Tension‐free vaginal mesh surgery versus laparoscopic sacrocolpopexy for pelvic organ prolapse: Analysis of perioperative outcomes using a Japanese national inpatient database

Obinata, Daisuke; Sugihara, Toru; Yasunaga, Hideo; Mochida, Joji; Yamaguchi, Kenya; Murata, Yasutaka; Yoshizawa, Tsuyoshi; Matsui, Takaaki; Matsui, Hiroki; Sasabuchi, Yusuke; Fujimura, Tetsuya; Homma, Yukio; Takahashi, Satoru

doi:10.1111/iju.13587

Cited by 15 publications

(19 citation statements)

References 26 publications

(49 reference statements)

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“…After the introduction of TVM in 2005, both urologists and gynecologists became attracted to it because of its low invasiveness, uterine preservation and easy application to recurrent cases. [3][4][5][6] Although TVM decreased or was banned in Western countries after the 2011 FDA alert, 7,8 it remains as a core treatment option in East Asia due to fewer complications. [3][4][5][6]9,10 A questionnaire survey was carried out for surgeons who attended a national TVM meeting in 2010.…”

Section: Introductionmentioning

confidence: 99%

“…Regarding POP, NTR, such as vaginal hysterectomy (with colporraphy) and colpocleisis, has been traditionally carried out by gynecologists, whereas anterior colporraphy has often been carried out by urologists. After the introduction of TVM in 2005, both urologists and gynecologists became attracted to it because of its low invasiveness, uterine preservation and easy application to recurrent cases 3–6 . Although TVM decreased or was banned in Western countries after the 2011 FDA alert, 7,8 it remains as a core treatment option in East Asia due to fewer complications 3–6,9,10 .…”

Section: Introductionmentioning

confidence: 99%

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Techniques of transvaginal mesh prolapse surgery in Japan, and the comparison of complication rates by surgeons’ specialty and experience

Kato¹,

Gotoh

Takahashi

et al. 2020

Int J of Urology

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Objectives: To investigate techniques of transvaginal mesh prolapse surgery in Japan, and compare complication rates by surgeons' specialty and experience with transvaginal mesh prolapse surgery. Methods: We carried out an anonymous questionnaire survey for surgeons attending a national transvaginal mesh prolapse surgery meeting in 2010. The surgeons were asked to state their specialty, practice patterns, transvaginal mesh prolapse surgery techniques and the number of transvaginal mesh prolapse procedures carried out as an operator including the complications that occurred. Results: A total of 118 surgeons (59% of the attendees) responded to the questionnaire. The mean age was 44.0 AE 9.1 years, 54 (46%) were gynecologists and 64 (54%) were urologists. All urologists and 78% of gynecologists carried out antiincontinence surgery (midurethral sling), whereas more gynecologists (93%) carried out native tissue repair than urologists (73%). Most of both specialties (each 98%) avoided prophylactic anti-incontinence surgery during prolapse surgery. Concomitant hysterectomy during transvaginal mesh prolapse surgery was generally avoided. Surgeons reached a consensus regarding the critical transvaginal mesh prolapse surgery techniques: hydrodissection (98%) and the full-thickness dissection (the "Lychee layer"; 69%). A total of 11 935 Prolift-type transvaginal mesh prolapse procedures were carried out and the following complications were reported: bladder injury (1.6%), rectal injury (0.3%), ureteral injury (0.1%), blood transfusion (0.2%), vaginal exposure (2.8%) and recurrence requiring reoperation (1.1%). Although complications did not differ between specialty, bladder injury, transfusion and vaginal exposure were less prevalent with experienced surgeons (≥50 transvaginal mesh prolapse surgery cases). Conclusions: Over 10 000 transvaginal mesh prolapse surgery had been carried out in Japan with a relatively low complication rate until 2010. This survey shows that surgeons' experience could lead to a decrease in the amount of transvaginal mesh prolapse surgery complications.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Techniques of transvaginal mesh prolapse surgery in Japan, and the comparison of complication rates by surgeons’ specialty and experience

Kato¹,

Gotoh

Takahashi

et al. 2020

Int J of Urology

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“…There were 20 eligible studies, including four RCTs [18][19][20][21][22] (there were two articles 20,21 about one RCT), four prospective studies [23][24][25][26] and 12 restrospective studies, [27][28][29][30][31][32][33][34][35][36][37][38] identified from the MEDLINE, EMBASE, Cochrane Library and clinicaltrials.gov databases. A PRISMA flow diagram depicting the study selection process is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

