International Urogynecology Journal

, Volume 23, Issue 3, pp 279–283

A prospective comparison of two commercial mesh kits in the management of anterior vaginal prolapse

  • Benjamin Feiner
  • Peter O’Rourke
  • Christopher Maher
Original Article

DOI: 10.1007/s00192-011-1578-x

Cite this article as:
Feiner, B., O’Rourke, P. & Maher, C. Int Urogynecol J (2012) 23: 279. doi:10.1007/s00192-011-1578-x
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Abstract

Introduction and hypothesis

Vaginal mesh kits are increasingly used in the management of pelvic organ prolapse. This study aimed to determine similarity of outcomes of the Anterior Prolift® with Perigee® systems for anterior compartment prolapse.

Methods

Consecutive women undergoing Perigee® or Anterior Prolift® for symptomatic stage 2 or greater anterior vaginal prolapse were prospectively evaluated. Main outcome measures included objective and subjective success rates, perioperative outcomes, patient satisfaction, and complications.

Results

One hundred and six women (Prolift, 52; Perigee, 54) completed questionnaires, and 91 (Prolift, 46; Perigee, 45) were examined postoperatively. At follow-up (Prolift: median, 11.0; range, 5–23 months; Perigee: median, 11.5; range, 6–23 months), objective success rates (Prolift, 89%; Perigee, 80%; p = 0.23), subjective success rates (Prolift, 94%; Perigee, 96%; p = 0.62), mean ± SD patient satisfaction (Prolift, 8.2 ± 2.0; Perigee, 8.2 ± 1.8; p = 0.91), and complication rates did not differ significantly between the two groups.

Conclusions

The Anterior Prolift® was found to not differ significantly from Perigee® at 11 months.

Keywords

Perigee Prolapse Prolift Vaginal mesh 

Abbreviations

POP-Q

Pelvic organ prolapse quantification

RCT

Randomized controlled trial

POP

Pelvic organ prolapse

TVT-O

Tension-free vaginal tape–obturator

APFQ

Australian pelvic floor questionnaire

SD

Standard deviation

SUI

Stress urinary incontinence

UTI

Urinary tract infection

IDC

Indwelling catheter

CISC

Clean intermittent self-catheterizations

ADL

Activities of daily living

Copyright information

© The International Urogynecological Association 2011

Authors and Affiliations

  • Benjamin Feiner
    • 1
    • 3
    • 4
  • Peter O’Rourke
    • 2
  • Christopher Maher
    • 1
  1. 1.Royal Women’sWesley and Mater UrogynaecologyBrisbaneAustralia
  2. 2.Queensland Institute of Medical Research (QIMR)BrisbaneAustralia
  3. 3.Department of Obstetrics & GynecologyHillel Yaffe Medical CenterHaderaIsrael
  4. 4.Technion University, Rappaport Faculty of MedicineHaifaIsrael

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