Pelvic reconstruction with mesh for advanced pelvic organ prolapse: a new economic surgical method.
OBJECTIVE
The aim of this study was to introduce a new pelvic reconstructive surgical operation with use of specially designed puncture needles and precut mesh. In addition, the anatomic results and the safety of this reconstructive approach were evaluated.


METHODS
Ninety-nine women who were older than 60 years with stage III or IV prolapse according to pelvic organ prolapse quantification (POP-Q) underwent the modified pelvic reconstructive surgical operation. Follow-up was more than 1 year. The objective and subjective results were measured by POP-Q and quality-of-life questionnaires, respectively. Complications were also observed both in the surgical operation and in the follow-up examination.


RESULTS
No severe intraoperative complications were observed. POP-Q measurements of Ba, Bp, and C taken 1 year postoperatively were significantly improved compared with those at baseline (P < 0.001), but eight women (8.1%) showed recurrence. A significant improvement in quality-of-life scores was observed (P < 0.001). The incidence rate of mesh exposure and the de novo urgent incontinence rates were 2% and 12%, respectively.


CONCLUSIONS
This new pelvic reconstructive surgical operation is a cost-effective and safe method and is easy to perform.
Zhu
Lan
L
Department of Obstetrics/Gynecology, Peking Union Medical College Hospital, Beijing, China. Zhu_Julie@sina.com
Lang
Jinghe
J
Sun
Zhijing
Z
Ren
Chang
C
Liu
Xiaochun
X
Li
Bin
B
D000368:Aged; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D012008:Recurrence; D013526:Surgical Mesh; D053202:Urinary Incontinence, Urge / Q000453:epidemiology