Transvaginal polypropylene mesh versus sacrospinous ligament fixation for the treatment of uterine prolapse: 1-year follow-up of a randomized controlled trial.
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.
Lopes
Eliana Duarte
ED
Obstetrics and Gynecology Department, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil. lopes-ed@uol.com.br
Lemos
Nucélio Luiz de Barros Moreira
NL
Carramão
Silvia da Silva
Sda S
Lunardelli
Jacqueline Leme
JL
Ruano
José Maria Cordeiro
JM
Aoki
Tsutomu
T
Auge
Antonio Pedro Flores
AP
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*
D011126:Polypropylenes