{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T03:14:55Z","timestamp":1774322095860,"version":"3.50.1"},"reference-count":25,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Pelvic organ prolapse (POP) and urinary incontinence are prevalent conditions among women, significantly affecting their quality of life. Vaginal mesh surgeries, including the use of the Calistar mesh, have become an essential intervention aimed at alleviating symptoms associated with POP and urinary dysfunction. This study evaluates the clinical outcomes of Calistar vaginal mesh surgeries, focusing on pre- and post-operative changes in urinary parameters and prolapse severity. Methods: Data from 180 patients undergoing Calistar procedures were analyzed, revealing significant improvements in anatomical markers (Aa, Ba, C, Ap, and Bp) and urinary distress metrics (UDI-6 and IIQ-7) postoperatively. Results: The results demonstrate that Calistar mesh procedures are effective in reducing urinary frequency, incontinence, and incomplete bladder emptying. Conclusions: Calistar mesh procedures offer a safe and effective surgical option for managing POP and associated urinary dysfunction. The observed anatomical and functional improvements suggest that Calistar mesh significantly enhances patient outcomes and quality of life.<\/jats:p>","DOI":"10.3390\/jcm14134703","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T04:07:17Z","timestamp":1751515637000},"page":"4703","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Mean of Three-Year Follow-Up of Transvaginal Mesh Repair Using Calistar System Devices for the Treatment of Pelvic Organ Prolapse"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1932-411X","authenticated-orcid":false,"given":"Chao-Chi","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Cheng Ching Hospital, Taichung 40764, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kun-Ling","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I-Chieh","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zixi","family":"Loo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1102-0512","authenticated-orcid":false,"given":"Cheng-Yu","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"ref_1","first-page":"75","article-title":"Pelvic Organ Prolapse Quantification System (POP-Q)\u2014A new era in pelvic prolapse staging","volume":"4","author":"Persu","year":"2011","journal-title":"J. Med. Life"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1007\/s00192-015-2932-1","article-title":"An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP)","volume":"27","author":"Haylen","year":"2016","journal-title":"Int. Urogynecol. J."},{"key":"ref_3","unstructured":"Maher, C., Feiner, B., Baessler, K., and Schmid, C. (2016). Surgical management of pelvic organ prolapse in women. Cochrane Database Syst. Rev., CD004014."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1007\/s00192-024-05749-9","article-title":"Anterior-apical transvaginal mesh (Calistar-S) for treatment of advanced urogenital prolapse: One-year functional and surgical outcomes","volume":"35","author":"Long","year":"2024","journal-title":"Int. Urogynecol. J."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1007\/s00192-020-04525-9","article-title":"Mesh-augmented transvaginal repair of recurrent or complex anterior pelvic organ prolapse in accordance with the SCENIHR opinion","volume":"32","author":"Naumann","year":"2021","journal-title":"Int. Urogynecol. J."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1038\/s41585-021-00511-y","article-title":"Host-biomaterial interactions in mesh complications after pelvic floor reconstructive surgery","volume":"18","author":"Abhari","year":"2021","journal-title":"Nat. Rev. Urol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.ejogrb.2024.01.015","article-title":"Diagnosis and management of complications following pelvic organ prolapse surgery using a synthetic mesh: French national guidelines for clinical practice","volume":"294","author":"Deffieux","year":"2024","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1002\/ijgo.12932","article-title":"FIGO review of statements on use of synthetic mesh for pelvic organ prolapse and stress urinary incontinence","volume":"147","author":"Ugianskiene","year":"2019","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1111\/ajo.12040","article-title":"Long-term treatment outcomes of transvaginal mesh surgery versus anterior-posterior colporrhaphy for pelvic organ prolapse","volume":"53","author":"Cao","year":"2013","journal-title":"Aust. N. Z. J. Obstet. Gynaecol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1002\/nau.24323","article-title":"A multicenter, randomized trial comparing pelvic organ prolapse surgical treatment with native tissue and synthetic mesh: A 5-year follow-up study","volume":"39","author":"Auge","year":"2020","journal-title":"Neurourol. Urodyn."