Three-year outcome of transvaginal mesh repair for the treatment of pelvic organ prolapse

Long, Cheng‐Yu; Hsu, Chung-Ping; Liu, Cheng‐Min; Wang, Chiu‐Lin; Tsai, Eing‐Mei

doi:10.1016/j.ejogrb.2011.12.007

Cited by 22 publications

(22 citation statements)

References 26 publications

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“…Consistent with previous reports, we have reported 92.3% of anatomical cure rates at 1 year with low incidences of surgical complications . Although several studies have shown a relationship of POP with LUTS, or the anatomical efficacies of TVM for POP, just a few papers have prospectively evaluated both issues in the same cases, and the efficacies of concomitant TOT sling for SUI …”

Section: Introductionsupporting

confidence: 90%

Lower urinary tract symptoms in female patients with pelvic organ prolapse: Efficacy of pelvic floor reconstruction

et al. 2013

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Abbreviations & AcronymsObjective: To evaluate the impact of pelvic floor reconstruction on lower urinary tract symptoms in patients with pelvic organ prolapse. Methods: We carried out a prospective study at a single institution. A total of 223 female patients who underwent tension-free vaginal mesh surgery for pelvic organ prolapse between January 2006 and February 2010 were enrolled and prospectively evaluated. A total of 171 cases with concurrent stress urinary incontinence (76% of all cases) underwent concomitant transobturator tape sling. For evaluation of lower urinary tract symptoms, parameters included International Prostate Symptom Score, its quality of life score, International Consultation on Incontinence Questionnaires Short Form, overactive bladder questionnaire, maximal flow rate and postvoid residual. These parameters were evaluated at baseline, and at 3, 6 and 12 months after the surgery. Results: The severity of International Prostate Symptom Score total scores significantly correlated with preoperative pelvic organ prolapse quantification stages, overactive bladder questionnaire total scores and International Consultation on Incontinence Questionnaires Short Form scores. A total of 37% of stage 4 showed ≥20 International Prostate Symptom Score (severe cases). Postvoid residual significantly increased in stage 4 compared with stage 2. Tension-free vaginal mesh improved International Prostate Symptom Score, overactive bladder questionnaire and International Consultation on Incontinence Questionnaires Short Form significantly, and also achieved grade 0 pelvic organ prolapse quantification in 91% of all cases at 1 year after surgery. Postvoid residual values significantly improved and remained stable for 1 year. Worse overactive bladder questionnaire score was a significant predictive factor for poor postoperative International Prostate Symptom Score. Conclusion:The tension-free vaginal mesh plus transobturator tape procedure improves lower urinary tract symptoms in the majority of patients presenting pelvic organ prolapse.Key words: lower urinary tract symptoms, pelvic organ prolapse, quality of life, tensionfree vaginal mesh.

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Section: Introductionsupporting

confidence: 90%

Lower urinary tract symptoms in female patients with pelvic organ prolapse: Efficacy of pelvic floor reconstruction

et al. 2013

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“…Lung et al. reported an erosion rate of 11.4% in 124 patients over a 3‐year follow‐up period . Jacquetin et al.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with POP may experience symptoms such as pelvic heaviness, urinary incontinence, difficulty voiding, and discomfort during intercourse . Of symptomatic POP patients, nearly 11% require surgical intervention during their lifetime …”

Section: Introductionmentioning

confidence: 99%

“…Since that time, the Prolift Transvaginal Mesh, which is a non‐absorbable monofilament soft prolene mesh, has been used worldwide to correct POP. Several studies have reported that this mesh results in higher cure rates and lower morbidity compared with previous treatment modalities . However, there is a lack of widely accepted data on the safety of the Prolift Transvaginal Mesh for POP repair.…”

Section: Introductionmentioning

confidence: 99%

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Anatomical and Functional Outcomes of Prolift Transvaginal Mesh for Treatment of Pelvic Organ Prolapse

Song

Kim

Chung

et al. 2015

LUTS

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“…2 Traditional surgical management of uterine prolapse usually includes concomitant hysterectomy, but during the past decade interest in uterine preservation in pelvic reconstructive surgery has been growing worldwide. 3 Controversies surrounding uterine preservation in POP surgery include that the uterus might subject the pelvic reconstruction to undue stress; hence increased prolapse recurrence, risk of potential malignant pathology in the cervix or uterus and increased operative morbidity associated with hysterectomy. 4 The uterus itself is regarded as an important factor in pelvic floor stability and sexual health.…”

Section: Introductionmentioning

confidence: 99%

Long‐term outcome of native tissue reconstructive vaginal surgery for advanced pelvic organ prolapse at 86 months: Hysterectomy versus hysteropexy

Pue

Hung

et al. 2015

J of Obstet and Gynaecol

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Three-year outcome of transvaginal mesh repair for the treatment of pelvic organ prolapse

Cited by 22 publications

References 26 publications

Lower urinary tract symptoms in female patients with pelvic organ prolapse: Efficacy of pelvic floor reconstruction

Lower urinary tract symptoms in female patients with pelvic organ prolapse: Efficacy of pelvic floor reconstruction

Anatomical and Functional Outcomes of Prolift Transvaginal Mesh for Treatment of Pelvic Organ Prolapse

Long‐term outcome of native tissue reconstructive vaginal surgery for advanced pelvic organ prolapse at 86 months: Hysterectomy versus hysteropexy

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