Trocar-Guided Mesh Compared With Conventional Vaginal Repair in Recurrent Prolapse

Withagen, Mariëlla I. J.; Milani, Alfredo L.; Boon, Jan den; Vervest, Harry A.M.; Vierhout, Mark E.

doi:10.1097/aog.0b013e318203e6a5

Cited by 185 publications

(82 citation statements)

References 25 publications

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“…This finding is low to consistent with the 1–9% rate of mesh exposure previously reported for sacrocolpopexy by either the open or the laparoscopic route [3, 4, 6–9]. De novo pain was not found, compared to 4% in a group with vaginal native tissue repair, and 7.5% in a group with vaginal mesh repair previously described [22]. De novo dyspareunia rate of 15% is comparable to rates of 8–42% that have been reported in the literature after conventional vaginal prolapse surgery and after mesh repair [22–25].…”

Section: Discussionsupporting

confidence: 87%

Laparoscopic sacrocolpopexy with bone anchor fixation: short-term anatomic and functional results

et al. 2011

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Introduction and hypothesisThe aim of this study was to evaluate short-term anatomic and functional outcomes and safety of laparoscopic sacrocolpopexy with bone anchor fixation.MethodsA prospective cohort study of women undergoing laparoscopic sacrocolpopexy between 2004 and 2009. Anatomic outcome was assessed using the pelvic organ prolapse quantification score (POP-Q). Functional outcomes were assessed using the Urogenital Distress Inventory, Defecatory Distress Inventory, and the Incontinence Impact Questionnaire preoperatively and at 6 months postoperatively. The Wilcoxon signed rank test was used to test differences between related samples.ResultsForty-nine women underwent laparoscopic sacrocolpopexy. The objective success rate in the apical compartment was 98%, subjective success rate was 79%. One mesh exposure (2%) was found. One conversion was necessary due to injury to the ileum.ConclusionsLaparoscopic sacrocolpopexy with bone anchor fixation is a safe and efficacious treatment for apical compartment prolapse. It provides excellent apical support and good functional outcome 6 months postoperatively.

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Section: Discussionsupporting

confidence: 87%

Laparoscopic sacrocolpopexy with bone anchor fixation: short-term anatomic and functional results

et al. 2011

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“…Prolapse recurrence, especially of the anterior compartment, is difficult to properly analyze and compare, since in the SCP, this compartment is supported by the use of mesh, while the HUVS group, native tissue is used. This gives the SCP group a clear and unfair advantage, as shown by Altman et al and Withagen et al [21,22]. Another weakness or our study was the fact that the postoperative evaluation was performed in most cases by members of the surgical team who performed the surgery, and this creates a potential bias, since the surgeon might unconsciously overestimate his or her own surgical success or favor one surgical technique over another.…”

Section: Discussionmentioning

confidence: 72%

High uterosacral vault suspension vs Sacrocolpopexy for treating apical defects: a randomized controlled trial with twelve months follow-up

et al. 2015

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“…The risk of reoperation for mesh complications in the mesh group must be weighed against the risk of reoperation for POP recurrence in the native tissue group [10–12]. Unfortunately, it is difficult to remove a mesh implant in its entirety.…”

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confidence: 99%

Incidence and Risk Factors for Pelvic Pain After Mesh Implant Surgery for the Treatment of Pelvic Floor Disorders

Geller

Babb

Nackley

et al. 2017

Journal of Minimally Invasive Gynecology

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Study Objective Our aim was to assess incidence and risk factors for pelvic pain after pelvic mesh implantation. Design Retrospective study (Canadian Task Force classification II-2). Setting Single university hospital. Patients Women who have undergone surgery with pelvic mesh implant for treatment of pelvic floor disorders including prolapse and incontinence. Interventions Telephone interviews to assess pain, sexual function, and general health. Measurements and Main Results Pain was measured by the McGill Short-Form Pain Questionnaire for somatic pain, Neuropathic Pain Symptom Inventory for neuropathic pain, Pennebaker Inventory of Limbic Languidness for somatization, and Female Sexual Function Index (FSFI) for sexual health and dyspareunia. General health was assessed with the 12-item Short-Form Health Survey. Among 160 enrolled women, mean time since surgery was 20.8 ± 10.5 months, mean age was 62.1 ± 11.2 years, 93.8% were white, 86.3% were postmenopausal, and 3.1% were tobacco users. Types of mesh included midurethral sling for stress incontinence (78.8%), abdominal/robotic sacrocolpopexy (35.7%), transvaginal for prolapse (6.3%), and perirectal for fecal incontinence (1.9%), with 23.8% concomitant mesh implants for both prolapse and incontinence. Our main outcome, self-reported pelvic pain at least 1 year after surgery, was 15.6%. Women reporting pain were younger, with fibromyalgia, worse physical health, higher somatization, and lower surgery satisfaction (all p < .05). Current pelvic pain correlated with early postoperative pelvic pain (p < .001), fibromyalgia (p = .002), worse physical health (p = .003), and somatization (p = .003). Sexual function was suboptimal (mean FSFI, 16.2 ± 12.1). Only 54.0% were sexually active, with 19.0% of those reporting dyspareunia. Conclusion One in 6 women reported de novo pelvic pain after pelvic mesh implant surgery, with decreased sexual function. Risk factors included younger age, fibromyalgia, early postoperative pain, poorer physical health, and somatization. Understanding risk factors for pelvic pain after mesh implantation may improve patient selectionq.

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Trocar-Guided Mesh Compared With Conventional Vaginal Repair in Recurrent Prolapse

Abstract: I.

Cited by 185 publications

References 25 publications

Laparoscopic sacrocolpopexy with bone anchor fixation: short-term anatomic and functional results

Laparoscopic sacrocolpopexy with bone anchor fixation: short-term anatomic and functional results

High uterosacral vault suspension vs Sacrocolpopexy for treating apical defects: a randomized controlled trial with twelve months follow-up

Incidence and Risk Factors for Pelvic Pain After Mesh Implant Surgery for the Treatment of Pelvic Floor Disorders

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