title: Transvaginal polypropylene mesh versus sacrospinous ligament fixation for the treatment of uterine prolapse: 1-year follow-up of a randomized controlled trial.
abstract: OBJECTIVE
  The objective of this study was to compare the anatomical and quality of life outcomes of a posterior polypropylene mesh kit versus sacrospinous ligament fixation at the time of hysterectomy for the treatment of uterine prolapse.
  
  
  METHODS
  Thirty-two women aged 50 to 75 years with stage III or IV (pelvic organ prolapse quantification system/International Continence Society) uterine prolapse were randomized into two groups (group 1: polypropylene mesh, Nazca R, Promedon, Cordoba, Argentina; group 2: sacrospinous ligament fixation).
  
  
  RESULTS
  At 12-month follow-ups, we observed the same anatomical results in both groups. The median operating time, intraoperative blood loss, and perioperative complications were also equal in both groups. There were five cases (35.71%) of mesh erosion, and prolapse of the anterior vaginal wall (cystocele) occurred in 50% of the patients.
  
  
  CONCLUSIONS
  Similar anatomical and quality of life outcomes were observed with polypropylene mesh and sacrospinous ligament fixation for the treatment of uterine prolapse. Complication rate was higher in the mesh group.
authors: Obstetrics and Gynecology Department, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil. lopes-ed@uol.com.br
authors: Eliana Duarte
authors: ED
authors: Lopes
authors: Nucélio Luiz de Barros Moreira
authors: NL
authors: Lemos
authors: Silvia da Silva
authors: Sda S
authors: Carramão
authors: Jacqueline Leme
authors: JL
authors: Lunardelli
authors: José Maria Cordeiro
authors: JM
authors: Ruano
authors: Tsutomu
authors: T
authors: Aoki
authors: Antonio Pedro Flores
authors: AP
authors: Auge
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D017060:Patient Satisfaction; D011126:Polypropylenes; D011183:Postoperative Complications; D013526:Surgical Mesh / Q000009:adverse effects; D013536:Suture Techniques; D014596:Uterine Prolapse / Q000601:surgery*
chemical_list: D011126:Polypropylenes