American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 519.e1-519.e8, November 2009

Anatomic outcomes of vaginal mesh procedure (Prolift) compared with uterosacral ligament suspension and abdominal sacrocolpopexy for pelvic organ prolapse: a Fellows' Pelvic Research Network study

Presented at the 35th Annual Meeting of the Society of Gynecologic Surgeons, New Orleans, LA, March 30-April 1, 2009.

  • Tatiana V.D. Sanses, MD

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Maryland Medical Center, and the Department of Gynecology, Female Urology, and Pelvic Surgery, Greater Baltimore Medical Center, Baltimore, MD
    • ,
  • Azin Shahryarinejad, MD, MPH

      Affiliations

    • Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Mount Sinai School of Medicine, New York, NY
    • ,
  • Stephanie Molden, MD

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, St Luke's Hospital and Health Network, and The Institute for Female Pelvic Medicine and Reconstructive Surgery, Allentown, PA
    • ,
  • Kay A. Hoskey, MD

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Maryland Medical Center, and the Department of Gynecology, Female Urology, and Pelvic Surgery, Greater Baltimore Medical Center, Baltimore, MD
    • ,
  • Shameem Abbasy, MD, MPH

      Affiliations

    • Department of Obstetrics and Gynecology, Loyola University Medical Center, Maywood, IL
    • ,
  • Danielle Patterson, MD

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA
    • ,
  • Emily K. Saks, MD

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, University of Pennsylvania School of Medicine, Philadelphia, PA
    • ,
  • Emily E. Weber LeBrun, MD

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Massachusetts Memorial Medical Center, Worcester, MA
    • ,
  • Tondalaya L. Gamble, MD

      Affiliations

    • Evanston Continence Center and the Division of Urogynecology, Department of Obstetrics and Gynecology, Evanston Northshore University HealthSystem, Northwestern University, Evanston, IL
    • ,
  • Virginia G. King, MD

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Medicine, Department of Obstetrics and Gynecology, Oregon Health and Sciences University, Portland, OR
    • ,
  • Aimee L. Nguyen, MD

      Affiliations

    • Evanston Continence Center and the Division of Urogynecology, Department of Obstetrics and Gynecology, Evanston Northshore University HealthSystem, Northwestern University, Evanston, IL
    • ,
  • Husam Abed, MD

      Affiliations

    • Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Henry Ford Health System, Detroit, MI
    • ,
  • Stephen B. Young, MD

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Massachusetts Memorial Medical Center, Worcester, MA
    • ,
  • Fellows' Pelvic Research Network

Received 30 December 2008; received in revised form 30 May 2009; accepted 1 July 2009. published online 31 August 2009.

Objective

The objective of the study was to compare apical support anatomic outcomes following vaginal mesh procedure (VMP) (Prolift) to uterosacral ligament suspension (USLS) and abdominal sacrocolpopexy (ASC).

Study Design

This multicenter, retrospective chart review compared apical anatomic success (stage 0 or 1 based on point C or D of the Pelvic Organ Prolapse Quantification), level of vaginal apex (point C or D) 3-6 months after prolapse repair at 10 US centers between 2004 and 2007.

Results

VMP, USLS, and ASC were performed for 206, 231, and 305 subjects respectively. There was no difference in apical success after VMP (98.8%) compared with USLS (99.1%) or ASC (99.3%) (both P = 1.00) 3-6 months after surgery. The average elevation of the vaginal apex was lower after VMP (–6.9 cm) than USLS (–8.05 cm) and ASC (–8.5 cm) (both P < .001)

Conclusion

Patients undergoing VMP have similar apical success compared with USLS and ASC despite lower vaginal apex 3-6 month after surgery.

Key words: abdominal sacrocolpopexy, apical prolapse, Prolift, vaginal mesh procedure, vaginal uterosacral ligament suspension

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 Cite this article as: Sanses TVD, Shahryarinejad A, Molden S, et al. Anatomic outcomes of vaginal mesh procedure (Prolift) compared with uterosacral ligament suspension and abdominal sacrocolpopexy for pelvic organ prolapse: a Fellows' Pelvic Research Network study. Am J Obstet Gynecol 2009;201:519.e1-8.

 Reprints not available from the authors.

 The Fellows' Pelvic Research Network is sponsored by the Society of Gynecologic Surgeons.

PII: S0002-9378(09)00770-4

doi:10.1016/j.ajog.2009.07.004

American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 519.e1-519.e8, November 2009

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