{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T04:02:58Z","timestamp":1745640178199,"version":"3.40.4"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:00:00Z","timestamp":1739404800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To examine the efficacy and safety of posterior tension\u2010free vaginal mesh (TVM\u2010P) surgery using polytetrafluoroethylene (PTFE) mesh (ORIHIME) for advanced posterior vaginal prolapse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was conducted involving patients who underwent TVM\u2010P surgery with PTFE mesh for pelvic organ prolapse quantification stage III or IV posterior vaginal prolapse between December 2018 and March 2023. All patients were followed for a minimum of 1\u2009year postoperatively. The primary outcome was the recurrence rate in the operated compartment. Secondary outcomes comprised recurrence in other pelvic compartments, mesh\u2010related complications, and an analysis of risk factors for recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010one patients underwent TVM\u2010P surgery during the study period. The recurrence rate in the operated compartment was 4.2%, while the overall recurrence rate was 18.3%. Eleven cases of recurrence occurred within the first year; 13 cases were observed within 3\u2009years postsurgery. Patients who experienced recurrence in other compartments had a significantly higher incidence of preoperative Ba point score \u2265\u2009\u22121 versus the nonrecurrence group. Preoperative Ba point score \u2265\u2009\u22121 was associated with a higher risk of recurrence in other compartments (crude odds ratio: 4.17, 95% confidence interval: 1.03\u201326.7; adjusted odds ratio: 2.58, 95% confidence interval: 0.56\u201311.8).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The recurrence rate in the operated compartment following TVM\u2010P surgery for advanced rectoceles or enteroceles was 4.2%. These findings suggest that TVM\u2010P surgery using PTFE mesh may be an effective surgical option for treating severe posterior vaginal pelvic organ prolapse.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.70008","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T09:53:49Z","timestamp":1739440429000},"page":"560-566","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Is Posterior Transvaginal Mesh Surgery Using PTFE Mesh ORIHIME Effective and Safe for Advanced Posterior Vaginal Prolapse?"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9371-6029","authenticated-orcid":false,"given":"Kazunobu","family":"Yagi","sequence":"first","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Takatsuki City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6248-6419","authenticated-orcid":false,"given":"Masami","family":"Takeyama","sequence":"additional","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Takatsuki City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukiko","family":"Doi","sequence":"additional","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Takatsuki City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoko","family":"Kuwata","sequence":"additional","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Takatsuki City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromi","family":"Kashihara","sequence":"additional","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Takatsuki City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chikako","family":"Kato","sequence":"additional","affiliation":[{"name":"Urogynecology Center First Towakai Hospital  Takatsuki City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70039-5"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(92)91562-O"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0368-2315(04)96598-2"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2913-4"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2011.02805.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.15340"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14804"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2010.02469.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contre.2023.100033"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.115118"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31823d407e"},{"key":"e_1_2_11_13_1","article-title":"Surgery for Women With Posterior Compartment Prolapse","volume":"3","author":"Mowat A.","year":"2018","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15506"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02254.x"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000139833.48063.03"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.08.003"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.04.046"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.02.042"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-3069-6"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13040987"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-021-04728-8"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.08.024"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2016.04.005"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2018.10.009"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00194.x"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14343"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-022-05156-y"},{"key":"e_1_2_11_29_1","first-page":"257","article-title":"Transperineal Repair of Symptomatic Rectocele With Marlex Mesh: A Clinical, Physiological and Radiologic Assessment of Treatment","volume":"183","author":"Watson S. 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