Long-term outcome after transvaginal mesh repair of pelvic organ prolapse

International Urogynecology Journal
Pia HeinonenSeija Ala-Nissilä

Abstract

The aim of this study was to report long-term subjective and objective outcomes after the transvaginal mesh (TVM) procedure in long-term. Possible late-onset complications were of particular interest. This was a retrospective analysis of TVM performed using Prolift™ transvaginal mesh measuring subjective outcome using validated questionnaires. Objective outcome was assessed using the Pelvic Organ Prolapse Quantification (POP-Q) system using two definitions: POP-Q stage ≤ 1, and vaginal wall prolapse at or above the hymen or vaginal apex not descending below the upper third of the vagina. Complications were reported with the Prosthesis/Graft Complication Classification Code designed by the International Continence Society/International Urogynecological Association (ICS/IUGA). Of 195 patients, 161 (82.6 %) participated this study after a median of 7 years. The scores in questionnaires evaluating urinary (UI) or anal incontinence and constipation or pelvic floor symptoms were low, indicating favorable surgical outcomes. Altogether, 80.1 % of patients were satisfied with the procedure. Anatomical cure was 56.4 % and 69.3 % depending on the definition used. Reoperation due to POP in any compartment was performed in 16.2 % of patient...Continue Reading

References

Jan 1, 1982·Acta Obstetricia Et Gynecologica Scandinavica·A KauppilaE Kujansuu
Jan 1, 1993·Diseases of the Colon and Rectum·J M Jorge, S D Wexner
Jul 1, 1996·American Journal of Obstetrics and Gynecology·R C BumpA R Smith
Apr 1, 1997·Obstetrics and Gynecology·A L OlsenA L Clark
Sep 5, 2003·International Urogynecology Journal and Pelvic Floor Dysfunction·Rebecca G RogersClifford Qualls
Nov 20, 2004·Journal de gynécologie, obstétrique et biologie de la reproduction·P DebodinanceR Villet
Jul 28, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·P J HiggsA R B Smith
Dec 20, 2005·International Urogynecology Journal and Pelvic Floor Dysfunction·Renaud de TayracHervé Fernandez
Mar 27, 2007·Lancet·J Eric JelovsekMatthew D Barber
Aug 25, 2009·Obstetrics and Gynecology·Matthew D BarberUNKNOWN Pelvic Floor Disorders Network
May 25, 2010·American Journal of Obstetrics and Gynecology·Kari NieminenPentti K Heinonen
May 13, 2011·The New England Journal of Medicine·Daniel AltmanUNKNOWN Nordic Transvaginal Mesh Group
Feb 14, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Cheng-Yu LongJuin-Huang Su
Jul 5, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Sabrina BenbouzidVincent Delmas
Feb 28, 2013·Female Pelvic Medicine & Reconstructive Surgery·Edward J StanfordSuzette E Sutherland
May 17, 2013·JAMA : the Journal of the American Medical Association·Ingrid NygaardSusan Meikle
Jan 5, 2014·Current Urology Reports·Michelle E Koski, Eric S Rovner
Apr 5, 2014·International Urogynecology Journal·Dimitri SarlosGabriel Schaer
May 23, 2014·International Urogynecology Journal·Jan DeprestJan-Paul Roovers

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Citations

Dec 13, 2017·Female Pelvic Medicine & Reconstructive Surgery·Päivi Rahkola-SoisaloUNKNOWN Nordic TVM Group
Jan 22, 2020·Abdominal Radiology·Roopa RamGaurav Khatri

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