{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T18:50:10Z","timestamp":1788288610365,"version":"build-2803163510"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,12,16]],"date-time":"2019-12-16T00:00:00Z","timestamp":1576454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> To assess the outcomes of surgical repair of anterior apical prolapse using the 6-strap mesh implant. <\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design:<\/jats:title><jats:p> The prospective study included 100 patients with genitourinary prolapse. We used advanced 6-strap mesh implant. The results were assessed at 1 (n\u2009=\u2009100) and 12 (n\u2009=\u200993) months after surgery. Maximum follow-up was over 4\u2009years. The anatomical outcomes according to the Pelvic Organ Prolapse Quantification system and intraoperative and postoperative complications were assessed. Stage II and higher prolapse was considered to be a recurrence. The quality of life and sexual function were assessed using Pelvic Organ Prolapse Distress Inventory 20, Pelvic Floor Impact Questionnaire 7, and Pelvic Organ Prolapse\/Incontinence Sexual Questionnaire 12. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Median age was 57\u2009years (34\u201378\u2009years (95% confidence interval)). All patients had stage III cystocele. The anterior vaginal wall descent in all the patients was associated with uterine descent: 37 (37%), stage II; 60 (60%), stage III; in 3 (3%), stage IV. In eight cases, postoperative de novo stress urinary incontinence developed. The quality of life improved in 93 (93%) women as judged by the Pelvic Floor Distress Inventory 20 data and in 87 (87%) women, according to the Pelvic Floor Impact Questionnaire 7 data. The desirable anatomical result (\u2a7dstage I according to the Pelvic Organ Prolapse Quantification system) was achieved in 97 (97%) patients. With the exception of mesh fragment excision due to erosion (grade 3a), all the complications were classified as grade I according to the Clavien\u2013Dindo classification. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Genitourinary prolapse repair using 6-strap mesh is efficacious and relatively safe. The method demonstrates good anatomical results in relation to both anterior and apical prolapses with relatively short-term complications. <\/jats:p><\/jats:sec>","DOI":"10.1177\/0391560319890999","type":"journal-article","created":{"date-parts":[[2019,12,16]],"date-time":"2019-12-16T18:22:10Z","timestamp":1576520530000},"page":"130-136","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Repair of cystocele and apical genital prolapse using 6-strap mesh implant"],"prefix":"10.1177","volume":"87","author":[{"given":"Mikhail Elikovich","family":"Enikeev","sequence":"first","affiliation":[{"name":"Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmitry Victorovich","family":"Enikeev","sequence":"additional","affiliation":[{"name":"Institute for Urology and Reproductive Health, Sechenov University, Moscow, 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