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1007\/s00192-010-1312-0","article-title":"Predictors of improved overactive bladder symptoms after transvaginal mesh repair for the treatment of pelvic organ prolapse","volume":"22","author":"Long","year":"2011","journal-title":"Int. Urogynecol. J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1987","DOI":"10.1056\/NEJMoa1113595","article-title":"A randomized trial of urodynamic testing before stress-incontinence surgery","volume":"366","author":"Nager","year":"2012","journal-title":"N. Engl. J. Med."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Wang, X., Chen, Y., Hu, C., and Hua, K. (2021). Long-term outcomes of transvaginal mesh surgery for pelvic organ prolapse: A retrospective cohort study. BMC Women\u2019s Health, 21.","DOI":"10.1186\/s12905-021-01505-z"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1002\/nau.22496","article-title":"Validation of the Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) in a Dutch population","volume":"34","author":"Utomo","year":"2015","journal-title":"Neurourol. Urodyn."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1111\/1471-0528.12085","article-title":"Vaginal degeneration following implantation of synthetic mesh with increased stiffness","volume":"120","author":"Liang","year":"2013","journal-title":"BJOG"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1007\/s00192-012-1926-5","article-title":"Laparoscopic sacrocolpopexy for recurrent pelvic organ prolapse after failed transvaginal polypropylene mesh surgery","volume":"24","author":"Schmid","year":"2013","journal-title":"Int. Urogynecol. J."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Long, C.Y., Wang, C.L., Lin, K.L., Ker, C.R., Loo, Z., Liu, Y., and Wu, P.C. (2020). Laparoscopic Long Mesh Surgery with Augmented Round Ligaments: A Novel Uterine Preservation Procedure for Apical Pelvic Organ Prolapse. Sci. Rep., 10.","DOI":"10.1038\/s41598-020-63725-x"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1001\/jama.2014.1719","article-title":"Comparison of 2 transvaginal surgical approaches and perioperative behavioral therapy for apical vaginal prolapse: The OPTIMAL randomized trial","volume":"311","author":"Barber","year":"2014","journal-title":"JAMA"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1097\/GCO.0b013e32832e07bf","article-title":"Comparison of tension-free vaginal tape and transobturator tape procedure for the treatment of stress urinary incontinence","volume":"21","author":"Long","year":"2009","journal-title":"Curr. Opin. Obstet. Gynecol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00192-020-04249-w","article-title":"Can the mini-sling become the golden standard for treating stress urinary incontinence?","volume":"32","author":"Long","year":"2021","journal-title":"Int. Urogynecol. J."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1067\/mob.2001.119081","article-title":"Anterior colporrhaphy: A randomized trial of three surgical techniques","volume":"185","author":"Weber","year":"2001","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1067\/mob.2001.119078","article-title":"Correlation of symptoms with location and severity of pelvic organ prolapse","volume":"185","author":"Ellerkmann","year":"2001","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1557","DOI":"10.1056\/NEJMoa054208","article-title":"Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence","volume":"354","author":"Brubaker","year":"2006","journal-title":"N. Engl. J. Med."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Wu, P.C., Wu, C.H., Liu, Y., Loo, Z., Lin, K.L., and Long, C.Y. (2020). The clinical and urodynamic outcomes of single-incision mesh surgery using the Uphold system for the treatment of pelvic organ prolapse. Sci. Rep., 10.","DOI":"10.1038\/s41598-020-69886-z"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"567","DOI":"10.12669\/pjms.39.2.6689","article-title":"Long-term safety and efficacy of non-absorbable abdominal mesh for apical prolapse surgery: A 10-year experience at Tertiary Care Hospital","volume":"39","author":"Aijaz","year":"2023","journal-title":"Pak. J. Med. Sci."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/13\/4703\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:03:35Z","timestamp":1760033015000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/13\/4703"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,3]]},"references-count":25,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2025,7]]}},"alternative-id":["jcm14134703"],"URL":"https:\/\/doi.org\/10.3390\/jcm14134703","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,3]]}}}