Published in:
01-09-2019 | IUJ Video
Twelve years’ experience with fascia lata autograft to replace complicated anterior vaginal mesh
Published in: International Urogynecology Journal | Issue 9/2019
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Objectives
To report 12-year experience with replacing transvaginal mesh (TVM) with fascia lata autograft.
Methods
This was a chart review of TVM removal and replacement with a fascia lata autograft placement by a single surgeon between 2005 and 2017. The Pelvic Organ Prolapse Quantification (POP-Q) system before and 1 year following the procedure, patient-reported recurrence of symptoms, changes in the POP-Q examination and complication rates are analyzed.
Results
Twenty-four patients were included. Mean age was 57.2 (95% CI 53.2–61.2) years. Mean number of days to Foley catheter removal was 3.2 days (95% CI 1.6–4.9) and mean number of days to drain removal was 10.9 days (95% CI 9.9–12.0). Following the surgery, no leg seroma, infection or numbness was reported. UTI occurred in four (16.7%) of the participants postoperatively. At 3-month follow-up, mild urinary symptoms were reported in five participants (20.8%). At 1-year follow-up, one participant was symptomatic of pelvic organ prolapse. Paired t-test analysis revealed statistically significant retraction of Aa and Ba vaginal points (p < 0.001). C, GH and PB points were also statistically significantly retracted.
Conclusion
Fascia lata autograft for anterior compartment reconstruction due to TVM complications is associated with high safety and efficacy rates.