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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 03553naa a2200409 4500 | |
| 001 | oai:DiVA.org:umu-131088 | |
| 003 | SwePub | |
| 008 | 170613s2017 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1310882 URI |
| 024 | 7 | a https://doi.org/10.1007/s00192-016-3072-y2 DOI |
| 040 | a (SwePub)umu | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Madsen, Lene Duch4 aut |
| 245 | 1 0 | a Native-tissue repair of isolated primary rectocele compared with nonabsorbable mesh :b patient-reported outcomes |
| 264 | c 2016-07-05 | |
| 264 | 1 | b Springer Science and Business Media LLC,c 2017 |
| 338 | a print2 rdacarrier | |
| 520 | a We evaluated patient-reported outcomes and complications after treatment of isolated primary rectocele in routine health-care settings using native-tissue repair or nonabsorbable mesh. We used prospective data from the Swedish National Register for Gynaecological Surgery and included 3988 women with a primary operation for rectocele between 2006 and 2014: 3908 women had native-tissue repair, 80 were operated with nonabsorbable mesh. No concurrent operations were performed. Pre- and perioperative data were collected from doctors and patients. Patient-reported outcomes were evaluated 2 and 12 months after the operation. Only validated questionnaires were used. One year after native-tissue repair, 77.8 % (76.4-79.6) felt they were cured, which was defined as never or hardly ever feeling genital protrusion; 74.0 % (72.2-75.7) were very satisfied or satisfied, and 84 % (82.8-85.9) reported improvement of symptoms. After mesh repair, 89.8 % (77.8-96.6) felt cured, 69.2 % (54.9-81.3) were very satisfied or satisfied, and 86.0 % (72.1-94.7) felt improvement. No significant differences were found between groups. Organ damage was found in 16 (0.4 %) patients in the native-tissue repair group compared with one (1.3 %) patient in the mesh group [odds ratio (OR) 3.08; 95 % confidence interval (CI) 0.07-20.30]. The rate of de novo dyspareunia after native-tissue repair was 33.1 % (30.4-35.8), comparable with that after mesh repair. The reoperation rate was 1.1 % (0.8-1.5) in both groups. Most patients were cured and satisfied after native-tissue repair of the posterior vaginal wall, and the patient-reported outcomes were comparable with results after mesh repair. The risk of serious complications and reoperation were comparable between groups. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reproduktionsmedicin och gynekologi0 (SwePub)302202 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Obstetrics, Gynaecology and Reproductive Medicine0 (SwePub)302202 hsv//eng |
| 653 | a Colporrhaphy | |
| 653 | a National register data | |
| 653 | a Non absorbable mesh | |
| 653 | a Patient-reported outcome | |
| 653 | a Rectocele | |
| 700 | 1 | a Nüssler, Emilu Umeå universitet,Obstetrik och gynekologi4 aut0 (Swepub:umu)emnu0003 |
| 700 | 1 | a Kesmodel, Ulrik Schioler4 aut |
| 700 | 1 | a Greisen, Susanne4 aut |
| 700 | 1 | a Bek, Karl Møller4 aut |
| 700 | 1 | a Glavind-Kristensen, Marianne4 aut |
| 710 | 2 | a Umeå universitetb Obstetrik och gynekologi4 org |
| 773 | 0 | t International Urogynecology Journald : Springer Science and Business Media LLCg 28:1, s. 49-57q 28:1<49-57x 0937-3462x 1433-3023 |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-131088 |
| 856 | 4 8 | u https://doi.org/10.1007/s00192-016-3072-y |
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