Sacrocolpopexy compared with transvaginal mesh surgery: a systematic review and meta‐analysis

Zhang

Sun

Yang

et al. 2020

BJOG

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Background The use of mesh is controversial in the treatment of female pelvic organ prolapse. Objectives To systematically review the outcomes of sacrocolpopexy compared with transvaginal mesh surgery and to provide evidence-based suggestions. Search strategy The MEDLINE, EMBASE, Cochrane Library and clinicaltrials.gov databases were searched on 21 November 2018. Selection criteria Randomised controlled trials and prospective and retrospective cohort studies were included. Data collection and analysis Data were extracted by one reviewer and examined by a second reviewer for accuracy. Odds ratios and 95% CI were calculated using random-effects models. Main results Twenty comparative studies were included. The metaanalysis was performed with subgroups. The summary odds ratios of the randomised controlled group were 1.84 (95% CI 0.79-4.29, I 2 = 75%) for anatomical success, 1.41 (95% CI 0.47-4.24, I 2 = 38%) for subjective success, 0.42 (95% CI 0.18-0.98, I 2 = 0%) for mesh complications, 0.61 (95% CI 0.20-1.91, I 2 = 0%) for prolapse reoperation and 0.44 (95% CI 0.23-0.88, I 2 = 0%) for de novo dyspareunia. The mean differences were 0.77 (95% CI 0.31-1.23, I 2 = 66%) for total vaginal length and À1.28 (95% CI À2.00 to À0.55, I 2 = 66%) for point C after surgery. Conclusions Very-low-quality evidence indicated that the anatomical and subjective success rates of sacrocolpopexy were similar to those of transvaginal mesh surgery; sacrocolpopexy might be more beneficial than transvaginal mesh surgery in terms of mesh-related complication rates, prolapse recurrence and de novo dyspareunia. However, additional high-quality randomised trials with long-term follow-up durations are needed.

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“…Now, LSC including robot‐assisted LSC is becoming more popular due to its low invasiveness. After the 2011 FDA alert regarding mesh complications following TVM, a significantly greater number of surgeons have begun to use LSC 2 . Surgeons should be aware of LSC complications as they occur more often in the beginning of the learning curve.…”

Section: Discussionmentioning

confidence: 99%

“…Following the release, TVM decreased or was banned, then replaced by other prolapse surgeries including LSC in the United States and Europe. In Asian countries, although TVM remains as a leading surgical option due to relatively low complication rates, more doctors have introduced LSC, especially to younger or sexually active women 2 . As the number of LSC is increasing, problems related with LSC are beginning to be uncovered.…”

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confidence: 99%

“Central Road” cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy

Kato¹,

Yoshimura

Narushima

et al. 2020

IJU Case Reports

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Introduction This paper presents the “Central Road” cystoscopic finding accompanied by magnified mixed urinary incontinence following laparoscopic sacrocolopopexy. Case presentation A 70‐year‐old female experienced severe mixed urinary incontinence upon completing laparoscopic sacrocolopopexy. The cystoscopy showed a cord‐like appearance in the center of the bladder trigon and posterior wall. Videourodynamics confirmed stress urinary incontinence, and chain cystourethrography indicated that the proximal urethra was open and the posterior vesicourethral angle was atypically widened. After implanting a midurethral sling, mixed urinary incontinence was cured subjectively and objectively without medication. Conclusion The “Central Road” cystoscopic finding can be a signpost pointing to laparoscopic sacrocolopopexy mesh overtensioning, which can cause dekinking of the bladder neck, exacerbate stress urinary incontinence, and possibly lead to stress‐induced instability. A midurethral sling successfully relieved mixed urinary incontinence in this case, but it might be necessary to loosen the laparoscopic sacrocolopopexy mesh in some other cases.

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Tension‐free vaginal mesh surgery versus laparoscopic sacrocolpopexy for pelvic organ prolapse: Analysis of perioperative outcomes using a Japanese national inpatient database

Cited by 15 publications

References 26 publications

Techniques of transvaginal mesh prolapse surgery in Japan, and the comparison of complication rates by surgeons’ specialty and experience

Techniques of transvaginal mesh prolapse surgery in Japan, and the comparison of complication rates by surgeons’ specialty and experience

Sacrocolpopexy compared with transvaginal mesh surgery: a systematic review and meta‐analysis

“Central Road” cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy

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