Outcomes and predictors of failure of trocar-guided vaginal mesh surgery for pelvic organ prolapse

2012 ◽  
Vol 206 (5) ◽  
pp. 440.e1-440.e8 ◽  
Author(s):  
Alfredo L. Milani ◽  
Mariella I.J. Withagen ◽  
Mark E. Vierhout
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Mesh Surgery

Long-term observation on postoperative recurrence and complications of transvaginal mesh surgery for pelvic organ prolapse

2021 ◽  
Author(s):  
Junfang Yang ◽  
Kun Zhang ◽  
Jinsong Han ◽  
Yiting Wang ◽  
Ying Yao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
Protective Factor ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Transvaginal Mesh ◽  
Mesh Exposure ◽  
Mesh Surgery ◽  
Post Menopause

Objective: This study aims to evaluate the risk factors for subjective recurrence and complications of patients who underwent transvaginal synthetic mesh surgery. Design：This retrospective cohort study included patients who received transvaginal mesh (TVM) surgery between January 2005 and June 2019. Methods: The information of patients was collected, including basic characteristics, subjective recurrence, and mesh-related complications. The clinical characteristics of patients with and without subjective recurrence were compared. The sexual activities of patients before and after the operation were recorded. SPSS 20.0 was used for the statistical analysis. Results: A total of 257 patients were included. Among them, 62 (24.1%) patients were lost to follow-up. The median follow-up time was 80 months (12 months, 170 months). Finally, 195 patients were followed up, 11 (5.6%) patients had a subjective recurrence of pelvic organ prolapse, and 26 (13.3%) patients had mesh-related complications (11 patients with de novo pain and 15 patients with mesh exposure). We found significant differences in age (68.9±5.1 vs. 63.4±5.8 years old), years of post-menopause (17.5±6.3 vs. 13.3±6.9 years), previous hysterectomy (27.3% vs. 6.0%), and concomitant hysterectomy (45.5% vs. 81.0%) between patients with and without subjective recurrence (P<0.05). The mesh exposure proportion of patients with total vaginal mesh (47.6%) was significantly higher than that with anterior vaginal mesh (2.9%) (P<0.05). Furthermore, 6.7% of sexually active patients reported do novo dyspareunia. Limitation: The investigators could only record the subjective recurrence of patients, thus there is a lack of objective recurrence data. Conclusion: Age, years of post-menopause and previous hysterectomy are risk factors for subjective recurrence of transvaginal mesh surgery; however，concomitant hysterectomy is a protective factor. Mesh exposure is the most common complication, especially for total vaginal mesh repair surgery.

Sexual activity and function in women with advanced stages of pelvic organ prolapse, before and after laparoscopic or vaginal mesh surgery

2020 ◽  
Author(s):  
Sònia Anglès-Acedo ◽  
Cristina Ros-Cerro ◽  
Sílvia Escura-Sancho ◽  
M. José Palau-Pascual ◽  
Eduardo Bataller-Sánchez ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Sexual Activity ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Mesh Surgery ◽  
Before And After ◽  
Advanced Stages ◽  
And Function

Impact of total vaginal mesh surgery for pelvic organ prolapse on female sexual function

2011 ◽  
Vol 115 (2) ◽  
pp. 167-170 ◽  
Author(s):  
Chiu-Lin Wang ◽  
Cheng-Yu Long ◽  
Yung-Shun Juan ◽  
Cheng-Min Liu ◽  
Chun-Shuo Hsu
Keyword(s):  
Pelvic Organ Prolapse ◽  
Sexual Function ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Female Sexual Function ◽  
Mesh Surgery

scholarly journals Ultrasound Dynamics of Combined Mid-Urethral Slings and Anterior Vaginal Mesh Surgery on Severe Symptomatic Pelvic Organ Prolapse

2017 ◽  
Vol 43 ◽  
pp. S137
Author(s):  
Tsia-Shu Lo ◽  
Shi-Yin Huang ◽  
Clarissa Uy-Patrimonio Ma ◽  
Yiap-Loong Tan ◽  
Sandy Chua ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Mesh Surgery

Changes in Female Sexual Function following Anterior with and without Posterior Vaginal Mesh Surgery for the Treatment of Pelvic Organ Prolapse

2012 ◽  
Vol 9 (8) ◽  
pp. 2167-2174 ◽  
Author(s):  
Cheng‐Yu Long ◽  
Yung‐Shun Juan ◽  
Ming‐Ping Wu ◽  
Cheng‐Min Liu ◽  
Po‐Hui Chiang ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Sexual Function ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Female Sexual Function ◽  
Mesh Surgery

scholarly journals Vaginal mesh surgery is efficient to treat pelvic organ prolapse grade 3 in elderly women

2019 ◽  
Vol 4 (4) ◽  
pp. 38-46
Author(s):  
O. S. Korotkevich ◽  
V. G. Mozes ◽  
I. A. Eizenakh ◽  
A. V. Soloviev ◽  
V. V. Vlasova
Keyword(s):  
Surgical Treatment ◽  
Pelvic Organ Prolapse ◽  
Outcome Measure ◽  
Elderly Women ◽  
Pelvic Organ ◽  
Vaginal Mesh ◽  
Mesh Surgery ◽  
Grade 3

Aim. To evaluate the surgical treatment of pelvic organ prolapse grade 3 in elderly women.Materials and Methods. We consecutively recruited 86 elderly women (60 to 75 years old) suffering from pelvic organ prolapse grade 3. Out of them, 56 patients underwent vaginal mesh surgery while 30 refused surgical treatment. After 1 year, we assessed stress urinary incontinence using a cough test and Valsalva maneuver. Pain intensity was measured using the Numeric Rating Scale whereas quality of life was assessed by Pelvic Floor Disability Index (PDFI-20). The primary outcome measure was the prevalence of pelvic organ prolapse symptoms while the secondary outcome measure was the frequency of stress urinary incontinence and low quality of life upon 1 year of follow-up.Results. After 1 year of follow-up, patients who received a surgical treatment were characterized by a statistically significant decrease in both frequency and intensity of complaints and symptoms of pelvic organ prolapse. Pelvic Organ Prolapse Distress Inventory score was 8.3 (4.2-12.5) and 79.2 (79.2-100) in patients with or without surgical treatment respectively. Similar results were showed using Colorectal-Anal Distress Inventory score (6.2 (3.1-6.2) and 68.8 (62.5-71.9) and Urinary Distress Inventory score (8.3 (4.2-8.3) and 83.3 (79.2-87.5), in treated and untreated individuals, respectively. Total Pelvic Floor Disability Index score was 22.8 (11.5-27.0) in women who underwent a vaginal mesh surgery and 227.2 (226.1251.0) in those who did not. All indicated differences were statistically significant.Conclusions. Vaginal mesh surgery is efficient for the treatment of pelvic organ prolapse grade 3 in elderly women.

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