Abstract
Objective: We assess the anatomical and functional results of pelvic organ prolapse (POP) repair with application of transvaginal synthetic meshes. Keywords: pelvic organ prolapse, vaginal repair, urogynecology. Methods: We analyzed a cohort of 105 women who underwent transvaginal pelvic floor repair using mesh (Elevate Prolapse Repair System). A gynecological examination, cough test, uroflowmetry and an administration of the overactive bladder Awareness Tool were done. Parametric and nonparametric methods of descriptive statistics, as well as logistic regression were used for data analysis. Results: Prolapse recurrence after vaginal repair was noted in 3.81% (n=4) of patients. The proportion of patients with de novo onset of incontinence after surgery was 8.57% (n=9). In 26.7% (n=28) of women with stress urinary incontinence (SUI), SUI symptoms persisted after surgery. The mean Qmax in the patient group was 19.5 ml/s. The mean Qmax in patients reporting bladder-emptying problems was 14 ml/s, and the mean post-void residual (PVR) was 50±15.0 ml. After surgery, the mean Qmax increased to 27.6 ml/s. The PVR after surgery decreased to 30±5.0 ml. The number of patients with bladder outlet obstruction symptoms decreased to 17 (16.19%). Conclusion: The management of genital prolapse with synthetic prostheses interposed through vaginal approach is an efficient method with good midterm outcomes.
Highlights
Pelvic organ prolapse (POP) is a significant problem in modern urogynecology
Prolapse recurrence after vaginal repair was noted in 3.81% (n=4) of patients
Urinary incontinence resolution was noted in 10.48% (n=11) of patients
Summary
Pelvic organ prolapse (POP) is a significant problem in modern urogynecology. The lifetime risk of a single surgery for prolapse or incontinence repair in the population under 80 years old is approximately 11.1% [1]. Approximately 200,000 women undergo inpatient procedures for prolapse in the United States [2]. Pelvic organ prolapse is associated with lower urinary tract symptoms, including urinary incontinence, urgency, and bladder emptying problems. Recent literature suggests that prolapse surgery may lead to the onset of lower urinary tract symptoms, whereas in other cases, prolapse surgery can cure lower urinary tract symptoms. The current research study aimed to assess the anatomical and functional state of the lower urinary tract before and after prolapse surgery and to clarify the relationship between this prolapse and other factors
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