Skip Navigation LinksHome > March/April 2013 - Volume 19 - Issue 2 > Transvaginal Mesh Surgery for Pelvic Organ Prolapse: One-Ye...
Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31827de6de
Original Articles

Transvaginal Mesh Surgery for Pelvic Organ Prolapse: One-Year Outcome Analysis

Khandwala, Salil MD

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Abstract

Objective: The aim of the study was to assess the role of Prolift + M (PP-PG) vaginal mesh surgery to correct uterovaginal prolapse not only from an anatomic but also a subjective (patient’s) standpoint.

Methods: A prospective cohort of subjects treated with transvaginal mesh for prolapse between April 2009 and November 2010 was analyzed. A composite score that included subjective criteria of absence of a bothersome bulge and objective criteria based on Pelvic Organ Prolapse Quantification lower than stage II was used to assess treatment success.

Results: Transvaginal mesh was performed in 157 subjects (age, 64.7 ± 11.6 years; body mass index, 28.5 ± 4.8 kg/m2) for pelvic organ prolapse. Five anterior mesh surgeries (3.2%), 48 posterior mesh surgeries (30.6%), and 104 total mesh surgeries (66.2%) were performed in subjects with stage II or greater degrees of prolapse. Stage II prolapse was noted in 44 subjects (28.0%), 91 subjects (58.0%) had stage III prolapse, and 22 subjects (14.0%) had stage IV prolapse. The mean follow-up was 13 months. Our composite success score was 88.1%. Pure anatomic success based on Pelvic Organ Prolapse Quantification lower than stage II was 94%. The mean operative time was 117.8 ± 42.4 minutes. The mean intraoperative blood loss was 106.1 ± 116.4 mL. There were 3 cases (2.2%) of mesh exposure in the vagina. There were no visceral injuries. The incidence of de novo dyspareunia was 6%.

Conclusion: Transvaginal PP-PG mesh surgery is safe and effective with few postoperative morbidities.

© 2013 by Wolters Kluwer Health | Lippincott Williams & Wilkins

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