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International Urogynecology Journal

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01-07-2016 | Original Article

Long-term outcome after transvaginal mesh repair of pelvic organ prolapse

Authors: Pia Heinonen, Riikka Aaltonen, Kirsi Joronen, Seija Ala-Nissilä

Published in: International Urogynecology Journal | Issue 7/2016

Abstract

Introduction and hypothesis

The aim of this study was to report long-term subjective and objective outcomes after the transvaginal mesh (TVM) procedure in long-term. Possible late-onset complications were of particular interest.

Methods

This was a retrospective analysis of TVM performed using Prolift™ transvaginal mesh measuring subjective outcome using validated questionnaires. Objective outcome was assessed using the Pelvic Organ Prolapse Quantification (POP-Q) system using two definitions: POP-Q stage ≤ 1, and vaginal wall prolapse at or above the hymen or vaginal apex not descending below the upper third of the vagina. Complications were reported with the Prosthesis/Graft Complication Classification Code designed by the International Continence Society/International Urogynecological Association (ICS/IUGA).

Results

Of 195 patients, 161 (82.6 %) participated this study after a median of 7 years. The scores in questionnaires evaluating urinary (UI) or anal incontinence and constipation or pelvic floor symptoms were low, indicating favorable surgical outcomes. Altogether, 80.1 % of patients were satisfied with the procedure. Anatomical cure was 56.4 % and 69.3 % depending on the definition used. Reoperation due to POP in any compartment was performed in 16.2 % of patients. Mesh exposure rate was 23 %, most of these being asymptomatic and of late onset.

Conclusions

Outcome of the TVM procedure was satisfactory. Anatomical cure was inferior to subjective cure. Mesh exposure rate was high; most exposures observed in the long-term were of late onset and were asymptomatic.

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Title: Long-term outcome after transvaginal mesh repair of pelvic organ prolapse
Authors: Pia Heinonen
Riikka Aaltonen
Kirsi Joronen
Seija Ala-Nissilä
Publication date: 01-07-2016
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 7/2016
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-015-2939-7

2024 ASCO Annual Meeting

Springer Medicine

Long-term outcome after transvaginal mesh repair of pelvic organ prolapse

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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