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Laparoscopic sacrocolpopexy for recurrent pelvic organ prolapse after failed transvaginal polypropylene mesh surgery

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Abstract

Introduction and hypothesis

A prospective case series to assess the safety and efficacy of laparoscopic sacrocolpopexy for the surgical management of recurrent pelvic organ prolapse (POP) after transvaginal polypropylene mesh prolapse surgery.

Methods

Between January and December 2010, women with post-hysterectomy recurrent prolapse (≥ stage 2 POP-Q) after transvaginal polypropylene mesh prolapse surgery were included. Perioperative morbidity and short-term complications were recorded and evaluated. Surgical outcomes were objectively assessed utilising the Pelvic Organ Prolapse Quantification system (POP-Q), the validated, condition-specific Australian Pelvic Floor Questionnaire (APFQ) and the Patient Global Impression of Improvement (PGI-I) at 12 months.

Results

All 16 women in this study had undergone surgery with trocar-guided transvaginal polypropylene mesh kits. In 75% the recurrent prolapse affected the compartment of prior mesh surgery with the anterior (81%) and apical (75%) compartment prolapse predominating. At a mean follow-up of 12 months, all women had resolution of awareness of prolapse, had < stage 2 POP-Q on examination and high levels of satisfaction on PGI-I post surgery. There were no serious peri- or postoperative complications.

Conclusions

This preliminary study suggests that laparoscopic sacrocolpopexy for recurrent prolapse after failed transvaginal mesh surgery is feasible and safe. Further widespread evaluation is required.

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References

  1. Olsen AL et al (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89(4):501–506

    Article  PubMed  CAS  Google Scholar 

  2. Denman MA et al (2008) Reoperation 10 years after surgically managed pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 198(5):555.e1–555.e5

    Article  Google Scholar 

  3. Wu JM et al (2009) Forecasting the prevalence of pelvic floor disorders in U.S. Women: 2010 to 2050. Obstet Gynecol 114(6):1278–1283

    Article  PubMed  Google Scholar 

  4. http://www.fda.gov/downloads/MedicalDevices/Safety/AlertsandNotices/UCM262760.pdf. and http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm262435.htm

  5. Abdel-Fattah M, Ramsay I (2008) Retrospective multicentre study of the new minimally invasive mesh repair devices for pelvic organ prolapse. BJOG 115(1):22–30

    Article  PubMed  CAS  Google Scholar 

  6. Fatton B et al (2007) Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)—a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 18(7):743–752

    Article  PubMed  CAS  Google Scholar 

  7. Gauruder-Burmester A et al (2007) Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse. Int Urogynecol J Pelvic Floor Dysfunct 18(9):1059–1064

    Article  PubMed  CAS  Google Scholar 

  8. Baessler K et al (2005) Severe mesh complications following intravaginal slingplasty. Obstet Gynecol 106(4):713–716

    Article  PubMed  Google Scholar 

  9. Tijdink MM et al (2011) Surgical management of mesh-related complications after prior pelvic floor reconstructive surgery with mesh. Int Urogynecol J 22(11):1395–1404

    Article  PubMed  Google Scholar 

  10. Ridgeway B et al (2008) Early experience with mesh excision for adverse outcomes after transvaginal mesh placement using prolapse kits. Am J Obstet Gynecol 199(6):703.e1–703.e7

    Article  Google Scholar 

  11. Bump RC et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175(1):10–17

    Article  PubMed  CAS  Google Scholar 

  12. Baessler K et al (2010) A validated self-administered female pelvic floor questionnaire. Int Urogynecol J Pelvic Floor Dysfunct 21(2):163–172

    Article  Google Scholar 

  13. Srikrishna S, Robinson D, Cardozo L (2010) Validation of the Patient Global Impression of Improvement (PGI-I) for urogenital prolapse. Int Urogynecol J Pelvic Floor Dysfunct 21(5):523–528

    Article  Google Scholar 

  14. Maher CF et al (2011) Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial. Am J Obstet Gynecol 204(4):360.e1–360.e7

    Article  Google Scholar 

  15. Nguyen JN, Burchette RJ (2008) Outcome after anterior vaginal prolapse repair: a randomized controlled trial. Obstet Gynecol 111(4):891–898

    Article  PubMed  Google Scholar 

  16. Nieminen K et al (2010) Outcomes after anterior vaginal wall repair with mesh: a randomized, controlled trial with a 3 year follow-up. Am J Obstet Gynecol 203(3):235.e1–235.e8

    Article  Google Scholar 

  17. Withagen MI et al (2011) Trocar-guided mesh compared with conventional vaginal repair in recurrent prolapse: a randomized controlled trial. Obstet Gynecol 117(2 Pt 1):242–250

    Article  PubMed  Google Scholar 

  18. Takahi Y et al (2011) Tension-free vaginal mesh repair for recurrence of pelvic organ prolapse after vaginal mesh procedures: a case report. Hinyokika Kiyo 57(2):95–98

    PubMed  Google Scholar 

  19. Nygaard IE et al (2004) Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol 104(4):805–823

    Article  PubMed  Google Scholar 

  20. Feiner B, Maher C (2010) Vaginal mesh contraction: definition, clinical presentation, and management. Obstet Gynecol 115(2 Pt 1):325–330

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Urogynaecology, Royal Brisbane & Women’s Hospital, Butterfield Street, Herston, Brisbane, QLD, 4029, Australia

    Corina Schmid & Christopher Maher

  2. Queensland Institute of Medical Research, Brisbane, Australia

    Peter O’Rourke

Authors
  1. Corina Schmid
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  2. Peter O’Rourke
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  3. Christopher Maher
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Correspondence to Corina Schmid.

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Schmid, C., O’Rourke, P. & Maher, C. Laparoscopic sacrocolpopexy for recurrent pelvic organ prolapse after failed transvaginal polypropylene mesh surgery. Int Urogynecol J 24, 763–767 (2013). https://doi.org/10.1007/s00192-012-1926-5

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  • DOI: https://doi.org/10.1007/s00192-012-1926-5

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