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Anatomical and Functional Outcomes of Prolift Transvaginal Mesh for Treatment of Pelvic Organ Prolapse
Author(s) -
SONG Wan,
KIM Tae Heon,
CHUNG Jin Woo,
CHO Won Jin,
LEE Ha Na,
LEE Young Suk,
LEE KyuSung
Publication year - 2016
Publication title -
luts: lower urinary tract symptoms
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.451
H-Index - 15
eISSN - 1757-5672
pISSN - 1757-5664
DOI - 10.1111/luts.12090
Subject(s) - medicine , surgical mesh , surgery , hernia
Objectives To evaluate anatomical and functional outcomes of the P rolift T ransvaginal M esh for treatment of pelvic organ prolapse ( POP ) with regard to safety and satisfaction. Methods We reviewed the medical records of 163 patients who underwent POP repair with P rolift T ransvaginal M esh between D ecember 2005 and M arch 2012. An “optimal” anatomic outcome was defined as P elvic O rgan P rolapse Q uantification S ystem ( POP‐Q ) stage 0, and a “satisfactory” anatomic outcome was defined as POP‐Q stage 1. Resuts A total of 163 patients were included in this study, with a mean age (range) of 61.6 (35–83) years. An anterior mesh was used in 110 patients, and combined anterior and posterior mesh was used in 53 patients. The mean follow‐up period after POP repair was 40.4 (12–63) months. Optimal anatomic outcomes for anterior, apical, and posterior prolapse were achieved in 55.9, 69.2, and 65.8% of cases, respectively. Optimal or satisfactory anatomic outcomes for anterior, apical, and posterior prolapse occurred in 76.7, 85.0, and 82.5% of cases, respectively. Mean values for points in the POP‐Q , urinary distress inventory ( UDI ), and pelvic organ prolapsed distress inventory ( POPDI ) in the P elvic F loor D istress I nventory ( PFDI ) were all significantly improved after the operation. The overall satisfaction rate for the operation was 84.7%. Five patients (3.1%) were diagnosed with vaginal erosion and treated with partial excision of the mesh without evidence of infection. Conclusions Pelvic organ prolapse repair using P rolift T ransvaginal M esh is an effective and safe procedure without significant complications.