Medium-term clinical outcomes following surgical repair for vaginal prolapse with tension-free mesh and vaginal support device
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Introduction and hypothesis
This study was designed to evaluate clinical outcomes ≥2 years following surgery with polypropylene mesh and vaginal support device (VSD) in women with vaginal prolapse, in a prospective, multi-center setting.
Patients re-consented for this extended follow-up (n = 110), with anatomic evaluation using Pelvic Organ Prolapse Quantification (POP-Q) and validated questionnaires to assess pelvic symptoms and sexual function. Complications were recorded (safety set; n = 121).
Median length of follow-up was 29 months (range 24–34 months). The primary anatomic success, defined as POP-Q 0–I, was 69.1%; however, in 84.5% of the cases, the leading vaginal edge was above the hymen. Pelvic symptoms and sexual function improved significantly from baseline (p < 0.01). Mesh exposure rate was 9.1%. Five percent reported stress urinary incontinence and 3.3% required further prolapse surgery.
These results indicate this non-anchored mesh repair is a safe and effective treatment for women with symptomatic vaginal prolapse in the medium term.
- Medium-term clinical outcomes following surgical repair for vaginal prolapse with tension-free mesh and vaginal support device
International Urogynecology Journal
Volume 23, Issue 4 , pp 487-493
- Cover Date
- Print ISSN
- Online ISSN
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- Pelvic organ prolapse
- Polypropylene mesh
- Vaginal surgery
- Vaginal support device
- Industry Sectors
- Author Affiliations
- 1. North Hampshire Hospital, Basingstoke, UK
- 2. Royal Women’s Hospital, Melbourne, Australia
- 3. Clinical Development, Ethicon, Livingston, UK
- 4. Medical Affairs, Ethicon, Somerville, New Jersey, USA
- 5. Specialists in Urology, Naples, FL, USA
- 6. Women’s Health Center of West Michigan, Grand Rapids, MI, USA
- 7. Addenbrooke’s Hospital, Cambridge, UK