Registry of implants for the reconstruction of pelvic floor in males and females: A feasibility case series

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

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Abstract

Introduction 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. Methods 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. Results 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. Conclusion A prospective registry in accordance with IDEAL-D framework is justified for the evaluation and regulation of implants for pelvic floor reconstruction.

Original languageEnglish
Pages (from-to)27-33
Number of pages7
JournalInternational Journal of Surgery
Volume42
DOIs
Publication statusPublished - Jun 1 2017

Keywords

  • IDEAL
  • Implant
  • Incontinence
  • Mesh
  • Pelvic floor
  • Prolapse
  • Registry

ASJC Scopus subject areas

  • Surgery

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    Barski, D., Gerullis, H., Ecke, T., Kranz, J., Schneidewind, L., Leistner, N., Queissert, F., Mühlstädt, S., Grabbert, M., Tahbaz, R., Pelzer, A. E., Joukhadar, R., Klinge, U., Boros, M., Bader, W., Naumann, G., Puppe, F., & Otto, T. (2017). Registry of implants for the reconstruction of pelvic floor in males and females: A feasibility case series. International Journal of Surgery, 42, 27-33. https://doi.org/10.1016/j.ijsu.2017.04.028