OBJECTIVES: To assess clinical efficacy of Total Prolift System surgery kit in the treatment of post hysterectomy @entity3577 . MATERIAL AND METHODS: Study group consisted of 27 @entity1 (mean age 60.3 +/- 10.3 years) who between February 2006 and September 2007 underwent vaginal cuff prolapse surgery with Total Prolift System. Nineteen @entity1 had vaginal cuff prolapse POP-Q stage IV and 8 @entity1 --POP-Q stage III with subjective feeling of prolapse. Seventeen @entity1 were sexually active and among them twelve suffered from @entity546 . Three @entity1 had stress urinary @entity322 and four OAB symptoms. Bladder emptying difficulty were present in seven and chronic @entity1142 in four @entity1 . RESULTS: Twenty one @entity1 (77.8%) were available for follow up visits after 12 months. Only 3 out of 21 @entity1 had recurrence of cystocoele but to a much less extent that (POP-Q stage II). This gives an efficacy of 85.7% in terms of anatomical restoration. SUI de novo occurred in two @entity1 and OAB symptoms intensified in three @entity1 (in one case symptoms markedly decreased). Out of twenty one @entity1 available on follow up visits thirteen (61.9%) were sexually active. Four @entity1 complained about @entity546 , whereas @entity1 who complained for @entity250 before operation were cured. Three @entity1 were not completely satisfied with the effect of surgery due to occasional but severe @entity2371 causing difficulty with walking and moving. CONCLUSIONS: Gynecare Total Prolift System surgical kit enables simple and highly effective treatment of the @entity3577 , however there are some discrepancies between anatomical and functional results.

Total Prolift System surgery for treatment posthysterectomy XXXX --do we treat both anatomy and function?

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity2371 :: ('MESH:D017699', 'Disease') :: ['pelvic pain'] @entity546 :: ('MESH:D004414', 'Disease') :: ['dyspareunia'] @entity1142 :: ('MESH:D003248', 'Disease') :: ['constipation'] @entity3577 :: ('MESH:D056887', 'Disease') :: ['vaginal vault prolapse'] @entity250 :: ('MESH:D012735', 'Disease') :: ['sexual dysfunction']
@entity3577 :: (MESH:D056887,Disease) :: ['vaginal vault prolapse']
