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Oral Poster 1: A Comparison Of Short Term Sexual Function Outcomes For Patients Undergoing The Transvaginal Mesh Procedure Using The Standard Polypropylene Mesh Vs A hybrid POLYPROPYLENE/POLIGLECAPRONE Mesh

Bhatia, N.1; Murphy, M.1; Lucente, V. R.1; Ehsani, N.1; Devakumar, H.2; Shaw, R.1; DeTurk, S.1

Female Pelvic Medicine & Reconstructive Surgery: March-April 2010 - Volume 16 - Issue 2 - p S15-S16
doi: 10.1097/01.spv.0000370782.19455.53
SGS Abstracts

1The Institute for Female Pelvic Medicine & Reconstructive Surgery, Allentown, PA; 2St. Luke's Hospital and Health Network, Allentown, PA

DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS: Miles Murphy:Ethicon:Consulting Fee:Consultant;AMS:Consulting Fee:Consultant;Bard:Consulting Fee:Consultant

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OBJECTIVES:

To assess sexual function outcomes in patients undergoing the transvaginal mesh (Prolift) procedure using either the standard polypropylene mesh or a hybrid mesh composed of polypropylene and absorbable poliglecaprone 25 (Monocryl) fibers (Prolift+M) for pelvic organ prolapse through a comparison of pre- and post-operative responses to the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12).

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MATERIALS AND METHODS:

This is a retrospective cohort study assessing short-term sexual health as measured by the PISQ-12 following surgical correction of pelvic organ prolapse. Patients that underwent the Prolift+M surgery between 8/13/08 and 6/06/09 were included and compared to age-matched, sexually active controls that underwent the standard Prolift procedure between 2/14/05 and 6/06/09. All patients completed the PISQ-12 questionnaire and had POPQ measurements taken preoperatively and at 4 months postoperatively.

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RESULTS:

Out of a total of 102 patients who met inclusion criteria, 71 patients had completed both preoperative and postoperative PISQ forms (n = 39 standard mesh, n = 32 +M mesh). There is no significant difference in preoperative PISQ scores, age, BMI, POPQ points Ba, Bp, C and TVL (total vaginal length). There is also no significant difference in change in vaginal length from pre-op to post-op between the two groups. There is a significant improvement in postoperative sexual desire (PISQ #1), comfort with intercourse (PISQ #5), and overall sexual function (Total PISQ Score), with the hybrid mesh compared to the standard mesh at 4 months postoperatively.

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CONCLUSION:

Pelvic floor-related sexual health as defined by changes in the PISQ-12 improves with treatment of prolapse using the transvaginal mesh technique. This improvement appears to be greater in the short-term when a hybrid mesh composed of permanent and absorbable fibers is used when compared to the traditional all-polypropylene mesh in this small cohort study.

Keywords:

sexual function; pelvic organ prolapse; transvaginal mesh; prolift +M

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