{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T22:46:08Z","timestamp":1787870768052,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,2]],"date-time":"2024-11-02T00:00:00Z","timestamp":1730505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,11,2]],"date-time":"2024-11-02T00:00:00Z","timestamp":1730505600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to investigate the long\u2010term effectiveness and safety of transvaginal mesh surgery for pelvic organ prolapse at a high\u2010volume center in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent transvaginal mesh surgery between March 2010 and August 2015 were included and followed up for 5\u2009years. As no mesh kits were available in our country, we used a self\u2010cut polypropylene mesh (Japanese\u2010style transvaginal mesh) for the procedures. Objective anatomical restoration and complications were evaluated during outpatient examinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 711 patients were included in this study. Over 5\u2009years, the recurrence rate of stage 2 or higher prolapse at the operated compartment was 8.6% (61 cases), whereas that at the other compartments was 12.8% (91 cases). The frequency of recurrence was highest at 3\u2009months and decreased with each passing year in both compartments. During the follow\u2010up period, 28 patients (three at the operated compartment and 25 at the other compartments) required reoperation owing to recurrence. Overall, there were 13 cases of mesh exposure (1.8%), including two (0.28%) in the bladder, 10 (1.4%) in the vagina, and one (0.14%) in the rectum. Urinary incontinence surgery was performed in 69 patients (9.7%) during the follow\u2010up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The frequencies of recurrence requiring reoperation and mesh\u2010related complications were low, and vaginal mesh exposure was mostly asymptomatic. Therefore, the Japanese\u2010style transvaginal mesh is safe and effective.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.15630","type":"journal-article","created":{"date-parts":[[2024,11,2]],"date-time":"2024-11-02T05:34:09Z","timestamp":1730525649000},"page":"251-257","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Long\u2010term outcomes of transvaginal mesh surgery for pelvic organ prolapse at a single center in Japan"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0077-8025","authenticated-orcid":false,"given":"Chikako","family":"Kato","sequence":"first","affiliation":[{"name":"Department of Urogynecology Center Daiichi Towakai Hospital  Takatsuki City Osaka 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