Most aspects of implant-assisted reconstruction of pelvic floor in males and females are under debate and the research is not standardized. Registries are supposed to shed light to the indications, surgical techniques and material properties and to establish a standardized evaluation.
A working group was formed to create an online platform for registration and outcome measurement of implant-assisted operations for pelvic organ prolapse (POP) and female and male stress urinary incontinence (SUI). 20 patients with modified mesh materials were evaluated over 23 months follow up in the registry to prove the feasibility of the registry. For validation a previously published modified "satisfaction, anatomy, continence, safety - S.(A.)C.S score" was used.
A consensus was met on definitions and classifications of patient variables, surgical procedures and implants, as well as outcome parameters (efficacy, continence, satisfaction, complications). Different subgroup modules were formed in accordance with treated condition. The maximum score of cure was reached by 25-100% of patients depending on the indication.
A prospective registry in accordance with IDEAL-D framework is justified for the evaluation and regulation of implants for pelvic floor reconstruction.
International journal of surgery (London, England). 2017 Apr 15 [Epub ahead of print]
Dimitri Barski, Holger Gerullis, Thorsten Ecke, Jennifer Kranz, Laila Schneidewind, Nadine Leistner, Fabian Queissert, Sandra Mühlstädt, Markus Grabbert, Rana Tahbaz, Alexandre Egon Pelzer, Ralf Joukhadar, Uwe Klinge, Mihaly Boros, Werner Bader, Gert Naumann, Frank Puppe, Thomas Otto
Department of Urology, Lukas Hospital Neuss, Germany. Electronic address: ., University Hospital for Urology, Klinikum Oldenburg, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Germany. Electronic address: ., Department of Urology, Helios Hospital, Bad Saarow, Germany. Electronic address: ., Department of Urology, St.-Antonius Hospital Eschweiler, Germany. Electronic address: ., University of the Saarland Medical Center, Institute of Virology, Homburg, Saar, Germany. Electronic address: ., Department of Neuro-Urology, University Hospital Bonn, Germany. Electronic address: ., Department of Urology, University Hospital Münster, Germany. Electronic address: ., Department of Urology, University Hospital Halle (Saale), Germany. Electronic address: ., Department of Urology, University Hospital of Cologne, Germany. Electronic address: ., Department of Urology, University Hospital Hamburg Eppendorf, Germany. Electronic address: ., Department of Urology, Klinikum Wels-Grieskirchen, Wels, Austria. Electronic address: ., Department of Gynecology, University Hospital Würzburg, Germany. Electronic address: ., Surgical Department, University Hospital of the RWTH Aachen, Germany. Electronic address: ., Institute of Experimental Surgery, University of Szeged, Hungary. Electronic address: ., Department of Gynecology, Klinikum Bielefeld, Germany. Electronic address: ., Department of Gynecology, HELIOS Hospital, Erfurt, Germany. Electronic address: ., Institute for Mathematics and Computer Science, University of Würzburg, Germany. Electronic address: ., Department of Urology, Lukas Hospital, Neuss, Germany. Electronic address: .Go “Beyond the Abstract” - Read an article commentary written by the authoGo “Beyond the Abstract” - Read an article commentary written by the author
PubMed http://www.ncbi.nlm.nih.gov/pubmed/28419885
Go "Beyond the Abstract" - Read an article commentary written by the author