{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:38:48Z","timestamp":1761129528023},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orvosi Hetilap"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:p> Abstract: <\/jats:p><jats:p> Introduction: The prevalence of pelvic organ prolapse (POP) with aging is escalating alarmingly, and now becoming a growing epidemic among the elderly. Synthetic transvaginal mesh (TVM) has been employed with increasing popularity in the treatment of POP until the end of the last decade. After the U.S. Drug and Food Administration (FDA) warnings in the years 2008 and 2011, the number of vaginal mesh operations has decreased dramatically. Aim: The aim of the study was to evaluate and compare the anti-POP effectivity, the anti-stress incontinence (anti-SUI) efficacy, and the late (36 months) post-operative complications of the anterior vaginoplasty and the TVM operations. Method: We analysed the clinical data from 120 patients with stage II\u2013III anterior prolapse and concomitant SUI who had undergone surgery at a tertiary referral centre in Hungary between January 2013 and January 2014. Sixty patients underwent Kelly\u2013Stoeckel vaginoplasty and the other 60 cases had TVM operation. The surgical complications were classified using the Clavien\u2013Dindo (CD) classification system. Results: The anti-POP (91.6% vs. 63.3%; p&lt;0.001) and the anti-SUI efficacy (90% vs. 55%, p&lt;0.001) were significantly higher in the TVM group than in the vaginoplasty group, while the overall extrusion rate was found 8.3% after a 3-year follow-up. The Clavien\u2013Dindo score (CD) proved that the early post-operative complication profile was similar among the TVM patients as compared to the vaginoplasty group (p = 0.405). Conclusion: Vaginal mesh surgery represents an effective procedure for prolapse and concomitant SUI with a decreased risk of short- and long-term complications. Orv Hetil. 2018; 159(10): 397\u2013404. <\/jats:p>","DOI":"10.1556\/650.2018.30963","type":"journal-article","created":{"date-parts":[[2018,3,4]],"date-time":"2018-03-04T15:58:13Z","timestamp":1520179093000},"page":"397-404","source":"Crossref","is-referenced-by-count":3,"title":["H\u00fcvelyi h\u00e1l\u00f3m\u0171t\u00e9tek gyakorlata az amerikai korl\u00e1toz\u00f3                     figyelmeztet\u00e9s ut\u00e1n. <i>Merjem, vagy ne merjem?<\/i>"],"prefix":"10.1556","volume":"159","author":[{"given":"Zolt\u00e1n","family":"Fekete","sequence":"first","affiliation":[{"name":"Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati                     Klinika, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Szeged, Semmelweis u. 1., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szilvia","family":"K\u00f6r\u00f6si","sequence":"additional","affiliation":[{"name":"Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati                     Klinika, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Szeged, Semmelweis u. 1., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"N\u00e9meth","sequence":"additional","affiliation":[{"name":"Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati                     Klinika, Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Szeged, Semmelweis u. 1., 6725"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"language":"hu","link":[{"URL":"https:\/\/www.akademiai.com\/doi\/pdf\/10.1556\/650.2018.30963","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,2,19]],"date-time":"2019-02-19T20:09:32Z","timestamp":1550606972000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akademiai.com\/doi\/10.1556\/650.2018.30963"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":0,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1556\/650.2018.30963"],"URL":"https:\/\/doi.org\/10.1556\/650.2018.30963","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3]]}}}