Top

International Urogynecology Journal

Published in:

01-03-2011 | Original Article

Age and sexual activity are risk factors for mesh exposure following transvaginal mesh repair

Authors: Yuval Kaufman, Sony Sukhbir Singh, Haifa Alturki, Alan Lam

Published in: International Urogynecology Journal | Issue 3/2011

Abstract

Introduction and hypothesis

This study is about evaluating safety and potential risk factors for complications following pelvic organ prolapse repair with the GYNECARE PROLIFT system.

Methods

This is a prospective observational study (Canadian Task Force II-1) performed in a tertiary referral center. A total of 114 women with pelvic organ prolapse, POP-Q stage ≥2, underwent a pelvic floor repair that included Prolift.

Results

During a mean follow-up time of 7 months there were six procedure failures (5.3%) and 14 mesh exposures (12.3%), more commonly on the anterior vaginal wall. Age was inversely related to the risk of having late mesh exposure (p = 0.02) with an odds ratio of 1.99 (95% confidence interval 1.10–3.59) for each decrease of 10 years in age. Late mesh exposure was significantly more common in sexually active patients (p = 0.016).

Conclusions

Prolift repair has a high anatomical success rate. Young age and sexual activity are risk factors for mesh exposure.

Olsen AL, Smith VJ, Bergstrom JO et al (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506CrossRefPubMed

Chen CC, Ridgeway B, Paraiso MF (2007) Biologic grafts and synthetic meshes in pelvic reconstructive surgery. Clin Obstet Gynecol 50(2):383–411CrossRefPubMed

Maher C, Baessler K, Glazener CMA, Adams EJ, Hagen S (2007) Surgical management of pelvic organ prolapse in women. Cochrane Database of Systematic Reviews (3):CD004014

Amid P (1997) Classification of biomaterials and their related complications in abdominal wall surgery. Hernia 1:15–21CrossRef

Debodinance P, Berrocal J, Clave H et al (2004) Changing attitudes on the surgical treatment of urogenital prolapse: birth of the tension-free vaginal mesh. J Gynécol Obstét Biol Reprod 33(7):577–588

Collinet P, Belot F, Debodinance P et al (2006) Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J 17:315–320CrossRef

National Institute for Health and Clinical Excellence (2008) Surgical repair of vaginal wall prolapse using mesh. Interventional procedure guidance 267. London, UK

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 18:743–752CrossRef

Gauruder-Burmester A, Koutouzidou P, Rohne J, Gronewold M, Tunn R (2007) Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse. Int Urogynecol J 18:1059–1064CrossRef

10.

Baessler K, O’Neill SM, Maher CF, Battistutta D (2009) Australian pelvic floor questionnaire: a validated interviewer administered pelvic floor questionnaire for routine clinic and research. Int Urogynecol J Pelvic Floor Dysfunct 20:149–158CrossRefPubMed

11.

Digesu GA, Khullar V, Cardozo L, Robinson D, Salvatore S (2005) P-QOL: a validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse. Int Urogynecol J 16:176–181CrossRef

12.

Rogers RG, Coates KW, Kammerer-Doak D, Khalsa S, Qualls C (2003) A short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Int Urogynecol J 14(3):164–168CrossRef

13.

Bump RC, Mattiasson A, Bo K et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–11CrossRefPubMed

14.

Carey M, Higgs P, Goh J, Lim J, Leong A, Krause H, Cornish A (2009) Vaginal repair with mesh versus colporrhaphy for prolapse: a randomised controlled trial. BJOG 116(10):1380–1386CrossRefPubMed

15.

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

16.

Mistrangelo E, Mancuso S, Nadalini C, Lijoi D, Constantini S (2007) Rising use of synthetic mesh in transvaginal pelvic reconstructive surgery: a review of the risk of vaginal erosion. JMIG 14:564–569

17.

Deffieux X, de Tayrac R, Huel C, Bottero J, Gervaise A et al (2007) Vaginal mesh erosion after transvaginal repair of cystocele using Gynemesh or Gynemesh-Soft in 138 women: a comparative study. Int Urogynecol J 18:73–79CrossRef

18.

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 16:389–394CrossRef

19.

Milani R, Salvatore S, Soligo M, Pifarotti P, Meschia M, Cortese M (2005) Functional and anatomical outcome of anterior and posterior vaginal prolapse repair with prolene mesh. BJOG 112:107–111CrossRefPubMed

20.

Dwyer PL, O’Reilly BA (2004) Transvaginal repair of anterior and posterior compartment prolapse with Atrium polypropylene mesh. BJOG 111:831–836CrossRefPubMed

21.

Danielsson I, Sjöberg I, Stenlund H, Wikman M (2003) Prevalence and incidence of prolonged and severe dyspareunia in women: results from a population study. Scand J Public Health 31:113–118CrossRefPubMed

Title: Age and sexual activity are risk factors for mesh exposure following transvaginal mesh repair
Authors: Yuval Kaufman
Sony Sukhbir Singh
Haifa Alturki
Alan Lam
Publication date: 01-03-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1270-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Age and sexual activity are risk factors for mesh exposure following transvaginal mesh repair

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 3/2011

Evaluation of safety and efficacy of single-incision mid-urethral short tape procedure (MiniArc™ tape) for stress urinary incontinence under local anaesthesia

What patients think: patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urodynamic stress incontinence—a multi-centre randomised controlled trial

Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapse

Quality of life after periurethral injection with polyacrylamide hydrogel for stress urinary incontinence

In vitro and in vivo assessment of silver-coated polypropylene mesh to prevent infection in a rat model

Sacral neuromodulation after stabilization of L2-S1 vertebrae with metallic fixation devices: is it feasible?