Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
International Urogynecology Journal
Published in: International Urogynecology Journal 10/2013

01-10-2013 | Original Article

Comparison of two trocar-guided trans-vaginal mesh systems for repair of pelvic organ prolapse: a retrospective cohort study

Authors: E. J. M. Lensen, M. I. J. Withagen, K. B. Kluivers, A. L. Milani, M. E. Vierhout

Published in: International Urogynecology Journal | Issue 10/2013

Login to get access

Abstract

Introduction and hypothesis

The aim of this study was to compare failure and complication rates in patients who underwent a trocar-guided vaginal mesh repair with either a non-absorbable or a partially absorbable mesh.

Methods

Retrospective analysis of prospectively collected data from consecutive women undergoing either non-absorbable or partially absorbable mesh for symptomatic stage 2 prolapse or higher were evaluated at 12 months. Outcome measures included objective and subjective failure rates, patient’s satisfaction, complications and perioperative outcomes.

Results

Five hundred and sixty-nine women (347 with non-absorbable mesh, 222 with partially absorbable mesh) were included. Failure rates were similar in the two groups; the re-operation rate in the untreated compartments was higher in the non-absorbable mesh group compared with the partially absorbable mesh group (5 % vs 1 %). Mesh exposure rate in the non-absorbable mesh group was 12 % and in the partially absorbable mesh group it was 5 %. Other complication and patient satisfaction rates were similar.

