Pregnancy after tension-free vaginal mesh (anterior Prolift) and concomitant tension-free vaginal tape-obturator procedure

Objective. Treatment of anterior vaginal wall prolapse and stress urinary incontinence (SUI) with transobturator tension-free vaginal mesh (anterior Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O) has been proved feasible, safe and effective. However, there is little known about the influence of pregnancy on women who have had such procedures before pregnancy. Design and methods. A 32-year-old woman (gravid 1, para 1) with two years history of SUI and nine months history of pelvic organ prolapse (POP) was treated with transobturator tension-free vaginal mesh (anterior Prolift) and concomitant TVT-O. Her recovery was excellent, and she was pregnant eight months after the operation. Results. The patient went through her pregnancy smoothly with no special discomfort and successfully delivered an infant via caesarean section without recurrence of POP and SUI. Her last visit to our clinic about 14 months after caesarean section revealed that the anterior Prolift mesh and TVT-O mesh still remained intact and the position of the vaginal fornix, anterior and posterior walls and uterus also remained normal. Conclusions: Pelvic floor reconstruction with vaginal mesh (Prolift) may have positive significance for young patients who desire uterine preservation for future pregnancies. However, further studies are warranted to determine whether it can be used in pregnant women or women planning future pregnancies.

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Outcome of Treatment of Anterior Vaginal Wall Prolapse and Stress Urinary Incontinence with Transobturator Tension-Free Vaginal Mesh (Prolift) and Concomitant Tension-Free Vaginal Tape-Obturator

Advances in Urology ◽

10.1155/2009/341268 ◽

2009 ◽

Vol 2009 ◽

pp. 1-6 ◽

Cited By ~ 6

Author(s):

Ashraf Abou-Elela ◽

Essam Salah ◽

Haitham Torky ◽

Sameh Azazy

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Vaginal Mesh ◽

Anterior Vaginal Wall Prolapse ◽

Tension Free ◽

Tension Free Vaginal Tape ◽

Urodynamic Assessment ◽

Vaginal Tape Obturator

Objective. It is to assess the feasibility, effectiveness, and safety of transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O) system as a treatment of female anterior vaginal wall prolapse associated with stress urinary incontinence (SUI).Patients and Methods. Between December 2006 and July 2007, 20 patients with anterior genital prolapse and voiding dysfunction were treated with the transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O). Sixteen patients had stress urinary incontinence and 4 patients were considered at risk for development of de novo stress incontinence after the prolapse is repaired. All patients underwent a complete urodynamic assessment. All the patients underwent pelvic examination 4–6 weeks after the operation, and anatomical and functional outcomes were recorded.Results. Twenty cystocoeles were repaired: 6 grade II, 12 grade III, and 2 grade IV. There were no vessel or bladder injuries. Eighteen patients had optimal anatomic results and 2 patients had persistent asymptomatic stage I prolapse.Conclusion. These preliminary results suggest that Prolift system offers a safe and effective treatment for female anterior vaginal wall prolapse. However, a long-term followup is necessary in order to support the good result maintenance.

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Removal of Tension-Free Vaginal Tape-Obturator Mesh Arm for Persistent Groin Pain Following Vaginal Mesh Removal

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2015.08.053 ◽

2015 ◽

Vol 22 (6) ◽

pp. S16-S17

Author(s):

C Eswar ◽

M Castellanos ◽

M Hibner

Keyword(s):

Groin Pain ◽

Vaginal Mesh ◽

Mesh Removal ◽

Tension Free ◽

Tension Free Vaginal Tape ◽

Vaginal Tape Obturator

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Faculty Opinions recommendation of Tension-free vaginal tape versus tension-free vaginal tape obturator in women with stress urinary incontinence.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1040368.489329 ◽

2006 ◽

Author(s):

Paul Hilton

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Tension Free ◽

Tension Free Vaginal Tape ◽

Vaginal Tape Obturator

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Improvement of overactive bladder symptoms after tension-free vaginal mesh operation in women with pelvic organ prolapse: Correlation with preoperative urodynamic findings

International Journal of Urology ◽

10.1111/iju.12744 ◽

2015 ◽

Vol 22 (6) ◽

pp. 577-580 ◽

Cited By ~ 8

Author(s):

Hikaru Tomoe

Keyword(s):

Pelvic Organ Prolapse ◽

Overactive Bladder ◽

Pelvic Organ ◽

Vaginal Mesh ◽

Tension Free ◽

Overactive Bladder Symptoms ◽

Bladder Symptoms

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Transient ureteric obstruction following pelvic floor reconstruction

BMJ Case Reports ◽

10.1136/bcr-2020-238669 ◽

2021 ◽

Vol 14 (5) ◽

pp. e238669

Author(s):

Liam Joseph Beamer ◽

Sarah Neary ◽

Thomas McCormack ◽

David Ankers

Keyword(s):

Pelvic Floor ◽

Kidney Injury ◽

Solitary Kidney ◽

Percutaneous Nephrostomy ◽

Pelvic Organ ◽

Ureteric Obstruction ◽

Pelvic Floor Reconstruction ◽

Transient Nature ◽

Recurrent Pelvic Organ Prolapse ◽

History Of

We describe the first reported case of transient distal ureteric obstruction attributed to post-surgical oedema in a patient with a solitary kidney. This occurred following combined pelvic floor repair and sacrospinous fixation for recurrent pelvic organ prolapse and manifested clinically as anuria, radiological hydroureter and acute kidney injury in the postoperative period. The transient nature of this obstruction, which was managed by a temporary percutaneous nephrostomy, indicates that it was caused by ureteric compression secondary to soft tissue oedema following surgery. We highlight the importance of this potential complication in females with a history of nephrectomy, unilateral renal tract anomalies or severely diminished renal reserve.

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