Format

Send to

Choose Destination
BJOG. 2008 Feb;115(3):391-7. doi: 10.1111/j.1471-0528.2007.01606.x.

Vaginal surgery for pelvic organ prolapse using mesh and a vaginal support device.

Author information

1
Department of Urogynaecology, Royal Women's Hospital, Melbourne, Victoria, Australia. mcarey@netlink.com.au

Abstract

OBJECTIVES:

To describe a new surgical procedure for pelvic organ prolapse using mesh and a vaginal support device (VSD) and to report the results of surgery.

DESIGN:

A prospective observational study.

SETTING:

Two tertiary referral Urogynaecology practices.

POPULATION:

Ninety-five women with International Continence Society pelvic organ prolapse quantification stage 2 or more pelvic organ prolapse who underwent vaginal surgery using mesh augmentation and a VSD.

METHODS:

Surgery involved a vaginal approach with mesh reinforcement and placement of a VSD for 4 weeks. At 6 and 12 months, women were examined for prolapse recurrence, and visual analogue scales for satisfaction were completed. Women completed quality-of-life (QOL) questionnaires preoperatively and at 6 and 12 months.

MAIN OUTCOME MEASURES:

Objective success of surgery at 6 and 12 months following surgery. Secondary outcomes were subjective success, complications, QOL outcomes and patients' satisfaction.

RESULTS:

Objective success rate was 92 and 85% at 6 and 12 months, respectively. Subjective success rate was 91 and 87% at 6 and 12 months, respectively. New prolapse in nonrepaired compartments accounted for 7 of 12 (58%) failures at 12 months. Two of 4 mesh exposures required surgery. Sexual dysfunction was reported by 58% of sexually active women preoperatively and 23% at 12 months. QOL scores significantly improved at 12 months compared with baseline (P < 0.0001).

CONCLUSION:

Vaginal surgery using mesh and a VSD is an effective procedure for pelvic organ prolapse. However, further studies are required to establish the role of the surgery described in this study.

PMID:
18190377
PMCID:
PMC2253712
DOI:
10.1111/j.1471-0528.2007.01606.x
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wiley Icon for PubMed Central
Loading ...
Support Center