Long-term outcomes of transvaginal mesh (TVM) In patients with pelvic organ prolapse: A 5-year follow-up

Abstract

ObjectiveThe objective of this study was to evaluate the overall outcomes and complication rates of the transvaginal mesh (TVM) placed for the management of pelvic organ prolapse (POP) at 5-years follow up. Study designRetrospective cohort study in Urogynecology section in a single center in Argentina. Patients with prolapse stage II or higher were included. Seventy-six patients had TVM surgery for POP and 72 (95%) were available for the 5-year follow-up period. ResultsThe cure rate using the combined criteria (leading edge ≤0 according to Pelvic Organ Prolapse Quantification System (POP-Q), no bulge symptoms and no new treatment for prolapse) was 79.2% (57/72) (95% CI 68–88%). Only 5.5% (4/72) (95% CI 1.5–13.6) were re-operated for prolapse recurrence. Mesh exposure occurred in 16.6% of cases (n = 12; 95%CI 8.9–27.3). The incidence of de-novo dyspareunia was 13.3% (2/15) (95%CI 1–40) ConclusionsWe observed that TVM is a durable treatment for prolapse and that adverse events were acceptable without severe complications at 5-year follow-up.