Transvaginal mesh surgery for pelvic organ prolapse does not affect sexual function at long term follow up

Morselli, Simone; Marzi, Vincenzo Li; Verrienti, P.; Serati, Maurizio; Camillo, M. Di; Tosto, Aldo; Milanesi, M.; Serni, Sergio

doi:10.1016/j.ejogrb.2019.07.027

Cited by 6 publications

(8 citation statements)

References 32 publications

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“…Although the Gynemesh was cut into different parts for use in pelvic floor reconstruction, our study also revealed no significant difference in outcomes between the Prolift kit group and the self-cut Gynemesh. It has been reported that mesh kits are not related to perioperative surgical complication rate, or to subjective or objective outcomes, therefore suggesting that the type and shape of polypropylene mesh is not associated with outcomes or complications [7]. Our study revealed a low complications rate, low POP recurrence rate and high subjective satisfaction during the a very long-term follow-up.…”

Section: Discussionsupporting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

“…Previous publications reported that the long-term outcomes of surgical treatment of POP with mesh offered low recurrence rates, better satisfaction, and high cumulative reoperation and mesh exposure rates [6][7][8]. Most publications reported the outcomes based on 4-5 years of follow-up [7,9,10], and only few publications with small sample sizes reported the outcomes at greater than 10 years after mesh repair surgery [6]. Here, we aimed to evaluate the outcomes following synthetic mesh placement by the vaginal route for POP with greater than 10 years of follow-up in a larger group, and to compare the outcomes of pelvic floor repair with different meshes.…”

Section: Introductionmentioning

confidence: 99%

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Long-term outcomes of transvaginal mesh surgery for pelvic organ prolapse: a retrospective cohort study

Wang

Chen

et al. 2021

BMC Women's Health

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Background The objective of this study was to evaluate the overall outcomes and complications of transvaginal mesh (TVM) placement for the management of pelvic organ prolapse (POP) with different meshes with a greater than 10-years of follow-up. Methods We performed a retrospective review of patients with POP who underwent prolapse repair surgery with placement of transvaginal mesh (Prolift kit or self-cut Gynemesh) between January 2005 and December 2010. Baseline of patient characteristics were collected from the patients’ medical records. During follow-up, the anatomical outcomes were evaluated using the POP Quantification system, and the Patient Global Impression of Improvement (PGI-I) was used to assess the response of a condition to therapy. Overall postoperative satisfaction was assessed by the following question: “What is your overall postoperative satisfaction, on a scale from 0 to 10?”. Relapse-free survival was analyzed using Kaplan–Meier curves. Results In total, 134 patients were included. With a median 12-year (range 10–15) follow-up, 52 patients (38.8%) underwent TVM surgery with Prolift, and Gynemesh was used 82 (61.2%). 91% patients felt that POP symptom improved based on the PGI-I scores, and most satisfied after operation. The recurrence rates of anterior, apical and posterior compartment prolapse were 5.2%, 5.2%, and 2.2%, respectively. No significant differences in POP recurrence, mesh-associated complications and urinary incontinence were noted between TVM surgery with Prolift versus Gynemesh. Conclusions Treatment of POP by TVM surgery exhibited long-term effectiveness with acceptable morbidity. The outcomes of the mesh kit were the same as those for self-cutmesh.

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Section: Discussionsupporting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-term outcomes of transvaginal mesh surgery for pelvic organ prolapse: a retrospective cohort study

Wang

Chen

et al. 2021

BMC Women's Health

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“…The progressive application of the transvaginal permanent mesh in pelvic reconstructive surgery achieved outcomes superior to those of native tissue vaginal repair. It achieved a decreased awareness of prolapse and reoperation, but it was associated with a higher rate of complications, such as de novo stress urinary incontinence, iatrogenic bladder injury, or mesh exposure [ 15 , 22 ]. The utilization of transvaginal permanent mesh needs to be individualized, and the addition of concomitant fascial plication is based on the expertise of the physician.…”

Section: Discussionmentioning

confidence: 99%

“…A previous study showed an increasing odds ratio for postoperative dyspareunia (4.7, 95% CI 1.7–12.8) [ 37 ]. However, in another study, only one patient experienced dyspareunia (1.9%) in the mesh group [ 22 ]. The previous study using TVM surgery also showed an improvement of dyspareunia [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

The Comparison of Outcomes of Transvaginal Mesh Surgery with and without Midline Fascial Plication for the Treatment of Anterior Vaginal Prolapse: A Randomized Controlled Trial

Chiang

Hsu

Ding

2021

JCM

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The aim of this study was to compare the clinical outcomes of transvaginal mesh (TVM) surgery with and without midline fascial plication for anterior prolapse repair. This is a prospective randomized trial in a teaching hospital. This study compared patients with anterior vaginal wall prolapse (POP-Q Ba > −1) who were randomly assigned to either transvaginal mesh (TVM, Avaulta SoloTM, CR Bard. Inc., Covington, GA, USA polypropylene mesh delivery system) (group A, n = 32) or TVM with concomitant midline fascial plication (group B, n = 32). The outcomes of anatomy correction and life quality were evaluated using a pelvic organ prolapse quantification system and questionnaires. Sixty-four patients were included from January 2011 through April 2014 in this study. Group A had a mean age of 63.7 years and a body mass index (BMI) of 25.4 kg/m2. Group B had a mean age of 62.9 years and a BMI of 25.4. The mean follow-up duration was 18.6 months (range 12–50). At the 12-month follow-up, anatomic recurrence was higher in Group A (5/31, 16.1%) than in Group B (1/30, 3.3%) but without statistical significance (p = 0.19). Improvements in symptoms and quality of life were not significantly different between the two groups. Mesh extrusion was detected in three of 61 patients (4.9%): two from group A (6.7%) and one from Group B (3.2%). TVM with concomitant midline fascia repair for anterior vaginal prolapse had a comparable anterior support and mesh exposure rate compared with TVM alone. Trial Registration: IRB-B09904021

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Search for the G spot: microvessel and nerve mapping of the paraurethral anterior vaginal wall

et al. 2020

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Transvaginal mesh surgery for pelvic organ prolapse does not affect sexual function at long term follow up

Cited by 6 publications

References 32 publications

Long-term outcomes of transvaginal mesh surgery for pelvic organ prolapse: a retrospective cohort study

Long-term outcomes of transvaginal mesh surgery for pelvic organ prolapse: a retrospective cohort study

The Comparison of Outcomes of Transvaginal Mesh Surgery with and without Midline Fascial Plication for the Treatment of Anterior Vaginal Prolapse: A Randomized Controlled Trial

Search for the G spot: microvessel and nerve mapping of the paraurethral anterior vaginal wall

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