Reasons for and Against Use of Non-absorbable, Synthetic Mesh During Pelvic Organ Prolapse Repair, According to the Prolapsed Compartment

Kontogiannis, Stavros; Goulimi, Evangelia; Giannitsas, Konstantinos

doi:10.1007/s12325-016-0425-3

Cited by 12 publications

(4 citation statements)

References 53 publications

(53 reference statements)

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“…Another study reported that de novo SUI was lower in the anterior colporrhaphy group (1.4%, 1/68 patients) compared to the mesh group (8.5%, 6/70 patients). However, the results of another study showed that the recurrence rate for mesh surgery was lower than that of native tissue repair [14]. Another study reported that sexual function may be problematic with vaginal hysterectomy [15].…”

Section: Discussionmentioning

confidence: 99%

Comparison of vaginal hysterectomy with McCall culdoplasty and transvaginal mesh surgery in the management of female pelvic organ prolapse

Choi¹,

Cho²,

Kim³

2021

Clinical and Experimental Obstetrics & Gynecology

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The aim of this study was to compare the outcomes of vaginal hysterectomy with McCall culdoplasty and transvaginal mesh surgery in the management of female pelvic organ prolapse. Methods: We compared anatomical and functional outcomes who underwent vaginal hysterectomy with McCall culdoplasty or transvaginal mesh surgery for anterior and apical vaginal prolapse at a single tertiary center from January 2009 to December 2016. Anatomical outcome was measured by POP-Q stage and functional outcomes were measured using three questionnaires: the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7), and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Surgical treatment was done with POP-Q stage > III and anterior or apical compartment prolased patients. Total follow up legnth is two years for each surgical groups. Results: We compared anatomical and functional outcomes in 154 women who underwent vaginal hysterectomy with McCall culdoplasty (n = 80) or transvaginal mesh surgery (n = 74) for anterior and apical vaginal prolapse at a single tertiary center from January 2009 to December 2016. In this retrospective cohort study, no significant di ferences in anatomical and functional outcomes were observed at 1-and 2year follow-up between women who underwent McCall culdoplasty or transvaginal mesh surgery, except for total vaginal length. There were no statistical di ferences between the two groups for postoperative complications like POSUI (transvaginal mesh operation vs hysterectomy with McCall culdoplasty, 17.5% vs 22.5%, respectively, P = 0.651), urinary urgency incontinence (9.4% vs 8.7%, P = 0.48), overactive bladder (4.0% vs 10.0%, P = 0.147), urinary tract infection (0% vs 2.5%, P = 0.21) or recurrence rate (12.3% vs 2.5%, P = 0.155). Conclusion: There were no anatomical or functional di ferences in outcome between vaginal hysterectomy with McCall culdoplasy and transvaginal mesh surgery.

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Section: Discussionmentioning

confidence: 99%

Comparison of vaginal hysterectomy with McCall culdoplasty and transvaginal mesh surgery in the management of female pelvic organ prolapse

Choi¹,

Cho²,

Kim³

2021

Clinical and Experimental Obstetrics & Gynecology

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“…The cure figures were subsequently shown: 86.4% in the mesh versus 79.4% in colporrhaphy. 15 Regarding Rudnicki and collaborators, in 2015, they carried out a comparative study in which the cure rates and possible complications in anterior colporrhaphy were observed in relation to transvaginal mesh for prolapse of the anterior vaginal wall, in follow-up of 1 and 3 years through pre-and post-surgical questionnaires and verbal information. This study was carried out through a randomized controlled trial on 138 women over 55 years of age, of which 70 underwent mesh procedures and the remaining 68 underwent colporrhaphy.…”

Section: Comparison and Follow-up Studiesmentioning

confidence: 99%

The treatment for closure of the bladder neck via transvaginal approach

Castro,

Gonzalez,

Gomez

et al. 2023

Int Surg J

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Urinary incontinence is described as the involuntary loss of urine due to an increase in intra-abdominal pressure combined with a lack of contraction of the detrusor muscle. The most common being stress incontinence, as it occurs in 30% of women between 30 and 60 years old. There is another condition called hidden stress incontinence as a result of a coiling of the urethra that causes obstruction in its lumen. This can manifest itself when performing any activity that involves effort, such as coughing or sneezing. Nowadays there are numerous surgical interventions for the treatment of these pathologies, so there is a discrepancy in the choice of the appropriate surgical technique to correct these conditions in isolation.

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“…We got access to material in form of polypropylene meshes (MESH), which demonstrated good biocompatibility and promised the possibility of reliable replacement of defective tissues (1). Unfortunately, it was shown that their implantation also comes with certain long-term risks that we have not encountered in classical techniques (2)(3)(4). At present, not only we are in a period of searching for a prudent indication for their use (5), but also, in some countries, there has been a complete ban on the production and distribution of vaginal meshes used in POP surgical treatment and stressed incontinence (6, 7).…”

Section: Introductionmentioning

confidence: 99%

Single‑incision mesh vs sacrospinous ligament fixation in posthysterectomy women at a three-year follow-up: a randomized trial

Galad¹,

Papcun²,

Dudič³

et al. 2020

BLL

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OBJECTIVES: The primary clinical objective was to prospectively compare the effectiveness of the "single-incision MESH" technique versus sacrospinous ligament fi xation (ACSSF) in correcting the defect of pelvic organ prolapse (POP) in the anterior and apical compartments, Their effectiveness was assessed at a 1-year/3-year follow-up (FU). METHODS: In the period of 2013-2015, we have randomized 146 women into two groups, namely 73 into ACSSF group and 73 into MESH group RESULTS: At 1-year/3-year FU, we achieved an effectiveness of 92 %/87 % in the point Ba (≤ -1 cm) in the MESH group (48/52; 40/46) vs 70 %/66 % in the ACSSF group (35/50; 30/45); (p = 0.005/p = 0.021). At 1-year/3-year FU, in the area of point C (≤ -1 cm), we achieved a 94 %/91 % effectiveness in the MESH group (49/52; 42/46) vs 90 %/80 % in the ACSSF group (45/50; 36/45); (p = 0.005/p = 0.192). In the MESH group, we observed a more frequent occurrence of "de novo" SUI (11 % vs 6 %) and a defect in the unoperated (posterior) compartment (18 % vs 8 %); the difference was not statistically signifi cant. CONCLUSION: Our study showed that the vaginal synthetic mesh repair of POP did not improve women's outcomes in terms of effectiveness or adverse effects, while the patient satisfaction is the same as compared to that with sacrospinous ligament fi xation at a 3-year FU. In gynecology, there are situations in which the comparison replaces the scientifi c solution (Tab. 5, Fig. 2, Ref. 50).

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Reasons for and Against Use of Non-absorbable, Synthetic Mesh During Pelvic Organ Prolapse Repair, According to the Prolapsed Compartment

Cited by 12 publications

References 53 publications

Comparison of vaginal hysterectomy with McCall culdoplasty and transvaginal mesh surgery in the management of female pelvic organ prolapse

Comparison of vaginal hysterectomy with McCall culdoplasty and transvaginal mesh surgery in the management of female pelvic organ prolapse

The treatment for closure of the bladder neck via transvaginal approach

Single‑incision mesh vs sacrospinous ligament fixation in posthysterectomy women at a three-year follow-up: a randomized trial

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