title: Surgical intervention after transvaginal Prolift mesh repair: retrospective single-center study including 524 patients with 3 years' median follow-up.
abstract: OBJECTIVE
  The aim of this study was to explore the nature and rate of surgical intervention after transvaginal Prolift mesh repair for pelvic organ prolapse.
  
  
  METHODS
  This was a retrospective study of all patients who underwent Prolift mesh repair between January 2005 and January 2009. Patient data were obtained from medical records, and patients were telephoned to check if they had surgery in other hospitals.
  
  
  RESULTS
  A total of 600 consecutive patients were identified. Of these, 524 patients (87.3%) were included in the study, with a median follow-up duration of 38 months (range, 15-63). Global reoperation rate was 11.6%. Indications of intervention were surgery for urinary incontinence (6.9%), mesh-related complications (3.6%), or prolapse recurrence (3%).
  
  
  CONCLUSIONS
  The global reoperation rate after transvaginal Prolift mesh repair was 11.6%, with urinary incontinence surgery being the most common indication. Rates of mesh complications and prolapse recurrence are relatively low in an experienced team.
authors.affiliation: Department of Gynecologic Surgery, Hôpital Jeanne de Flandre, Lille, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: de Landsheere
authors.forename: Sharif
authors.initials: S
authors.lastname: Ismail
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Lucot
authors.forename: Valérie
authors.initials: V
authors.lastname: Deken
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Foidart
authors.forename: Michel
authors.initials: M
authors.lastname: Cosson
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D019736:Prostheses and Implants / Q000706:statistics & numerical data*; D012008:Recurrence; D012086:Reoperation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery