{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T07:52:55Z","timestamp":1781077975391,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":333,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2010,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>. Evaluate the efficacy of a transobturator subvesical mesh for cystocele in concomitant stress urinary incontinence (SUI). <jats:italic>Design<\/jats:italic>. Longitudinal observational study. <jats:italic>Setting<\/jats:italic>. Tertiary referral urogynecology center. <jats:italic>Population<\/jats:italic>. One hundred and five women with at least an anterior vaginal wall prolapse and concomitant SUI who underwent surgery. <jats:italic>Methods<\/jats:italic>. After reduction of prolapse elements, the intervention consisted of a non\u2010absorbable monoprosthesis placement with two transobturator expansions and, if necessary, associated hysterectomy or infraccocygeal sacropexy. No specific procedure was performed for SUI. <jats:italic>Main outcome measures<\/jats:italic>. All patients had a physical examination and a subjective symptoms assessment via questionnaire in the preoperative period and at one\u2010year or more after surgery. The pelvic organ prolapse quantification system was used for anatomical results. For SUI, Ingelman\u2010Sundberg classification and cough test were used. Loss of urine was measured by a one\u2010hour pad test. Functional results were evaluated by visual analog scale, quality\u2010of\u2010life questionnaires, including the pelvic floor distress inventory and the pelvic floor impact questionnaire. <jats:italic>Results<\/jats:italic>. Median follow\u2010up was 45 months (range: 12\u201372). A total of 102 women (97%) were cured of their prolapse, of whom 72 (69%) were cured of their SUI and 13 (12%) showed improvement. Pad test, visual analogic scale and quality\u2010of\u2010life questionnaires were all improved (<jats:italic>p<\/jats:italic> &lt; 0.05). Complications consisted of one rectal injury, one transitory urinary retention, and two hematomas. Of the erosions 6% was observed for monofilament polypropylene prostheses. <jats:italic>Conclusion<\/jats:italic>. Transvaginal monoprosthesis for the simultaneous correction of prolapse and SUI represents an effective treatment for bulky or recurrent prolapse as well as posthysterectomy vaginal vault prolapse.<\/jats:p>","DOI":"10.3109\/00016340903511043","type":"journal-article","created":{"date-parts":[[2010,1,11]],"date-time":"2010-01-11T12:18:30Z","timestamp":1263212310000},"page":"223-229","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Treatment of concomitant prolapse and stress urinary incontinence via a transobturator subvesical mesh without independent suburethral tape"],"prefix":"10.1111","volume":"89","author":[{"given":"FABRICE","family":"SERGENT","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LO\u00cfC","family":"SENTILHES","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BENO\u00ceT","family":"RESCH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ERIC","family":"VERSPYCK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RICHARD","family":"MEDEIROS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PHILIPPE","family":"DESCAMPS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LO\u00cfC","family":"MARPEAU","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000142708.61298.be"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318162f22e"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-006-0234-3"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.10.623"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70243-0"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016345209154957"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.118659"},{"key":"e_1_2_7_9_2","first-page":"503","article-title":"Quality of life instruments for women with pelvic organ prolapse","volume":"32","author":"de Tayrac R","year":"2003","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"key":"e_1_2_7_10_2","first-page":"120","article-title":"Prosthetic restoration of the pelvic diaphragm in genital urinary prolapse surgery: transobturator and infracoccygeal hammock technique","volume":"32","author":"Sergent F","year":"2003","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2003.12.001"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/PL00004039"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.11.022"},{"key":"e_1_2_7_14_2","unstructured":"MaherC BaesslerK GlazenerCMA AdamsEJ HagenS.Surgical management of pelvic organ prolapse in women.Cochrane Database of Systematic Reviews2007 Issue3. 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