{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T05:31:43Z","timestamp":1773639103393,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T00:00:00Z","timestamp":1751587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T00:00:00Z","timestamp":1751587200000},"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":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>In the up\u2010hold transvaginal mesh (TVM\u2010UP) procedure, the barbs are shaped like arrowheads to prevent the mesh from slipping off the sacrospinous ligament. This modified procedure is termed TVM\u2010UPB. This study examines the efficacy and safety of TVM\u2010UPB surgery using polytetrafluoroethylene (PTFE) mesh ORIHIME for advanced anterior vaginal prolapse compared with laparoscopic sacrocolpopexy (LSC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cohort study was conducted involving patients who underwent TVM\u2010UPB surgery and LSC with ORIHIME for Pelvic Organ Prolapse Quantification of stage III or IV anterior vaginal prolapse between January 2022 and August 2023. The primary outcome was the recurrence rate in the operated compartment. The secondary outcomes included recurrence in the other pelvic compartments and risk factors for recurrence in the operated compartment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety\u2010five patients underwent TVM\u2010UPB, and 104 underwent LSC surgery during the study period. In a propensity\u2010matched analysis of 199 patients, recurrence in the operated compartment was lower in the TVM\u2010UPB group than in the LSC group. There was no significant difference in recurrence rates in the other compartments between the TVM\u2010UPB and LSC groups. Age\u2009&lt;\u200970 was associated with a higher risk of recurrence in the operated compartments (adjusted odds ratio: 6.32), while a preoperative Ba point score \u2265\u20092.5 was also associated with a higher risk of recurrence (adjusted odds ratio: 4.49).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The recurrence rate in the operated compartment after TVM\u2010UPB for advanced anterior vaginal prolapse was 3.2%. TVM\u2010UPB using ORIHIME may be an effective surgical option for treating anterior vaginal prolapse.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70169","type":"journal-article","created":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T07:41:01Z","timestamp":1751614861000},"page":"1488-1496","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Performance of the Transvaginal Mesh Surgery\n                    <scp>TVM<\/scp>\n                    \u2010\n                    <scp>UPB<\/scp>\n                    Compared to the Laparoscopic Sacrocolpopexy Using a Polytetrafluoroethylene Mesh\n                    <scp>ORIHIME<\/scp>\n                    for Advanced Anterior 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, Daiichi Towakai Hospital  Takatsuki 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, Daiichi Towakai Hospital  Takatsuki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukiko","family":"Doi","sequence":"additional","affiliation":[{"name":"Urogynecology Center, Daiichi Towakai Hospital  Takatsuki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoko","family":"Kuwata","sequence":"additional","affiliation":[{"name":"Urogynecology Center, Daiichi Towakai Hospital  Takatsuki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromi","family":"Kashihara","sequence":"additional","affiliation":[{"name":"Urogynecology Center, Daiichi Towakai Hospital  Takatsuki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chikako","family":"Kato","sequence":"additional","affiliation":[{"name":"Urogynecology Center, Daiichi Towakai Hospital  Takatsuki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5586-0743","authenticated-orcid":false,"given":"Masaki","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Urology, Kitasaito Hospital  Asahikawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.123819"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00058-6"},{"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":"10.1097\/AOG.0000000000003380"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12478"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contre.2023.100033"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15506"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4111\/icu.2018.59.2.133"},{"key":"e_1_2_11_11_1","article-title":"Favorable Postoperative Outcomes After Transvaginal Mesh Surgery Using a Wide\u2010Arm ORIHIME(R) Mesh","volume":"16","author":"Kuroda K.","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_11_12_1","first-page":"107","article-title":"Barbed Suture: A Review of the Technology and Clinical Uses in Obstetrics and Gynecology","volume":"6","author":"Greenberg J. 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