Trocar-guided mesh repair of vaginal prolapse using partially absorbable mesh: 1 year outcomes.
OBJECTIVE
To evaluate anatomic and functional outcomes at 1-year following trocar-guided transvaginal prolapse repair using a partially absorbable mesh.


METHODS
Prospective multicentre cohort study at 11 international sites. One hundred twenty-seven patients with pelvic organ prolapse stage ≥ III had surgery and were evaluated at 3 months and 1-year postsurgery compared with baseline. Instruments of measurements: Pelvic Organ Prolapse Quantification, Pelvic Floor Distress Inventory-20, Pelvic Floor Impact Questionnaire-7, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire-12, and Patients Global Impression of Change.


RESULTS
Anatomic success, defined as prolapse stage ≤ I in the treated vaginal compartments, was 77.4% (95% confidence interval, 69.0-84.4%). Significant improvements in bother, quality of life, and sexual function were detected at 3 months and 1 year compared with baseline. At 1-year after surgery, 86.2% of patients indicated their prolapse situation to be "much better." Mesh exposure rate was 10.2% and rate of de novo dyspareunia 2% at 1 year.


CONCLUSIONS
These results demonstrate improved anatomic support, associated with excellent functional improvements, without apparent safety concerns.
Milani
Alfredo L
AL
Department of Obstetrics and Gynaecology, Delft, the Netherlands.
Hinoul
Piet
P
Gauld
Judi M
JM
Sikirica
Vanja
V
van Drie
Douglas
D
Cosson
Michel
M
D004414:Dyspareunia / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D056887:Pelvic Organ Prolapse / Q000601:surgery; D017699:Pelvic Pain / Q000175:diagnosis / Q000209:etiology; D011446:Prospective Studies; D011788:Quality of Life; D013525:Surgical Instruments; D013526:Surgical Mesh / Q000009:adverse effects; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*