Comparison of Postoperative Short-Term Outcomes between Tension-Free Vaginal Mesh Surgery Using the Capio™ SLIM Suture Capturing Device and Conventional TVM Surgery for Pelvic Organ Prolapse

Aim. We compared the short-term effectiveness of tension-free vaginal mesh (TVM) surgery using the Capio SLIM suture capturing device and conventional TVM surgery for treatment of pelvic organ prolapse. Methods. We retrospectively compared postoperative pain, urinary function, and length of hospital...

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Main Authors: Haruhiko Kanasaki, Aki Oride, Tomomi Hara, Satoru Kyo
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2018/7918071
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author Haruhiko Kanasaki
Aki Oride
Tomomi Hara
Satoru Kyo
author_facet Haruhiko Kanasaki
Aki Oride
Tomomi Hara
Satoru Kyo
author_sort Haruhiko Kanasaki
collection DOAJ
description Aim. We compared the short-term effectiveness of tension-free vaginal mesh (TVM) surgery using the Capio SLIM suture capturing device and conventional TVM surgery for treatment of pelvic organ prolapse. Methods. We retrospectively compared postoperative pain, urinary function, and length of hospital stay between 7 patients who underwent TVM surgery using the Capio device and 9 patients who underwent conventional TVM surgery. Results. There was no significant between-group difference in mean age between the Capio TVM group and the conventional TVM group (76.0 ± 5.6 years and 72.5 ± 11.5 years) or in mean operating time (86.56 ± 23.33 min and 95.28 ± 23.88 min). Four of the 7 patients in the Capio TVM group could not sense the urge to urinate after removal of the urethral catheter, but all patients in the conventional TVM group did so. The volume of the first voluntary urination was significantly smaller in the Capio TVM group than that in the conventional TVM group (102.14 ± 80.57 mL versus 472.22 ± 459.43 mL). The mean residual urine volume after the first voluntary urination was greater in the Capio TVM group than that in the conventional TVM group (285.70 ± 233.82 mL versus 34.56 ± 73.31 mL). The number of catheter days and mean maximal volume of residual urine were significantly greater in the Capio TVM group. The mean postoperative hospital stay was 6.57 ± 1.83 days in the Capio TVM group and 3.2 ± 0.42 days in the conventional TVM group. Six patients who underwent Capio TVM surgery complained of deep-seated pain in the hip region. Conclusion. Urinary function may worsen postoperatively when the Capio TVM device is used in patients with pelvic organ prolapse.
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spelling doaj-art-7e243184dfb24c6987d7876bc98abdfd2025-08-20T03:35:33ZengWileyObstetrics and Gynecology International1687-95891687-95972018-01-01201810.1155/2018/79180717918071Comparison of Postoperative Short-Term Outcomes between Tension-Free Vaginal Mesh Surgery Using the Capio™ SLIM Suture Capturing Device and Conventional TVM Surgery for Pelvic Organ ProlapseHaruhiko Kanasaki0Aki Oride1Tomomi Hara2Satoru Kyo3Department of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Shimane 693-8501, JapanDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Shimane 693-8501, JapanDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Shimane 693-8501, JapanDepartment of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Shimane 693-8501, JapanAim. We compared the short-term effectiveness of tension-free vaginal mesh (TVM) surgery using the Capio SLIM suture capturing device and conventional TVM surgery for treatment of pelvic organ prolapse. Methods. We retrospectively compared postoperative pain, urinary function, and length of hospital stay between 7 patients who underwent TVM surgery using the Capio device and 9 patients who underwent conventional TVM surgery. Results. There was no significant between-group difference in mean age between the Capio TVM group and the conventional TVM group (76.0 ± 5.6 years and 72.5 ± 11.5 years) or in mean operating time (86.56 ± 23.33 min and 95.28 ± 23.88 min). Four of the 7 patients in the Capio TVM group could not sense the urge to urinate after removal of the urethral catheter, but all patients in the conventional TVM group did so. The volume of the first voluntary urination was significantly smaller in the Capio TVM group than that in the conventional TVM group (102.14 ± 80.57 mL versus 472.22 ± 459.43 mL). The mean residual urine volume after the first voluntary urination was greater in the Capio TVM group than that in the conventional TVM group (285.70 ± 233.82 mL versus 34.56 ± 73.31 mL). The number of catheter days and mean maximal volume of residual urine were significantly greater in the Capio TVM group. The mean postoperative hospital stay was 6.57 ± 1.83 days in the Capio TVM group and 3.2 ± 0.42 days in the conventional TVM group. Six patients who underwent Capio TVM surgery complained of deep-seated pain in the hip region. Conclusion. Urinary function may worsen postoperatively when the Capio TVM device is used in patients with pelvic organ prolapse.http://dx.doi.org/10.1155/2018/7918071
spellingShingle Haruhiko Kanasaki
Aki Oride
Tomomi Hara
Satoru Kyo
Comparison of Postoperative Short-Term Outcomes between Tension-Free Vaginal Mesh Surgery Using the Capio™ SLIM Suture Capturing Device and Conventional TVM Surgery for Pelvic Organ Prolapse
Obstetrics and Gynecology International
title Comparison of Postoperative Short-Term Outcomes between Tension-Free Vaginal Mesh Surgery Using the Capio™ SLIM Suture Capturing Device and Conventional TVM Surgery for Pelvic Organ Prolapse
title_full Comparison of Postoperative Short-Term Outcomes between Tension-Free Vaginal Mesh Surgery Using the Capio™ SLIM Suture Capturing Device and Conventional TVM Surgery for Pelvic Organ Prolapse
title_fullStr Comparison of Postoperative Short-Term Outcomes between Tension-Free Vaginal Mesh Surgery Using the Capio™ SLIM Suture Capturing Device and Conventional TVM Surgery for Pelvic Organ Prolapse
title_full_unstemmed Comparison of Postoperative Short-Term Outcomes between Tension-Free Vaginal Mesh Surgery Using the Capio™ SLIM Suture Capturing Device and Conventional TVM Surgery for Pelvic Organ Prolapse
title_short Comparison of Postoperative Short-Term Outcomes between Tension-Free Vaginal Mesh Surgery Using the Capio™ SLIM Suture Capturing Device and Conventional TVM Surgery for Pelvic Organ Prolapse
title_sort comparison of postoperative short term outcomes between tension free vaginal mesh surgery using the capio™ slim suture capturing device and conventional tvm surgery for pelvic organ prolapse
url http://dx.doi.org/10.1155/2018/7918071
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