Conclusions

Non-absorbable and partially absorbable mesh demonstrated similar outcome rates at 12 months. The risk of reoperation was lower for partially absorbable mesh. The mesh exposure rate was significantly lower for the partially absorbable mesh group compared with the non-absorbable mesh group.
Literature
1.
Digesu GA, Chaliha C, Salvatore S, Hutchings A, Khullar V (2005) The relationship of vaginal prolapse severity to symptoms and quality of life. BJOG 112(7):971–976PubMedCrossRef
2.
Smith FJ, Holman CD, Moorin RE, Tsokos N (2010) Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol 116(5):1096–1100PubMedCrossRef
3.
De Boer TA, Slieker-Ten Hove MC, Burger CW, Kluivers KB, Vierhout ME (2011) The prevalence and factors associated with previous surgery for pelvic organ prolapse and/or urinary incontinence in a cross-sectional study in The Netherlands. Eur J Obstet Gynecol Reprod Biol 158(2):343–349
4.
Denman MA, Gregory WT, Boyles SH, Smith V, Edwards SR, Clark AL (2008) Reoperation 10 years after surgically managed pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 198(5):555.e1–555.e5CrossRef
5.
Nguyen JN, Burchette RJ (2008) Outcome after anterior vaginal prolapse repair: a randomized controlled trial. Obstet Gynecol 111(4):891–898PubMedCrossRef
6.
Withagen MI, Milani AL, den Boon J, Vervest HA, Vierhout ME (2011) Trocar-guided mesh compared with conventional vaginal repair in recurrent prolapse: a randomized controlled trial. Obstet Gynecol 117(2 Pt 1):242–250PubMedCrossRef
7.
Feiner B, O’Rourke P, Maher C (2012) A prospective comparison of two commercial mesh kits in the management of anterior vaginal prolapse. Int Urogynecol J 23(3):279–283CrossRef
8.
Long CY, Hsu CS, Jang MY, Liu CM, Chiang PH, Tsai EM (2011) Comparison of clinical outcome and urodynamic findings using “Perigee and/or Apogee” versus “Prolift anterior and/or posterior” system devices for the treatment of pelvic organ prolapse. Int Urogynecol J 22(2):233–239PubMedCrossRef
9.
Lensen EJ, Withagen MI, Stoutjesdijk JA, Kluivers KB, Vierhout ME (2012) The use of synthetic mesh in vaginal prolapse surgery: a survey of Dutch urogynaecologists. Eur J Obstet Gynecol Reprod Biol 162(1):113–115PubMedCrossRef
10.
Cobb WS, Burns JM, Peindl RD, Carbonell AM, Matthews BD, Kercher KW et al (2006) Textile analysis of heavy weight, mid-weight, and light weight polypropylene mesh in a porcine ventral hernia model. J Surg Res 136(1):1–7PubMedCrossRef
11.
Schug-Pass C, Tamme C, Sommerer F, Tannapfel A, Lippert H, Kockerling F (2008) A lightweight, partially absorbable mesh (Ultrapro) for endoscopic hernia repair: experimental biocompatibility results obtained with a porcine model. Surg Endosc 22(4):1100–6PubMedCrossRef
12.
Ozog Y, Mazza E, De Ridder D, Deprest J (2012) Biomechanical effects of polyglecaprone fibers in a polypropylene mesh after abdominal and rectovaginal implantation in a rabbit. Int Urogynecol J 23(10):1397–1402PubMedCrossRef
13.
Milani AL, Hinoul P, Gauld JM, Sikirica V, van Drie D, Cosson M et al (2011) Trocar-guided mesh repair of vaginal prolapse using partially absorbable mesh: 1 year outcomes. Am J Obstet Gynecol 204(1):74.e1–74.e8CrossRef
14.
Whiteside JL, Weber AM, Meyn LA, Walters MD (2004) Risk factors for prolapse recurrence after vaginal repair. Am J Obstet Gynecol 191(5):1533–1538PubMedCrossRef
15.
Salvatore S, Athanasiou S, Digesu GA, Soligo M, Sotiropoulou M, Serati M et al (2009) Identification of risk factors for genital prolapse recurrence. Neurourol Urodyn 28(4):301–304PubMedCrossRef
16.
Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B (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):743–752PubMedCrossRef
17.
Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175(1):10–17PubMedCrossRef
18.
Van der Vaart CH, de Leeuw JR, Roovers JP, Heintz AP (2003) Measuring health-related quality of life in women with urogenital dysfunction: the urogenital distress inventory and incontinence impact questionnaire revisited. Neurourol Urodyn 22(2):97–104
19.
Milani AL, Withagen MI, Vierhout ME (2012) Outcomes and predictors of failure of trocar-guided vaginal mesh surgery for pelvic organ prolapse. Am J Obstet Gynecol 206(5):440.e1–440.e8CrossRef
20.
Barber MD, Brubaker L, Nygaard I, Wheeler TL 2nd, Schaffer J, Chen Z et al (2009) Defining success after surgery for pelvic organ prolapse. Obstet Gynecol 114(3):600–609PubMedCrossRef
21.
Milani AL, Withagen MI, Vierhout ME (2009) Trocar-guided total tension-free vaginal mesh repair of post-hysterectomy vaginal vault prolapse. Int Urogynecol J Pelvic Floor Dysfunct 20(10):1203–1211PubMedCrossRef
22.
23.
Jones KA, Feola A, Meyn L, Abramowitch SD, Moalli PA (2009) Tensile properties of commonly used prolapse meshes. Int Urogynecol J Pelvic Floor Dysfunct 20(7):847–853PubMedCrossRef
24.
Withagen MI, Vierhout ME, Hendriks JC, Kluivers KB, Milani AL (2011) Risk factors for exposure, pain, and dyspareunia after tension-free vaginal mesh procedure. Obstet Gynecol 118(3):629–636PubMedCrossRef
25.
Moore RD, Lukban JC (2012) Comparison of vaginal mesh extrusion rates between a lightweight type I polypropylene mesh versus heavier mesh in the treatment of pelvic organ prolapse. Int Urogynecol J 23(10):1379–1386PubMedCrossRef
26.
Milani AL, Hinoul P, Gauld JM, Jones PC, Reisenauer C, Lobodasch K et al (2012) Medium-term clinical outcomes following trocar-guided mesh repair of vaginal prolapse using partially absorbable mesh. International Urogynecological Association, Brisbane
27.
Achtari C, Hiscock R, O’Reilly BA, Schierlitz L, Dwyer PL (2005) Risk factors for mesh erosion after transvaginal surgery using polypropylene (Atrium) or composite polypropylene/polyglactin 910 (Vypro II) mesh. Int Urogynecol J Pelvic Floor Dysfunct 16(5):389–394PubMedCrossRef
28.
Collinet P, Belot F, Debodinance P, Ha Duc E, Lucot JP, Cosson M (2006) Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J Pelvic Floor Dysfunct 17(4):315–320PubMedCrossRef
29.
Withagen MI, Vierhout ME, Milani AL (2010) Does trocar-guided tension-free vaginal mesh (Prolift) repair provoke prolapse of the unaffected compartments? Int Urogynecol J 21(3):271–278PubMedCrossRef
30.
Withagen MI, Milani AL, de Leeuw JW, Vierhout ME (2012) Development of de novo prolapse in untreated vaginal compartments after prolapse repair with and without mesh: a secondary analysis of a randomised controlled trial. BJOG 119(3):354–360PubMedCrossRef
31.
Carey M, Higgs P, Goh J, Lim J, Leong A, Krause H et al (2009) Vaginal repair with mesh versus colporrhaphy for prolapse: a randomised controlled trial. BJOG 116(10):1380–1386PubMedCrossRef
32.
Kaufman Y, Singh SS, Alturki H, Lam A (2011) Age and sexual activity are risk factors for mesh exposure following transvaginal mesh repair. Int Urogynecol J 22(3):307–313PubMedCrossRef
Metadata
Title
Comparison of two trocar-guided trans-vaginal mesh systems for repair of pelvic organ prolapse: a retrospective cohort study
Authors
E. J. M. Lensen
M. I. J. Withagen
K. B. Kluivers
A. L. Milani
M. E. Vierhout
Publication date
01-10-2013
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 10/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-013-2098-7

Other articles of this Issue 10/2013

International Urogynecology Journal 10/2013 Go to the issue

Original Article

The improvement of pelvic floor muscle function in POP patients after the Prolift procedure: results from surface electromyography

Letter to the Editor

Tissue engineering: creation of an autogenic collagenous neoligament to cure urinary stress incontinence

Review Article

Urinary nerve growth factor: a biomarker of detrusor overactivity? A systematic review

Case Report

Prolapse of a single-system ureterocele causing urinary retention in an adult woman

Urogynecology Digest

Urogynecology digest

Original Article

Levator myalgia: why bother?