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Evaluation of a transvaginal mesh delivery system for the correction of pelvic organ prolapse: subjective and objective findings at least 1 year after surgery

Published:September 06, 2010DOI:https://doi.org/10.1016/j.ajog.2010.07.020

      Objective

      We sought to track objective and subjective outcomes ≥1 year after transvaginal mesh system to correct prolapse.

      Study Design

      This was a retrospective cohort study of 120 women who received a transvaginal mesh procedure (Avaulta Solo, CR Bard Inc, Covington, GA). Outcomes were pelvic organ prolapse quantification values; Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores; and a surgical satisfaction survey. “Surgical failure” was defined as pelvic organ prolapse quantification point >0, and/or any reports of vaginal bulge.

      Results

      Of 120 patients, 116 (97%) were followed up for a mean of 14.4 months (range, 12–30). In all, 74 patients had only anterior mesh, 21 only posterior mesh, and 21 both meshes. Surgical cure rate was 81%. Surgical failure was more common if preoperative point C ≥+2 (35% vs 16%; P = .04). Mesh erosion and de novo pain occurred in 11.7% and 3.3%, respectively. Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores improved (P < .01).

      Conclusion

      Objective and subjective improvements occurred at ≥1 year, yet failure rates were high when preoperative point C was ≥+2.

      Key words

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