Age and sexual activity are risk factors for mesh exposure following transvaginal mesh repair.
OBJECTIVE
This study is about evaluating safety and potential risk factors for complications following pelvic organ prolapse repair with the GYNECARE PROLIFT system.


METHODS
This is a prospective observational study (Canadian Task Force II-1) performed in a tertiary referral center. A total of 114 women with pelvic organ prolapse, POP-Q stage ≥ 2, underwent a pelvic floor repair that included Prolift.


RESULTS
During a mean follow-up time of 7 months there were six procedure failures (5.3%) and 14 mesh exposures (12.3%), more commonly on the anterior vaginal wall. Age was inversely related to the risk of having late mesh exposure (p = 0.02) with an odds ratio of 1.99 (95% confidence interval 1.10-3.59) for each decrease of 10 years in age. Late mesh exposure was significantly more common in sexually active patients (p = 0.016).


CONCLUSIONS
Prolift repair has a high anatomical success rate. Young age and sexual activity are risk factors for mesh exposure.
Kaufman
Yuval
Y
Centre for Advanced Reproductive Endosurgery, Sydney, Australia. mdykaufman@gmail.com
Singh
Sony Sukhbir
SS
Alturki
Haifa
H
Lam
Alan
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D012725:Sexual Behavior / Q000502:physiology*; D013526:Surgical Mesh / Q000009:adverse effects*; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*