Utero-vaginal suspension using bilateral vaginal anterior sacrospinous fixation with mesh: intermediate results of a cohort study. Issue 12 (December 2015)

• Record Type: Journal Article
• Authors: Letouzey, Vincent; Ulrich, Daniela; Balenbois, Eva; Cornille, Arnaud; Tayrac, Renaud; Fatton, Brigitte
• Is Part Of: International urogynecology journal. Volume 26:Issue 12(2015)
• Page Start: 1803
• Page End: 1807
• Publication Date: 2015-12
• Subjects: Pelvic organ prolapse -- Tension-free -- Sacrospinous ligament -- Uphold® -- Dyspareunia; Urogynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; 616.60082
• DOI: 10.1007/s00192-015-2748-z
• Languages: English
• ISSNs: 0937-3462

Abstract

Abstract Introduction and hypothesis Pelvic organ prolapse is a major burden for the public health system, affecting up to 30 % of all women. One mesh kit has been introduced for pelvic organ prolapse surgery that can be inserted via a single anterior incision with the mesh arms driven through the sacrospinous ligament in a tension-free manner. The aim of this study was to describe the medium-term results of this vaginal mesh kit procedure for the combined treatment of the anterior vaginal wall and vault prolapse. Methods This is a longitudinal case series of patients undergoing an anterior mesh operation between 2009 and 2013. All patients presenting with symptomatic stage II prolapse or higher were included when a minimum follow-up of 12 months was achieved. A structured interview and clinical examination were performed pre- and postoperatively. Results One hundred and eighteen consecutive patients were operated with the Uphold® system during the study period. Three patients did not complete the 12-month follow-up and were excluded from the analysis, leaving 115 patients. Anatomical success at a mean follow-up of 23 months was 93 %, with a patient satisfaction rate of 95 %. Four patients (8 %) experienced de novo dyspareunia related to the mesh. The reoperation rate for mesh-related complications was 3.4 %; no patients were re-operated for POP recurrence. Conclusions The subjective and objective cure rates were high and the mesh-related re-operation rate was 3 % in the medium term, suggesting that this surgical technique may be an option for women requiring anterior and apical prolapse repair.