <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>levate\u2122). The aim of this study was to assess subjective and objective outcomes after Anterior Elevate and Perigee mesh kit surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This was a surgical audit of patients after anterior colporrhaphy (<jats:styled-content style=\"fixed-case\">AC<\/jats:styled-content>) with mesh reinforcement, undertaken at three tertiary urogynaecological centres. All patients were assessed for prolapse recurrence, which was defined as either (i) symptoms of prolapse (vaginal lump\/dragging), (ii) <jats:styled-content style=\"fixed-case\">ICS POPQ<\/jats:styled-content>\u00a0\u2265\u00a0Stage 2, or (iii) bladder descent \u226510\u00a0mm below the symphysis pubis on transperineal ultrasound. Mesh co\u2010ordinates and organ descent on Valsalva were determined relative to the inferior symphyseal margin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and twenty\u2010nine patients with anterior compartment mesh (138 <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>erigee, 91 <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>levate) were assessed at a median follow\u2010up of 1.09\u00a0years (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> 0.65\u20132.01). On assessment, 24% (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>55) had symptoms of prolapse recurrence, 46% (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>106) had a clinical recurrence, and 41% (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>95) a recurrent cystocele sonographically. All objective results favoured the <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>erigee group. The superiority of the Perigee kit remained highly significant (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001 for all clinical and ultrasound measures of prolapse recurrence) on multivariate analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This retrospective analysis suggests that apical anchoring such as <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>nterior <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>levate mesh system does not necessarily confer an advantage over the original transobturator mesh fixation technique for anterior compartment reconstruction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12194","type":"journal-article","created":{"date-parts":[[2014,2,25]],"date-time":"2014-02-25T10:07:10Z","timestamp":1393322830000},"page":"212-217","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A comparison of two different mesh kit systems for anterior compartment prolapse repair"],"prefix":"10.1111","volume":"54","author":[{"given":"Vivien","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Sydney Medical School Nepean Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ka Lai","family":"Shek","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Western Sydney Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Rane","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology James Cook University Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Lee","sequence":"additional","affiliation":[{"name":"Pelvic Floor Clinic Monash Moorabbin Bentleigh East Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Rosamilia","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash University Malvern Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans Peter","family":"Dietz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Sydney Medical School Nepean Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,2,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00058-6"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.114868"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f73729"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.123819"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7678"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12433"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1009521"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2011.01384.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12577"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.01.057"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1536-7"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70243-0"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1072"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-010-1329-4"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2011.01352.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0960-7692.2001.00494.x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.4024"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5355"},{"key":"e_1_2_7_20_1","unstructured":"FDA Safety Communications: UPDATE on serious complications associated with transvaginal placement of surgical mesh for pelvic organ prolapse. 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