https://doi.org/10.4081/uij.2022.280

Is pelvic organ prolapse correction with vaginal mesh suitable with a correct indication and protocolized follow-up?

Vol. 34 No. 1 (2022)
Published: 14 February 2022
Pelvic organ prolapse, vaginal mesh, urinary incontinence, complications, quality of life
Abstract Views: 1684
PDF: 442
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Authors

Pau Sarrio-Sanz
https://orcid.org/0000-0002-8654-4433
Urology Services, University Hospital of San Juan de Alicante, San Juan de Alicante, Spain.
Ana Isabel Lopez-Lopez
llanais@hotmail.com
Urology Services, University Hospital of San Juan de Alicante, San Juan de Alicante, Spain.
Laura Martinez-Cayuelas
Urology Services, University Hospital of San Juan de Alicante, San Juan de Alicante, Spain.
Luis Gomez-Perez
Urology Services, General University Hospital of Elche; Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.
Manuel Angel Ortiz-Gorraiz
Urology Services, University Hospital of San Juan de Alicante, San Juan de Alicante, Spain.
Jesús Romero-Maroto
Urology Services, University Hospital of San Juan de Alicante, San Juan de Alicante; Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.

The use of vaginal mesh in order to correct Pelvic Organ Prolapse (POP) has been banned by the FDA due to the complications associated with them. The objective is to determine efficacy and safety in the short and long term in a sample of women undergoing transvaginal mesh surgery performed by properly trained surgeons, in a referral center and with a protocolized follow-up. We present a longitudinal, descriptive study of a cohort of 53 patients with POP who underwent transvaginal mesh surgery between 2001 and 2015. The efficacy of the treatment is evaluated quantifying both clinical changes and life quality, as well as the rate for prolapse recurrence and the short-and long-term treatment-related complications. A total of 53 patients with average follow-up of 87 months were included. All of them had their surgery performed by three properly-trained surgeons. Indication for mesh placement was assessed in 49.1% of cases due to previous surgery recurrence. Treatment improved urinary incontinence rates, constipation, voiding difficulty, dyspareunia and quality of life. Long-term complication rate was 9.6% (5.7% exposure, 1.9% urinary obstruction and 1.9% pain). None of the patients presented recurrence in the mesh-treated compartment and 6 patients (11.3%) needed surgery after recurrence in a different compartment at the end of follow-up. Vaginal placement of synthetic mesh for POP treatment is safe in the short-, medium- and long-term when performed in referral centers. The correct indication and long-term follow-up are essential to diagnose and treat possible complications.

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Is pelvic organ prolapse correction with vaginal mesh suitable with a correct indication and protocolized follow-up?. (2022). Urogynaecologia, 34(1). https://doi.org/10.4081/uij.2022.280

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