Abstract
Objective: Patients had pelvic organ prolapse (POP) often suffered stress urinary incontinence (SUI) simultaneously. We evaluated the outcomes of two different kits, Prosima and Avaulta pelvic repair systems, with a concomitant midurethral sling by treating the disease and compared the efficacies in a single center. Methods: A retrospective cohort study involving 57 consecutive patients underwent either of the two kits followed by tension-free vaginal transobturator tape (TVT-O). The combined surgeries were performed between October 2010 and January 2012. Women who complained bothersome POP had stage II or higher prolapse of anterior vaginal wall were included. All patients were assessed by POP-Q for anatomy, questionnaires for pelvic symptoms and sexual function at 2 years after the surgery. Perioperative outcomes and complications were also recorded. Results: Of 57 women, 29 underwent Prosima and 28 underwent Avaulta meshes procedures. The basic patient demographics and perioperative characteristics were similar between two groups. The number of success were 28 versus 26 (P=0.53) at 1 month and 27 versus 26 (P=0.97) at 2 years of Prosima and Avaulta groups, respectively. The overall and each scale scores of 3 validated questionnaires were improved significantly from baseline (P<0.05), but not different statistically between two groups. Complication rates did not differ significantly from two groups. Conclusions: Both the combined procedures improved POP and concomitant SUI significantly. The efficacy and safety of the two different transvaginal meshes was promising.
Highlights
Pelvic organ prolapse (POP) often coexists with urinary incontinence, and 19% women will undergo surgery for POP [1]
Recent years synthetic mesh augmentations for pelvic floor reconstructive operations are increasing in usage and popularity, and it predominates over the autologous muscle and fascia
A randomized controlled trial on vaginal anterior wall prolapse with monofilament polypropylene meshes reinforcement has shown its lower anatomic recurrence rate than classic prolapse repair without mesh at 1 year [3]. Another retrospective study indicated that transvaginal mesh surgery had better anatomic and functional outcomes than colporrhaphy at 4-5 years postoperatively [4]
Summary
Pelvic organ prolapse (POP) often coexists with urinary incontinence, and 19% women will undergo surgery for POP [1]. A randomized controlled trial on vaginal anterior wall prolapse with monofilament polypropylene meshes reinforcement has shown its lower anatomic recurrence rate than classic prolapse repair without mesh at 1 year [3]. Another retrospective study indicated that transvaginal mesh surgery had better anatomic and functional outcomes than colporrhaphy at 4-5 years postoperatively [4]. These novel techniques introduce new complications, such as chronic pelvic pain, mesh exposure, and de novo dyspareunia [5,6,7]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Archives of Urology and Complications
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
