Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Cost-utility of implantable tibial neuromodulation (Revi) versus conservative therapy for urgency urinary incontinence in adults: a US payer perspective.

Journal of medical economics·2026
Same author

Prediction of Obstetric Anal Sphincter Injury in Nulliparous Women: Model Development and Temporal Validation.

BJOG : an international journal of obstetrics and gynaecology·2026
Same author

Three-Year Efficacy and Safety of Revi Implantable Tibial Neuromodulation from the Pivotal OASIS Study.

The Journal of urology·2026
Same author

Current approaches and innovations in the management of female stress urinary incontinence: presentations from the first International Functional and Reconstructive Urology Update conference.

Therapeutic advances in urology·2026
Same author

Impact of Revi® Implantable Tibial Neuromodulation on Quality of Life in Patients with Urgency Urinary Incontinence.

International urogynecology journal·2026
Same author

Patient Factors Affecting Physicians' Decision to Add Perineoplasty to Pelvic Organ Prolapse Surgery: A Quantitative Analysis.

Journal of clinical medicine·2026

Related Experiment Video

Updated: Apr 11, 2026

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
03:30

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

Published on: October 25, 2024

2.9K

Elevate and Uterine Preservation: Two-Year Results.

Edward J Stanford1, Robert D Moore, Jan-Paul W R Roovers

  • 1From the *Oasis International Hospital, Beijing, China; †Atlanta Urogynecology, Atlanta, GA; ‡Academic Medical Center University of Amsterdam, Amsterdam, Netherlands; §Female Pelvic Medicine & Urogynecology Institute of Michigan, Grand Rapids, MI; ∥South Carolina OB/GYN, Columbia, SC; ¶The Pelvic Solutions Center, Denver, CO; **Hospital Clinic i Provincial de Barcelona, Universidad de Barcelona, Barcelona, Spain; and ††University of Washington Medical Center, Seattle, WA.

Female Pelvic Medicine & Reconstructive Surgery
|June 9, 2015
PubMed
Summary

The Elevate Anterior and Apical (EAA) procedure effectively repairs pelvic organ prolapse (POP) regardless of hysterectomy status. While generally safe, a trend toward increased mesh extrusion may occur when hysterectomy is performed concurrently.

More Related Videos

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

752
Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
03:01

Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity

Published on: August 2, 2024

2.5K

Related Experiment Videos

Last Updated: Apr 11, 2026

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
03:30

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

Published on: October 25, 2024

2.9K
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

752
Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
03:01

Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity

Published on: August 2, 2024

2.5K

Area of Science:

  • Urogynecology
  • Pelvic Floor Reconstruction
  • Surgical Innovation

Background:

  • Pelvic organ prolapse (POP) significantly impacts women's quality of life.
  • Surgical repair of POP often involves mesh augmentation, with varying techniques and patient considerations.
  • Previous hysterectomy or concurrent hysterectomy during POP repair presents unique surgical challenges.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Elevate Anterior and Apical (EAA) surgical mesh for POP repair.
  • To compare outcomes in patients who underwent EAA after previous hysterectomy, with concomitant hysterectomy, or with uterine preservation.
  • To assess the impact of hysterectomy status on anatomical success and mesh-related complications.

Main Methods:

  • A prospective study enrolled 142 women with POP stage II or greater.
  • Patients were categorized into three groups: prior hysterectomy, concomitant hysterectomy, and uterus preserved.
  • Primary outcome was treatment failure (> stage II POP-Q), with secondary outcomes including mesh extrusion and intraoperative complications.

Main Results:

  • The EAA procedure demonstrated durable anatomical success at 24 months, with high success rates for apical (93.8-100%) and anterior (70.8-89.1%) compartments.
  • No statistically significant differences in anatomical success or intraoperative complications were observed between the three surgical groups.
  • Mesh extrusion occurred in 4.9% (prior hysterectomy), 13.8% (concomitant hysterectomy), and 2.0% (uterus preserved) of patients, suggesting a trend towards higher extrusion with concomitant hysterectomy.

Conclusions:

  • The EAA procedure is effective for POP repair, with outcomes not significantly affected by prior hysterectomy, concomitant hysterectomy, or uterine preservation.
  • A potential trend towards increased mesh extrusion exists when hysterectomy is performed concurrently with EAA.
  • Further research with larger cohorts is warranted to definitively establish the relationship between concomitant hysterectomy and mesh extrusion rates.